Early postoperative complications of breast reconstruction by history of radiotherapy and reconstruction approach

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F22%3A43922786" target="_blank" >RIV/00064173:_____/22:43922786 - isvavai.cz</a>

Alternative codes found

RIV/00064211:_____/22:N0000003 RIV/00216208:11120/22:43922786 RIV/00064211:_____/22:S0000007 RIV/00216208:11110/22:10437039

Result on the web

<a href="https://doi.org/10.1007/s00238-021-01918-x" target="_blank" >https://doi.org/10.1007/s00238-021-01918-x</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s00238-021-01918-x" target="_blank" >10.1007/s00238-021-01918-x</a>

Result language

angličtina

Original language name

Early postoperative complications of breast reconstruction by history of radiotherapy and reconstruction approach

Original language description

Background: For patients undergoing postmastectomy breast reconstruction, early postoperative complications may represent remarkable physical and emotional burden. Preoperative risk assessment is essential to minimizing such complications. The aim was to compare postoperative inpatient stay and early postoperative complications by radiotherapy status and different types of breast reconstruction. Methods: A total of 95 patients who had undergone postmastectomy primary breast reconstruction in a delayed manner in our institution were reviewed. A retrospective analysis was performed on the clinical data of patients with or without history of radiation therapy who had undergone implant, autologous, or combined reconstruction. The Kruskal-Wallis test, chi-square test of independence, and one-way ANOVA were used for data analysis. Results: Patients with a history of radiotherapy as well as patients who had undergone autologous reconstruction had the longest operative times (p = 0.020; p &lt; 0.001), length of stay in the ICU (p = 0.010; p &lt; 0.001), and overall length of postoperative inpatient stay (p = 0.049; p &lt; 0.001). The rate of postoperative complications was 40% with previous radiotherapy compared to 12.3% without previous radiotherapy (p = 0.002), and 42.1% with autologous reconstruction compared to 8.3% with implant reconstruction and 6.1% with combined reconstruction (p &lt; 0.001). Conclusions: History of radiotherapy and autologous reconstruction were associated with significantly longer operative times, inpatient stays, and a higher risk of early postoperative complications. Despite use of the patient&apos;s own tissue in combined reconstruction, there were no significant differences between the implant and combined reconstruction methods.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

<a href="/en/project/NV17-29084A" target="_blank" >NV17-29084A: Lymphoedema therapy by microsurgery and tissue engineering</a><br>

Continuities

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

European Journal of Plastic Surgery

ISSN

0930-343X

e-ISSN

1435-0130

Volume of the periodical

45

Issue of the periodical within the volume

3

Country of publishing house

DE - GERMANY

Number of pages

9

Pages from-to

429-437

UT code for WoS article

000742614800001

EID of the result in the Scopus database

2-s2.0-85123064723