Reducing Donor-Site Complications in DIEP Flap Breast Reconstruction: The Efficacy of Retrorectus Polyglactin Mesh and Personalized Hernia Risk Estimation

Retrorectus placement of absorbable polyglactin mesh lowers postoperative bulge rates after DIEP flap breast reconstruction.
Hernia risk is influenced by patient age, prior open abdominal surgery, and perforator dissection patterns.
A validated, individualized nomogram was developed to estimate hernia risk with and without mesh use, supporting personalized surgical planning.

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For clinical reference; use professional judgment.