Tíðni og árangur tafarlausra brjóstauppbygginga á Landspítala 2008-2010

Autor:	Þorvaldur Jónsson, Katrín Jónsdóttir, Kristján Skúli Asgeirsson, Hoskuldur Kristvinsson, Svanheiður Lóa Rafnsdóttir, Þórdís Kjartansdóttir
Rok vydání:	2012
Předmět:	education.field_of_study medicine.medical_specialty business.industry medicine.medical_treatment Population General Medicine After discharge University hospital Surgery medicine Implant Latissimus dorsi flap education Complication Breast reconstruction business Mastectomy
Zdroj:	Læknablaðið. 2012:459-463
ISSN:	1670-4959 0023-7213 2008-2010
DOI:	10.17992/lbl.2012.09.450
Popis:	INTRODUCTION In late 2007, the availability of immediate breast reconstructions increased as a result of the establishment of an oncoplastic breast surgical service at Landspitali-The National University Hospital The aim of this study was to look at the rates and early complications of immediate breast reconstructions in our hospital in 2008-2010 and compare with the results from the UK National Mastectomy and Breast Reconstruction Audit (NMBRA). MATERIAL AND METHODS This is a retrospective population-based study, including all women who had immediate breast reconstruction at Landspitali in 2008-2010. RESULTS 319 mastectomies and 157 breast reconstructions were performed. Of these, 98 (62%) were immediate, (mean age 49, 29-69). The immediate breast reconstruction rate was therefore 31%, with a respective 55% for patients 50 years old or younger. In comparison, the rate was 5% in 2000-2005. Immediate reconstructions with an extended autologous latissimus dorsi flap were performed in 25 (26%) cases and implant based reconstructions in the remaining (n=73, 74%). Inpatient complications occurred in 12 (12%) patients and 5 needed reoperation (3 post-operative bleeding, 1 skin necrosis, 1 imminent LD-flap failure). Readmission due to complications after discharge occurred in 14 (14%), while 37 (38%) developed mild complications not requiring readmission. The results were comparable to NMBRA, although the rates of autologous flap reconstructions were significantly higher than in this study (63% vs. 26%). CONCLUSION As a result of the establishment of an oncoplastic breast surgical service at Landspitali, the rates of immediate breast reconstruction have increased significantly (from 5% to 31%). The complication rates are low and similar to NMBRA.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::925432c9cbab7d1edeb32306e491184d https://doi.org/10.17992/lbl.2012.09.450 Zobrazit plný text záznamu