Morbidity of the Donor Site and Complication Rates of Breast Reconstruction with Autologous Abdominal Flaps: A Systematic Review and Meta-Analysis
Table 3
The relative risks of donor site morbidity and flap complications across different breast reconstruction techniques.
Donor hernia/bulge
Donor wound infection
FTRAM
FTRAM
0.43 (0.24–0.77)
PTRAM
0.82 (0.60–1.13)
PTRAM
3.66 (0.65–20.74)
8.53 (1.42–51.32)
SIEA
0.27 (0.12–0.61)
0.33 (0.15–0.73)
SIEA
1.43 (0.92–2.23)
3.34 (1.79–6.23)
0.39 (0.07–2.26)
DIEP
1.20 (0.87–1.64)
1.45 (1.08–1.95)
4.47 (2.02–9.88)
DIEP
Flap fat necrosis
Mastectomy flap necrosis
FTRAM
FTRAM
0.35 (0.17–0.74)
PTRAM
0.77 (0.35–1.70)
PTRAM
0.45 (0.21–0.97)
1.29 (0.50–3.30)
SIEA
0.82 (0.35–1.93)
1.07 (0.41–2.74)
SIEA
0.60 (0.38–0.95)
1.71 (0.88–3.32)
1.33 (0.62–2.83)
DIEP
0.90 (0.53–1.53)
1.17 (0.62–2.21)
1.10 (0.50–2.38)
DIEP
Partial flap loss
Total flap loss
FTRAM
FTRAM
0.61 (0.28–1.35)
PTRAM
0.78 (0.29–2.05)
PTRAM
0.73 (0.23–2.36)
1.19 (0.35–4.09)
SIEA
0.46 (0.15–1.41)
0.59 (0.16–2.10)
SIEA
0.88 (0.46–1.69)
1.44 (0.69–2.98)
1.20 (0.37–3.96)
DIEP
0.53 (0.26–1.08)
0.68 (0.27–1.68)
1.15 (0.37–3.61)
DIEP
Flap hematoma
Flap total thrombotic event
FTRAM
FTRAM
1.04 (0.54–1.99)
PTRAM
0.23 (0.07–0.68)
SIEA
0.37 (0.19–0.72)
0.36 (0.17–0.74)
SIEA
0.18 (0.05–0.63)
0.79 (0.24–2.63)
DIEP
0.54 (0.32–0.89)
0.52 (0.29–0.93)
1.45 (0.76–2.75)
DIEP
Flap wound infection
FTRAM
0.38 (0.16–0.88)
PTRAM
1.17 (0.45–3.02)
3.10 (0.99–9.65)
SIEA
0.59 (0.29–1.23)
1.57 (0.94–2.61)
0.51 (0.18–1.45)
DIEP
Data are expressed as relative risks (95% confidence intervals). The outcomes can be interpreted from the left to right direction to indicate low/high risks.
