en
Scientific article
Review
Open access
English

Safety and Efficacy of the Superior Gluteal Artery Perforator (SGAP) Flap in Autologous Breast Reconstruction: Systematic Review and Meta-Analysis

Published inCancers, vol. 14, no. 18, 4420
Publication date2022-09-11
First online date2022-09-11
Abstract

(1) Background: The superior gluteal artery perforator (SGAP) flap is a prominent technique for autologous breast reconstruction. Unlike other commonly used techniques, current literature on the safety and efficacy of the SGAP flap is heterogenous and limited. The aim of this article was to perform a systematic literature review and meta-analysis of postoperative outcomes and complications associated with SGAP flap autologous breast reconstructions.

(2) Methods: A systematic literature search of multiple databases was performed using the PRISMA guidelines. We included articles evaluating SGAP flaps in autologous breast reconstruction. Outcomes and complications were recorded and analyzed. Proportions and their 95% confidence intervals (CIs) were calculated in a random-effects meta-analysis.

(3) Results: Fourteen studies meeting inclusion criteria, representing a total of 667 SGAP flaps, were included. The total flap loss rate was 1% (95% CI 0-3%), partial flap loss rate was 1% (95% CI 0-3%), hematoma rate was 3% (95% CI 1-6%), emergent surgical re-exploration rate was 5% (95% CI 2-9%), and overall donor-site complications were 12% (95% CI 4-23%). (4) Conclusions: This systematic review and meta-analysis provide comprehensive knowledge on the efficacy and safety of the SGAP flap in autologous breast reconstruction. It demonstrates its overall safety and low complication rate, validating its important role as an effective option in breast reconstruction.

eng
Keywords
  • SGAP
  • Breast reconstruction
  • Free flap
  • Meta-analysis
  • Microsurgery
  • Outcomes
  • Systematic review
Citation (ISO format)
MARTINEAU, Jérôme, KALBERMATTEN, Daniel, ORANGES, Carlo. Safety and Efficacy of the Superior Gluteal Artery Perforator (SGAP) Flap in Autologous Breast Reconstruction: Systematic Review and Meta-Analysis. In: Cancers, 2022, vol. 14, n° 18, p. 4420. doi: 10.3390/cancers14184420
Main files (1)
Article (Published version)
Secondary files (9)
Identifiers
ISSN of the journal2072-6694
48views
32downloads

Technical informations

Creation09/29/2022 8:25:00 AM
First validation09/29/2022 8:25:00 AM
Update time03/16/2023 10:27:20 AM
Status update03/16/2023 10:27:16 AM
Last indexation02/01/2024 9:26:31 AM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack