Seldom one and done: Characterizing rates of reoperation with direct-to-implant breast reconstruction after mastectomy

被引：8

作者：

Hammond, Jacob B. ^{[1
]}

Foley, Brittany M. ^{[2
]}

Kosiorek, Heidi E. ^{[3
]}

Cronin, Patricia A. ^{[4
]}

Rebecca, Alanna M. ^{[5
]}

Casey, William J., III ^{[5
]}

Kruger, Erwin A. ^{[5
]}

Teven, Chad M. ^{[5
]}

Pockaj, Barbara A. ^{[4
]}

机构：

[1] Mayo Clin, Dept Surg, Phoenix, AZ USA

[2] Mayo Clin, Alix Sch Med, Scottsdale, AZ USA

[3] Mayo Clin, Dept Res, Sect Biostat, Scottsdale, AZ USA

[4] Mayo Clin, Div Surg Oncol & Endocrine Surg, Phoenix, AZ USA

[5] Mayo Clin, Div Plast & Reconstruct Surg, Phoenix, AZ USA

来源：

AMERICAN JOURNAL OF SURGERY | 2022年 / 224卷 / 01期

关键词：

Breast cancer; Mastectomy; Breast reconstruction; Direct to implant; Revisions; ACELLULAR DERMAL MATRIX; QUALITY-OF-LIFE; IMMEDIATE; OUTCOMES; CANCER; HEALTH; TRENDS; CARE;

D O I：

10.1016/j.amjsurg.2022.04.011

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: Limited data exist outlining reoperations after direct-to-implant (DTI), tissue expander (TE) and autologous free-flap breast reconstruction. Methods: Patients undergoing mastectomy with reconstruction from 2008 to 18 were reviewed. Patient factors, surgical techniques, planned, unplanned, and total reoperations were analyzed. Results: Among 544 total patients, the majority underwent DTI (294, 54%) or TE (176, 32%); 74 (14%) received autologous free-flaps. Majority of DTI patients (55%) underwent subsequent reoperations. Compared to autologous tissue, DTI had less patients undergo additional surgery (76% vs. 55%, P = 0.001). Incidence of total unplanned reoperations did not significantly differ between reconstructive groups. The rate of unplanned reoperations due to complications was lowest for DTI (39%) when compared to TE (48%) and autologous (55%, P = 0.015). Compared to TE, DTI carried a lower risk for >= 2 total reoperations (OR = 0.21, 95% CI 0.13-0.33, P < 0.001). Conclusions: Seldom "one and done," additional surgery after DTI remains significant.

引用

页码：141 / 146

页数：6

共 22 条

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