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

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064211%3A_____%2F22%3AN0000003" target="_blank" >RIV/00064211:_____/22:N0000003 - isvavai.cz</a>

  • Alternative codes found

    RIV/00064173:_____/22:43922786 RIV/00216208:11110/22:10437039 RIV/00216208:11120/22:43922786 RIV/00064211:_____/22:S0000007

  • Result on the web

    <a href="https://link.springer.com/article/10.1007/s00238-021-01918-x" target="_blank" >https://link.springer.com/article/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>

Alternative languages

  • 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 < 0.001), length of stay in the ICU (p =0.010; p < 0.001), and overall length of postoperative inpatient stay (p = 0.049; p < 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 < 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's own tissue in combined reconstruction, there were no significant differences between the implant and combined reconstruction methods.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30212 - Surgery

Result continuities

  • Project

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

  • Continuities

    P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Others

  • Publication year

    2022

  • Confidentiality

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

Data specific for result type

  • 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