Impact of Body Mass Index, Age and Tobacco Use on the Outcomes of Immediate Breast Reconstruction with Implants and Acellular Dermal Matrix.

Autor: Ribeiro LM; Department of Plastic and Reconstructive Surgery, Centro Hospitalar Universitário Lisboa Central, Hospital São José Lisbon, Portugal., Meireles RP; Department of Plastic and Reconstructive Surgery, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal., Brito IM; Department of Plastic and Reconstructive Surgery, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal., Costa PM; Department of Plastic and Reconstructive Surgery, Centro Hospitalar Universitário Lisboa Central, Hospital São José Lisbon, Portugal., Rebelo MA; Department of Plastic and Reconstructive Surgery, Instituto Português de Oncologia do Porto, Porto, Portugal., Barbosa RF; Department of Plastic and Reconstructive Surgery, Instituto Português de Oncologia do Porto, Porto, Portugal., Choupina MP; Department of Plastic and Reconstructive Surgery, Instituto Português de Oncologia do Porto, Porto, Portugal., Pinho CJ; Department of Plastic and Reconstructive Surgery, Instituto Português de Oncologia do Porto, Porto, Portugal., Ribeiro MP; Department of Plastic and Reconstructive Surgery, Instituto Português de Oncologia do Porto, Porto, Portugal.
Jazyk: angličtina
Zdroj: Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India [Indian J Plast Surg] 2021 Sep 27; Vol. 54 (3), pp. 350-357. Date of Electronic Publication: 2021 Sep 27 (Print Publication: 2021).
DOI: 10.1055/s-0041-1735422
Abstrakt: Background This study aimed to analyze the effect of body mass index (BMI), age, and tobacco use on alloplastic breast reconstruction. Methods We conducted a retrospective study of patients who submitted to immediate breast reconstructions with an anatomical implant and acellular dermal matrix in a single center between 2016 and 2018. Outcomes evaluated included immediate complications, early complications, reinterventions, readmissions, and reconstruction failure. Patients were divided into two groups concerning each potential risk factor (BMI < or ≥25; age < or ≥ 50 years; and smokers vs nonsmokers). Simple descriptive statistics and univariate analysis were performed. Results A total of 101 breast reconstructions (73 patients) were included in the analysis. The mean BMI was 24, and the mean age was 44.5 years old. Smokers accounted for 14 breast reconstructions (13.9%). The rate of early infections, mastectomy flap necrosis, and implant removal was significantly higher in overweight patients. The total volume of breast drainage was higher in the age ≥ 50 years group. Smoking did not alter the outcomes. Conclusions A BMI ≥ 25 is a risk factor for early infections and reconstructive failure. Age ≥ 50 years is associated with a higher volume of breast drainage but does not seem to impact the success of the reconstruction. Smoking does not appear to affect the outcomes significantly in this type of reconstruction. Surgeons should consider delaying the reconstruction or using autologous tissue when patients are overweight.
Competing Interests: Conflicts of Interest The authors have no conflicts of interest to disclose. Availability of Data and Material The data was collected from the digital clinical files of the patients in Hospital IPO Porto in January 2020. Financial Disclosure Statement The authors have no financial interest or commercial association to disclose.
(Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze: MEDLINE
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