Immediate Unilateral Subpectoral Implant-Based Breast Reconstruction does not Impair Pulmonary Functions: A Preliminary Prospective Study.

Autor: Har-Shai L; The Department of Reconstructive Plastic Surgery & Burns, Rabin Medical Center, Beilinson Hospital, 39 Jabotinski St, 49100, Petah Tikva, Israel. liorhs@gmail.com.; School of Medicine, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel. liorhs@gmail.com., Franco E; The Unit of Plastic Surgery, Lady Davis Carmel Medical Center, Haifa, Israel.; The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel., Shteinberg M; Pulmonology Institute and CF Center, Lady Davis Carmel Medical Center, Haifa, Israel.; The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel., Adir Y; Pulmonology Institute and CF Center, Lady Davis Carmel Medical Center, Haifa, Israel.; The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel., Ad-El D; The Department of Reconstructive Plastic Surgery & Burns, Rabin Medical Center, Beilinson Hospital, 39 Jabotinski St, 49100, Petah Tikva, Israel.; School of Medicine, Faculty of Medical and Health Sciences, Tel-Aviv University, Tel-Aviv, Israel., Lavi I; The Department of Community Medicine and Epidemiology, Lady Davis Carmel Medical Center, Haifa, Israel., Stein N; The Department of Community Medicine and Epidemiology, Lady Davis Carmel Medical Center, Haifa, Israel.; The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel., Har-Shai Y; The Unit of Plastic Surgery, Lady Davis Carmel Medical Center, Haifa, Israel.; The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel., Metanes I; The Unit of Plastic Surgery, Lady Davis Carmel Medical Center, Haifa, Israel.; The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Jazyk: angličtina
Zdroj: Aesthetic plastic surgery [Aesthetic Plast Surg] 2024 Nov; Vol. 48 (21), pp. 4388-4393. Date of Electronic Publication: 2024 Apr 26.
DOI: 10.1007/s00266-024-04021-1
Abstrakt: Background: Implant-based breast reconstruction is one of the most common procedures among women with breast cancer undergoing mastectomy. Prosthetic devices may be positioned either beneath or above the pectoralis major muscle, which is considered an accessory muscle of ventilation. This preliminary prospective study aimed to investigate whether subpectoral unilateral implant-based breast reconstruction has any effect on patients' pulmonary functions.
Methods: A prospective study of fourteen women who underwent immediate unilateral implant-based subpectoral breast reconstruction by a single surgeon over 10 months was conducted. Spirometry and maximal voluntary ventilation tests were conducted 1 day prior to surgery, and 1- and 3 months following breast reconstruction. ANOVA or Friedman test were used to compare pulmonary function tests before and after surgery.
Results: Fourteen patients completed the study protocol. No statistically significant differences were found when comparing spirometry parameters in the three time points.
Conclusions: Pectoralis muscle release does not impair pulmonary function among patients undergoing immediate unilateral implant-based breast reconstruction following mastectomy.
Level of Evidence Iii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Competing Interests: Declarations. Conflict of interest: The authors declare that they have no conflicts of interest to disclose. Human and Animal Rights, or Ethical Approval: All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent: All patients included in this paper provided written informed consent to include the use of their data (anonymously) and allowed for scientific publication.
(© 2024. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.)
Databáze: MEDLINE
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