[Results of immediate breast reconstructions at Landspítali-The National University Hospital of Iceland, in 2008-2010]

Autor:	Katrín, Jónsdóttir, Svanheiđur Loa, Rafnsdóttir, Thordis, Kjartansdottir, Hoskuldur, Kristvinsson, Thorvaldur, Jónsson, Kristjan Skuli, Asgeirsson
Rok vydání:	2012
Předmět:	Adult Reoperation Medical Audit Time Factors Mammaplasty Iceland Breast Neoplasms Middle Aged Patient Readmission Surgical Flaps United Kingdom Hospitals University Postoperative Complications Treatment Outcome Humans Female Breast Implantation Mastectomy Aged Retrospective Studies
Zdroj:	Laeknabladid. 98(9)
ISSN:	0023-7213 2008-2010
Popis:	In late 2007, the availability of immediate breast reconstructions increased as a result of the establishment of an oncoplastic breast surgical service at Landspítali-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).This is a retrospective population-based study, including all women who had immediate breast reconstruction at Landspítali in 2008-2010.319 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%).As a result of the establishment of an oncoplastic breast surgical service at Landspítali, 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=pmid________::0e93adbeeaeb3b81352a5cdd969ba403 https://pubmed.ncbi.nlm.nih.gov/22947630 Zobrazit plný text záznamu