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Risk Factors for Donor-Site Seroma Formation After Immediate Breast Reconstruction With the Extended Latissimus Dorsi Flap: A Statistical Analysis of 120 Consecutive Cases

Jeon, Byung-Joon MD*; Lee, Tae-Sung MD; Lim, So-Young MD*; Pyon, Jai-Kyong MD*; Mun, Goo-Hyun MD*; Oh, Kap Sung MD*; Bang, Sa-Ik MD*

doi: 10.1097/SAP.0b013e3182259337
Breast Surgery

The extended latissimus dorsi flap has been widely used for breast reconstruction. However, seroma at the donor site is a common complication and makes it difficult for reconstructive surgeons to choose it as a primary option. We analyzed the association between seroma and reconstructions with extended latissimus dorsi flaps. A series of 120 consecutive cases were included in this study. The average body mass index (BMI) was 22.1 kg/m2, and the mean ratio of the flap weight to the extirpated breast weight was equivalent to 101.6%. The mean age of patients was 40.3 years. Donor-site seroma was reported in 69.2% (83 cases) of the total patients. With respect to BMI, flap weight, and age, the incidence and duration of donor-site seroma showed statistically significant differences (P < 0.05). Both the incidence and duration of seroma were significantly higher and longer in patients who had high BMI (>23 kg/m2), large flap (>450 g) for reconstructions, or advanced age (>45 y). In these cases, greater attention and additional adjunctive procedures would be needed to prevent seroma.

From the *Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea; and †Department of Plastic Surgery, ID Hospital, Seoul, Republic of Korea.

Received April 5, 2011, and accepted for publication, after revision, May 20, 2011.

Conflicts of interest and sources of funding: none declared.

Reprints: Sa-Ik Bang, MD, Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Irwon-dong, Gangnam-gu, Seoul, Republic of Korea 135–710. E-mail:

© 2012 Lippincott Williams & Wilkins, Inc.