The Value of Morphometric Measurements in Risk Assessment for Donor-Site Complications after Microsurgical Breast Reconstruction.

Autor: Meyer MO; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital of Basel, 4031 Basel, Switzerland.; Faculty of Medicine, University of Basel, 4051 Basel, Switzerland., Handschin TM; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital of Basel, 4031 Basel, Switzerland.; Faculty of Medicine, University of Basel, 4051 Basel, Switzerland., Boll DT; Department of Radiology and Nuclear Medicine Clinic, University Hospital of Basel, 4031 Basel, Switzerland., Chammartin F; Basel Institute for Clinical Epidemiology and Biostatistics, Department of Clinical Research, University Hospital and University of Basel, 4031 Basel, Switzerland., Schaefer DJ; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital of Basel, 4031 Basel, Switzerland.; Faculty of Medicine, University of Basel, 4051 Basel, Switzerland., Haug MD; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital of Basel, 4031 Basel, Switzerland.; Faculty of Medicine, University of Basel, 4051 Basel, Switzerland.; Breast Center, University Hospital of Basel, 4031 Basel, Switzerland., Kappos EA; Department of Plastic, Reconstructive, Aesthetic and Hand Surgery, University Hospital of Basel, 4031 Basel, Switzerland.; Faculty of Medicine, University of Basel, 4051 Basel, Switzerland.; Breast Center, University Hospital of Basel, 4031 Basel, Switzerland.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2020 Aug 14; Vol. 9 (8). Date of Electronic Publication: 2020 Aug 14.
DOI: 10.3390/jcm9082645
Abstrakt: Microsurgical abdominally-based reconstruction is considered the gold standard in autologous breast reconstruction. Despite refined surgical procedures, donor-site complications still occur, reducing patient satisfaction and quality of life. Recent work has outlined the potential of morphometric measurements in risk assessment for postoperative hernia development. With rising demand for personalised treatment, the goal of this study was to investigate their potential in risk assessment for any donor site complication. In this retrospective cohort study, 90 patients were included who each received microsurgical breast reconstruction at the hands of one surgeon between January 2015 and May 2017. Donor-site complications formed the primary outcome and were classified according to Clavien-Dindo. Morphometric measurements were taken on a routinely performed computed tomographic angiogram. Complications occurred in 13 of the 90 (14.4%) cases studied. All patients who developed any type of postoperative donor site complication had a history of abdominal surgery. The risk of postoperative complications increased by 3% with every square centimetre of omental fat tissue (OR 1.03, 95% CI 1.00-1.06, and p -value = 0.022). Morphometric measurements provide valuable information in risk assessment for donor-site complications in abdominally-based breast reconstruction. They may help identify personalised reconstructive options for maximal postoperative patient satisfaction and quality of life.
Databáze: MEDLINE
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