Circumferential periareolar incision length as a risk factor for skin necrosis after nipple-sparing mastectomy with deep inferior epigastric perforator flap reconstruction

This study suggests that for patients undergoing NSM with DIEP flap reconstruction, a circumferential periareolar incision length exceeding 30% is associated with an increased risk of skin necrosis in the mastectomy skin flap or NAC. Surgeons should strive to minimize periareolar incision length while ensuring adequate access for flap vascular anastomosis.

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Publication Details

Journal
BMC Cancer
Published
2025-10-16
DOI
https://doi.org/10.1186/s12885-025-15058-z
Primary Topic
Breast Implant and Reconstruction
Type
article
Field-Weighted Citation Impact
0.00
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article

Circumferential periareolar incision length as a risk factor for skin necrosis after nipple-sparing mastectomy with deep inferior epigastric perforator flap reconstruction

Xuhui Guo, Lei Hou, Hao Dai, Xilong Gong et al.
BMC Cancer
Breast Implant and Reconstruction
article

Circumferential periareolar incision length as a risk factor for skin necrosis after nipple-sparing mastectomy with deep inferior epigastric perforator flap reconstruction

Xuhui Guo, Lei Hou, Hao Dai, Xilong Gong, Jiao Zhang, Zhenzhen Liu, Lina Wang, Dechuang Jiao, Yajie Zhao, Jia Wang, Yue Yang
article en

Abstract

This study suggests that for patients undergoing NSM with DIEP flap reconstruction, a circumferential periareolar incision length exceeding 30% is associated with an increased risk of skin necrosis in the mastectomy skin flap or NAC. Surgeons should strive to minimize periareolar incision length while ensuring adequate access for flap vascular anastomosis.

BMC CancerVol. 25(1)
Peking University Shougang Hospital (CN), Henan Cancer Hospital (CN)
Openalex Percentile: Top 54%
Breast Implant and Reconstruction
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