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Postoperative fat necrosis was analyzed using ultrasonography. RESULTS Ninety-four patients were analyzed. Mean maximal contralateral perfusion length was as follows grade 0, 7.50 ± 1.89 cm; grade 1, 7.93 ± 2.01 cm; and grade 2, 10.14 ± 2.29 cm. Grade 2 had a statistically significantly greater contralateral perfusion length than grade 0 (p less then 0.001) and grade 1 (p less then 0.001). Fat necrosis occurred in 27.3 percent (grade , 19.1 percent (grade 1), and 8 percent (grade 2), which was statistically significant (p = 0.035). CONCLU