Surgical complications in immediate and delayed breast reconstruction: A systematic review and meta-analysis

被引:27
作者
Matar, Dany Y. [1 ,2 ]
Wu, Mengfan [1 ,3 ]
Haug, Valentin [1 ,4 ]
Orgill, Dennis P. [1 ]
Panayi, Adriana C. [1 ]
机构
[1] Harvard Med Sch, Brigham & Womens Hosp, Div Plast Surg, Dept Surg, 75 Francis St, Boston, MA 02115 USA
[2] Washington Univ St Louis, St Louis, MO 63130 USA
[3] Peking Univ, Shenzhen Hosp, Dept Plast Surg, Shenzhen, Guangdong, Peoples R China
[4] Heidelberg Univ, BG Trauma Ctr Ludwigshafen, Dept Hand Plast & Reconstruct Surg Microsurg, Ludwigshafen, Germany
关键词
Breast reconstruction; Meta-analysis; Immediate reconstruction; Delayed reconstruction; LATISSIMUS-DORSI FLAP; CASE SERIES; SPARING MASTECTOMY; RADIATION-THERAPY; OUTCOMES; IMPLANT; QUALITY; IMPACT; DIEP; RADIOTHERAPY;
D O I
10.1016/j.bjps.2022.08.029
中图分类号
R61 [外科手术学];
学科分类号
摘要
Henda.Triki@ and hematoma/seroma (OR 2.01, 95% CI 1.27-3.17; p = 0.003). Furthermore, a separate sensi-tivity analysis showed no significant differences in reported outcomes when comparing studies whose patient cohorts received post-mastectomy radiation therapy (PMRT).Conclusions: This study provides evidence that immediate breast reconstruction generally increases the risk of complications in comparison with delayed reconstruction. Additional prospective and observational studies are needed to determine the role of PMRT and recon-struction surgical technique in the incidence of complications between immediate and delayed reconstructions.(c) 2022 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by El-sevier Ltd. All rights reserved.
引用
收藏
页码:4085 / 4095
页数:11
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