Beyond BMI: Subcutaneous adipose tissue and smoking history as Predictors of Postoperative Complications in DIEP-flap Breast Reconstruction

Physical fitness and BMI were not independent predictors of postoperative complications. SAT and smoking history were stronger predictors and can be easily accessed through routine CT imaging. These findings support the use of SAT as a practical, more accurate risk stratification tool for autologous breast reconstruction candidates.

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Publication Details

Journal
Plastic & Reconstructive Surgery
Published
2026-02-03
DOI
https://doi.org/10.1097/prs.0000000000012881
Primary Topic
Reconstructive Surgery and Microvascular Techniques
Type
article
Field-Weighted Citation Impact
0.00
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article

Beyond BMI: Subcutaneous adipose tissue and smoking history as Predictors of Postoperative Complications in DIEP-flap Breast Reconstruction

Paul M. N. Werker, Iris L. Holt-Kedde, Nadia Sadok, Marlous Arjaans et al.
Plastic & Reconstructive Surgery
Reconstructive Surgery and Microvascular Techniques
article

Beyond BMI: Subcutaneous adipose tissue and smoking history as Predictors of Postoperative Complications in DIEP-flap Breast Reconstruction

Paul M. N. Werker, Iris L. Holt-Kedde, Nadia Sadok, Marlous Arjaans, Mayella Kuikhoven, Carolien P. Schöder, Alain R. Viddeleer
article en

Abstract

Physical fitness and BMI were not independent predictors of postoperative complications. SAT and smoking history were stronger predictors and can be easily accessed through routine CT imaging. These findings support the use of SAT as a practical, more accurate risk stratification tool for autologous breast reconstruction candidates.

Plastic & Reconstructive Surgery
University Medical Center Groningen (NL), University of Groningen (NL), Netaji Subhas National Institute of Sports (IN), The Netherlands Cancer Institute (NL), OLVG (NL), Essen University Hospital (DE), University of Duisburg-Essen (DE)
Good health and well-being
Openalex Percentile: Top 67%
Reconstructive Surgery and Microvascular Techniques
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