Combined breast surgery and abdominoplasty

Combined breast surgery and abdominoplasty: Strategies for success. Plastic and Reconstructive Surgery, May 2015, Vol. 135(5), p.849(e)-860(e).

Matarasso, A. and Smith, D.M.

http://journals.lww.com/plasreconsurg/Abstract/2015/05000/Combined_Breast_Surgery_and_Abdominoplasty__.17.aspx

Abdominoplasty and breast surgery are frequently appealing to patients as combined procedures. The practice of combining abdominoplasty with other procedures originates from abdominoplasty performed in conjunction with intraabdominal or gynecologic surgery. Initially, the focus of combined surgery was on ensuring safety and minimizing local (e.g., wound healing) complications. As surgeons began combining abdominoplasty with distant procedures such as breast surgery, because the individual procedures have little adverse impact on one another and are not altered because of the combination, concerns with systemic morbidity surpassed the initial focus on avoiding local complications. 

The effect of prior abdominal surgery on abdominally based free flaps in breast reconstruction

The effect of prior abdominal surgery on abdominally based free flaps in breast reconstruction. Plastic and reconstructive surgery, March 2014, Vol. 133(3), p.247e-255e.

Roostaeian, J., et al.

http://journals.lww.com/plasreconsurg/Abstract/2014/03000/The_Effect_of_Prior_Abdominal_Surgery_on.4.aspx

The abdomen has long remained the preferred donor site in breast reconstruction. Over time, the flap has evolved to limit morbidity with reduced muscular harvest. Previous abdominal operations, however, may limit the ability to perform a muscle- or fascia-sparing flap. The purpose of this study was to evaluate outcomes in women who had prior abdominal operations and underwent abdominally based autologous breast reconstruction.