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Titolo:
IMMEDIATE BREAST RECONSTRUCTION IN BREAST-CANCER - MORBIDITY AND OUTCOME
Autore:
YEH KA; LYLE G; WEI JP; SHERRY R;
Indirizzi:
MED COLL GEORGIA,DEPT SURG,SECT SURG ONCOL,BIW 444,1120 15TH ST AUGUSTA GA 30912 MED COLL GEORGIA,DEPT SURG,PLAST & RECONSTRUCT SURG SECT AUGUSTA GA 30912
Titolo Testata:
The American surgeon
fascicolo: 12, volume: 64, anno: 1998,
pagine: 1195 - 1199
SICI:
0003-1348(1998)64:12<1195:IBRIB->2.0.ZU;2-L
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTMASTECTOMY RECONSTRUCTION; WOUND COMPLICATIONS; TOTAL MASTECTOMY; RISK-FACTORS; RECURRENCE; FLAP; CHEMOTHERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
30
Recensione:
Indirizzi per estratti:
Citazione:
K.A. Yeh et al., "IMMEDIATE BREAST RECONSTRUCTION IN BREAST-CANCER - MORBIDITY AND OUTCOME", The American surgeon, 64(12), 1998, pp. 1195-1199

Abstract

Breast reconstruction is frequently pe;formed for and requested by women with breast cancer. There are continued concerns about the safety of this procedure. We reviewed the Medical College of Georgia experience with immediate breast reconstruction to determine overall morbidityand whether premorbid risk factors could predict complications. Patients were reviewed with attention to epidemiologic characteristics, comorbid medical conditions, and risk factors; hospital and operative course; immediate wound complications; and patient survival, t test and chi-square analysis were performed to determine risk factors for developing wound complications. Between October 1990 and December 1996, 55 patients underwent 62 mastectomies and immediate reconstruction for breast cancer or contralateral prophylaxis. There were 13 stage 0, 23 stage I,16 stage II, 4 stage III, and I stage IV tumors. There were 19 prosthetic and 43 autologous tissue reconstructions. Eighteen patients had 24 wound complications. Major complications occurred in eight patients and required reoperation for implant removal (two bilateral), ventral herniorrhaphy, and split thickness skin grafting for tissue loss. Patients who were obese were statistically more likely to develop surgical wound complications. Tobacco use, age, comorbid medical illness, operative blood loss, length of operation, and length of hospital staydid not predict for the development of wound complications. Patients who underwent prosthetic reconstruction had a significantly higher rate of major wound complications when compared with those who had autologous reconstruction. There was a single ease of delay of chemotherapy secondary to surgical wound complication. There were no cases of autologous flap loss or local recurrence. Median survival is 23 months (1-72 months). At last follow-up, 53 patients are alive and without evidence of local recurrence. Breast reconstruction may be performed safely for most breast cancer patients. Autologous tissue reconstruction is preferred and carries significantly less major morbidity. Reconstruction should not delay adjuvant chemotherapy.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/07/20 alle ore 06:30:58