کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4279949 1611546 2011 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Use of tumescent mastectomy technique as a risk factor for native breast skin flap necrosis following immediate breast reconstruction
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
پیش نمایش صفحه اول مقاله
Use of tumescent mastectomy technique as a risk factor for native breast skin flap necrosis following immediate breast reconstruction
چکیده انگلیسی

BackgroundNative breast skin flap necrosis is a complication that can result from ischemic injury following mastectomy and can compromise immediate breast reconstruction. The tumescent mastectomy technique has been advocated as a method of allowing sharp dissection with decreased blood loss and perioperative analgesia. This study was performed to determine whether the technique increases the risk for skin flap necrosis in an immediate breast reconstruction setting.MethodsThree hundred eighty consecutive mastectomies with immediate reconstruction over a 6-year period were reviewed and divided into 2 cohorts for comparison: 100 tumescent and 280 nontumescent mastectomy cases. The incidence of minor and major skin flap necrosis was evaluated.ResultsThe use of tumescent mastectomy (odds ratio [OR], 3.93; P < .001), prior radiation (OR, 3.19; P = .011), patient age (OR, 1.59; P = .006), and body mass index (OR, 1.11; P = .004) were significant risk factors for developing postoperative major native skin flap necrosis.ConclusionsThe use of the tumescent mastectomy technique appears to be associated with a substantial increase in the risk for postoperative major skin flap necrosis in an immediate breast reconstruction setting.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The American Journal of Surgery - Volume 201, Issue 2, February 2011, Pages 160–165
نویسندگان
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