Surgical morbidity after mastectomy operations
Autor: | William J. Fouty, Daniel C. Budd, Robert C. Cochran, Donald L. Sturtz |
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Rok vydání: | 1978 |
Předmět: |
Adult
medicine.medical_specialty Contracture medicine.medical_treatment Breast Neoplasms Hemorrhage Postoperative Complications Edema Medicine Humans Surgical Wound Infection Trauma Nervous System Lymphedema Radical mastectomy Mastectomy Aged business.industry Incidence (epidemiology) General Medicine Middle Aged medicine.disease Surgical morbidity Surgery Axilla medicine.anatomical_structure Seroma Cellulitis Female medicine.symptom business |
Zdroj: | American journal of surgery. 135(2) |
ISSN: | 0002-9610 |
Popis: | The records of 146 consecutive patients with mastectomy operations over a three year period were reviewed. Of these, ninety-three (63.6 per cent) had one or more complications secondary to surgery. There were 175 complications, of which complications, of which 107 (73.2 per cent) were wound-related. Seroma formation occurred most frequently but was of minor consequence. The incidence of flap necrosis was 19.1 per cent, with cellulitis or suppurative infection appearing in thirteen patients. Immediate postoperative edema of the arm was fairly rare (2.7 per cent) and appeared related to delayed wound healing. Postoperative complications after total, modified radical, and radical mastectomy present problems unique from those seen after other major surgery, in that local complications predominate. The very nature of the procedure, with the creation of large thin skin flaps, extensive axillary dissection, and an open wound for a prolonged period of time, predisposes to wound morbidity. |
Databáze: | OpenAIRE |
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