Abstract
Promoted by reports of decreased donor-site morbidity compared to transverse rectus abdominis (TRAM) breast reconstruction, deep inferior epigastric perforator (DIEP) flaps have gained significant popularity. Increasing body mass index (BMI) is associated with poor outcomes in breast reconstruction using traditional techniques. The authors retrospectively reviewed their clinical experience based on patient BMI. Significantly increased flap delayed wound healing complications were reported in severely obese patients compared to lower BMI groups. Donor-site complications demonstrated significantly increased delayed wound healing and overall complications among morbidly obese patients compared to other groups. Incidence of abdominal wall bulging and hernia formation was not significantly different between groups despite increasing BMI.
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