Effect of Prior Abdominal Surgery on Abdominal-based Free-flap Breast Reconstruction Outcomes: A Systematic Review and Meta-analysis.

Abdominal-based breast reconstruction remains a safe and effective option for patients with prior abdominal surgery, with preserved flap viability and comparable recipient-site outcomes.

However, prior abdominal scarring is associated with an increased risk of donor-site wound dehiscence and abdominal wall laxity, emphasizing the need for careful preoperative planning and optimized donor-site management.