Dual-Plane versus Prepectoral Breast Reconstruction in High–Body Mass Index Patients

Great article by Allen Gabriel et al, published in PRS journal. The study compared outcomes of prepectoral and dual-plane reconstruction in high-BMI patients to determine whether there was an association between postoperative complications and the plane of reconstruction.

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Breast reconstruction in patients with a high body mass index (BMI) (≥30 kg/m2) is technically challenging and is associated with increased postoperative complications. The optimal reconstructive approach for these patients remains to be determined. This study compared outcomes of prepectoral and dual-plane reconstruction in high-BMI patients to determine whether there was an association between postoperative complications and the plane of reconstruction.

High-BMI patients who underwent immediate dual-plane or prepectoral expander/implant reconstruction were included in this retrospective study. Patients were stratified by reconstructive approach (dual-plane or prepectoral), and postoperative complications were compared between the groups. Multivariate logistic regression analysis was performed to determine whether the plane of reconstruction was an independent predictor of any complication after adjusting for potential confounding differences in patient variables between the groups.

The authors concluded that compared with the dual-plane approach, the prepectoral approach appears to be associated with a lower risk of postoperative complications following immediate expander/implant breast reconstruction and may be a better reconstructive option in high-BMI patients.

To read the full article, click here: https://journals.lww.com/plasreconsurg/Fulltext/2020/06000/Dual_Plane_versus_Prepectoral_Breast.4.aspx?WT.mc_id=HPxADx20100319xMP

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Jasmine Walter

Content Editor, Mark Allen Group

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