{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T12:04:56Z","timestamp":1790251496366,"version":"4.1.0"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T00:00:00Z","timestamp":1785283200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Microsurgical breast reconstruction is the gold standard for patients after a mastectomy. Despite the benefits associated with microsurgical reconstruction, there remain considerable challenges at the level of both patient and health service. This study aimed to uncover variables associated with post\u2010surgical complications following microsurgical autologous reconstruction in a single centre Australian cohort with the aim of informing future strategies to reduce risk and cost.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort analysis utilising data from the electronic medical records of a tertiary breast reconstruction service in Melbourne, Australia between August 2022 and February 2024. Data on post\u2010surgical complications were collected, with a particular focus on respiratory and wound complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 204 women, with a mean age of 49.8\u2009years, were included. Multivariate logistic analysis found that for every kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      point increase in BMI, respiratory complications increased by 8%. Respiratory comorbidities and operative duration were also associated with respiratory complications. For every kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      point increase in BMI, wound complications increased by 11%. Respiratory comorbidities and intra\u2010operative fluid volume were also associated with wound complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We identified several pre\u2010 and intra\u2010operative risk factors that may assist in informing changes to standard clinical practice, in the hopes of optimising the overall experience for a patient undergoing microsurgical breast reconstruction. These quantified risks may also enable better patient education or institutional decisions to offer alternative pathways to high\u2010risk patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70882","type":"journal-article","created":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T04:14:35Z","timestamp":1785384875000},"page":"2424-2430","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Complications Following Abdominal\u2010Based Microsurgical Breast Reconstruction"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1035-0090","authenticated-orcid":false,"given":"Nicholas","family":"Savage","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Surgery Monash Health  Dandenong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jackson","family":"Catalano","sequence":"additional","affiliation":[{"name":"Plastic 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