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RESULTS: One hundred forty breasts in 79 patients were reviewed. Mastectomy weight was strongly correlated with MCI fold measurement on linear regression (R = 0.651; P < 0.001) but neither ptosis nor sternal notch-to-nipple distance were. Twenty-five breasts (17.8%) had ischemic complications: 16 (11.4%) were nonoperative and 9 (6.4%) were operative. The average mastectomy specimen weight in patients with major ischemic complications was 498 g, significantly higher than mastectomy specimens without major complications (315 g; P = 0.001). Those with mastectomy weights ≥500 g were 9 times more likely to have operative ischemic complications than those with mastectomy weights <500 g (P = 0.0048). The average MCI fold measurement among breasts with major ischemic complications was 30.2 cm, significantly different from breasts without major ischemic complications (27.9 cm; P = 0.032). Those with MCI fold ≥30 cm had a 3.8 times increased incidence of any ischemic complication (P = 0.00547) and 9.2 times increase incidence of operative ischemic complications (P = 0.00376) compared with those <30 cm. The majority of patients with and without major ischemic complications had grade I ptosis (P > 0.05).

Gabapentin Decreases Narcotic Usage: A Critical Examination of the Enhanced Recovery After Surgery Pathway in Free Autologous Breast Reconstruction