Outcomes of Breast Free Flap Reconstruction in the Middle East

Abstract

Ovais Habib, Shabeer Wani, Luay A Alsalmi, Ghazi Ayed G AlThubaiti, Ahmad Asaeed, Bandar AlAithan, Bandar Al Harthi, Fatima AlMushawa, Yousuf Abdalkareem and Huda Abdalkareeem

Objectives: Reviewing patient satisfaction and quality of life following post mastectomy breast reconstruction in breast cancer patients of Middle East.

Methods: Retrospective study of 68 patients of post mastectomy who underwent free flap-based breast reconstruction with a mean follow up of 6 months were studied over a period of 5½ years. Specific preoperative investigation included CT angiography of the abdominal wall for perforator assessment. All of breasts were reconstructed by microsurgical free flap breast reconstruction. A questionnaire was developed for the postoperative patients in order to assess their satisfaction grades.

Results: A total of 67 patients of post mastectomy females attended to our clinic for breast reconstruction. Most of the patients (97.3%) were in the age group of 29-53 years. Majority of patients (68%) underwent delayed reconstruction. Average BMI at reconstruction in most females was 30.1. CT angio demonstrated two ideal perforators in 59% of cases. Majority underwent reconstruction by free DIEP flap. Complications occurred in 6.4% of patients. Overall satisfaction rates of 92% was noted. At the completion of the study 30% has completed nipple reconstruction.

Conclusion: With the availability of “state of the art” microsurgical breast reconstruction, in properly selected patients, the quality of life and satisfaction rates are high and free flap breast reconstruction has proven to be the standard of care in post mastectomy patient population.

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