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Commentary The authors present a retrospective study involving
4,676 prosthetic or autologous breast reconstruction
Francesco M. Egro, Chibueze A. Nwaiwu, Vu T. patients (136 of which were underweight) recorded on the
Nguyen American College of Surgeons National Surgical Quality

Department of Plastic Surgery, University of Pittsburgh Medical Improvement Program (ACS-NSQIP) database between 2006
Center, Pittsburgh, PA 15261, USA. and 2011. The authors show that underweight patients
undergoing autologous reconstruction have higher total
Address for correspondence: Dr. Francesco M. Egro, Department of Plastic and surgical complication rates, but lower reoperation and
Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15261, USA.
E-mail: francescoegro@gmail.com medical complication rateswhereas, underweight patients
undergoing prosthetic reconstruction have higher medical
The association between body mass index (BMI) and surgical complication rates, but lower reoperation, total and surgical
complications has been of great interest in recent years given complication rates. However, none of these findings are
the rise of obesity worldwide. Current evidence shows that statistically significant on multivariate analysis.
[1]
there is a strong correlation between obesity and the rate Despite the great efforts by the authors to answer the
of complications following breast reconstruction, such as very important question of whether low BMI has impact
wound dehiscence, superficial wound infection, and graft on breast reconstruction, there are certain limitations that
[2]
or flap loss. Although malnutrition has been identified readers should consider when interpreting the results of
as a risk factor for poor wound healing and the effects of this study. Firstly, the spectrum of breast cancer therapy
reconstruction, no articles have examined the impact of
[3]
low BMI on the outcomes of breast reconstruction. This is an open access article distributed under the terms of the Creative Commons
Attribution‑NonCommercial‑ShareAlike 3.0 License, which allows others to remix,
Access this article online tweak and build upon the work non‑commercially, as long as the author is credited
Quick Response Code: and the new creations are licensed under the identical terms.
For reprints contact: service@oaepublish.com
Website:
http://par.oaepublish.com/ How to cite this article: Egro FM, Nwaiwu CA, Nguyen VT.
Commentary. Plast Aesthet Res 2016;3:14-6.

Received: 22-07-2015; Accepted: 31-07-2015
14 Plast Aesthet Res || Vol 3 || Issue 1 || Jan 15, 2016