Marijuana and Its Implications in Breast Reduction Surgery Outcomes and Quality of Life: A Matched Analysis.
| Autor: | Ewing JN; From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa.; Hansjörg Wyss Department of Plastic Surgery, NYU Langone, New York, N.Y., Amro C; From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa.; Hansjörg Wyss Department of Plastic Surgery, NYU Langone, New York, N.Y., Chang A; From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa., Gala Z; From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa., Lemdani MS; From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa., Broach RB; From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa., Fischer JP; From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa., Serletti JM; From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa., Azoury SC; From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa. |
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| Jazyk: | angličtina |
| Zdroj: | Plastic and reconstructive surgery. Global open [Plast Reconstr Surg Glob Open] 2024 Nov 05; Vol. 12 (11), pp. e6273. Date of Electronic Publication: 2024 Nov 05 (Print Publication: 2024). |
| DOI: | 10.1097/GOX.0000000000006273 |
| Abstrakt: | Background: With marijuana use on the rise, its influence on surgical outcomes, particularly for breast reduction, warrants investigation. This study aims to clarify marijuana's effects on breast reduction surgery outcomes, given its limited research focus despite potential perioperative implications. Methods: A retrospective review was conducted from 2016 to 2022 of patients with/without marijuana use undergoing breast reduction. Propensity score-matching considered age, body mass index, ptosis, and breast tissue mass. Patient demographics, clinical attributes, and postoperative details were analyzed. Quality-of-life (QoL) changes were gauged using pre- and postoperative BREAST-Q. Results: Of 415 patients who underwent breast reduction, 140 patients documented marijuana use. After propensity matching, a total of 108 patients (54 marijuana users versus 54 nonusers) were analyzed. The average age was 39 years ± 12 and body mass index 30.1 kg/m 2 ± 5.3. There were no differences between the 2 groups in comorbidities, breast symmetry, excision patterns, pedicle use, or drain count ( P > 0.05). Furthermore, surgical outcomes including surgical site occurrences, scarring, pain levels, hypersensitivity, or sensation loss were comparable between the groups ( P > 0.05). There were also no differences in number of readmissions, reoperations, or emergency department visits ( P > 0.05). Both groups showed enhanced postoperative QoL, regardless of marijuana usage. Conclusions: This study indicates that marijuana use does not significantly impact breast reduction surgery outcomes. Comparable surgical results and postoperative QoL improvements were observed in both marijuana users and nonusers. This study provides surgeons with the knowledge to offer more informed patient counseling regarding the implications of marijuana use in relation to breast reduction procedures. Competing Interests: Dr. John P. Fischer has received consulting payments from 3M, AbbVie, Baxter, Becton-Dickinson, WL Gore, and Integra Life Sciences. He has received research support from the National Institutes of Health. Dr. Said C. Azoury has received consulting payments from GORE, RTI and Integra Life Sciences. The other authors have no financial interest to declare in relation to the content of this article. Disclosure statements are at the end of this article, following the correspondence information. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.) |
| Databáze: | MEDLINE |
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