Access the full text.
Sign up today, get DeepDyve free for 14 days.
Jamie Spitz, Perry Bradford, Frank Aguilar, Sergey Turin, Marco Ellis (2018)
How Big is Too Big: Pushing the Obesity Limits in Microsurgical Breast ReconstructionAnnals of Plastic Surgery, 80
C. Chang, H. Tai, Nai-Chen Cheng, Wei-Tang Li, H. Lai, H. Chien (2017)
Risk factors for complications following immediate tissue expander based breast reconstruction in Taiwanese population.Journal of the Formosan Medical Association = Taiwan yi zhi, 116 1
J. Frey, Ara Salibian, Mihye Choi, N. Karp (2017)
Mastectomy Flap Thickness and Complications in Nipple-Sparing Mastectomy: Objective Evaluation using Magnetic Resonance ImagingPlastic and Reconstructive Surgery Global Open, 5
Ximena Pinell-White, K. Kolegraff, G. Carlson (2014)
Predictors of Contralateral Prophylactic Mastectomy and the Impact on Breast ReconstructionAnnals of Plastic Surgery, 72
C. Albornoz, P. Bach, B. Mehrara, J. Disa, A. Pusic, C. McCarthy, P. Cordeiro, E. Matros (2013)
A Paradigm Shift in U.S. Breast Reconstruction: Increasing Implant RatesPlastic and Reconstructive Surgery, 131
N. Bertozzi, M. Pesce, P. Santi, E. Raposio (2017)
Tissue expansion for breast reconstruction: Methods and techniquesAnnals of Medicine and Surgery, 21
J. Frey, M. Alperovich, J. Levine, Mihye Choi, N. Karp (2017)
Does Smoking History Confer a Higher Risk for Reconstructive Complications in Nipple‐Sparing Mastectomy?The Breast Journal, 23
D. Larson, Z. Basir, T. Bruce (2011)
Is Oncologic Safety Compatible with a Predictably Viable Mastectomy Skin Flap?Plastic and Reconstructive Surgery, 127
H. Panchal, E. Matros (2017)
Current Trends in Postmastectomy Breast Reconstruction.Plastic & Reconstructive Surgery
Megan Miller, T. Czechura, Brigid Martz, Marybeth Hall, C. Pesce, N. Jaskowiak, D. Winchester, K. Yao (2013)
Operative Risks Associated with Contralateral Prophylactic Mastectomy: A Single Institution ExperienceAnnals of Surgical Oncology, 20
Q. Qin, Q. Tan, B. Lian, Q. Mo, Zhen Huang, Changyuan Wei (2018)
Postoperative outcomes of breast reconstruction after mastectomyMedicine, 97
Lisa Gfrerer, David Mattos, M. Mastroianni, Q. Weng, J. Ricci, M. Heath, Alex Lin, M. Specht, A. Haynes, W. Austen, E. Liao (2015)
Assessment of Patient Factors, Surgeons, and Surgeon Teams in Immediate Implant-Based Breast Reconstruction OutcomesPlastic and Reconstructive Surgery, 135
C. Albornoz, P. Cordeiro, Gina Farias-Eisner, B. Mehrara, A. Pusic, C. McCarthy, J. Disa, C. Hudis, E. Matros (2014)
Diminishing Relative Contraindications for Immediate Breast ReconstructionPlastic and Reconstructive Surgery, 134
Background: Two-stage implant breast reconstruction is the most commonly performed breast reconstruction procedure. Limited data exist regarding reconstruction complication rates examined by mastectomy indication. Methods: Patients who underwent two-stage implant breast reconstruction at Yale New Haven Hospital from 2011 to 2017 were included in the study. Perioperative complications were compared. Chi-square analysis, t tests, and Fisher’s exact tests were used to determine significant associations. A binary logistic regression was used to determine variables with a significant impact on the likelihood of mastectomy flap necrosis. Results: Between 2011 and 2017, complete perioperative records were available for 141 patients who underwent 226 mastectomies followed by two-stage tissue expander/permanent implant reconstruction. Of the 226 mastectomies, 134 were therapeutic and 92 were prophylactic. On regression analysis, there were no significant differences in demographics, comorbidities, or mastectomy and reconstructive details between the two breast groups except for there being more modified radical mastectomies in therapeutic breasts (p = 0.003). When comparing complications, there was a significantly higher risk of mastectomy flap necrosis in the therapeutic group (p = 0.017). Therapeutic mastectomies had a 9.5 times higher risk of mastectomy flap necrosis than prophylactic mastectomies when adjusted for confounding variables. There were no significant differences in other reconstructive complications between the two groups. Conclusions: Patients undergoing therapeutic mastectomies have a significantly higher risk of mastectomy flap necrosis than those undergoing prophylactic mastectomies. Although the underlying cause still needs to be determined, differences in technique may be related to mastectomy flap necrosis. CLINICAL QUESTION/LEVEL OF EVIDENCE: Risk, II. New Haven, Conn. From the Section of Plastic Surgery, Department of Surgery, Yale University School of Medicine. Received for publication March 27, 2018; accepted August 6, 2018. Disclosure:The authors have no financial interest to disclose in relation to the content of this article. No funding was received for this article. Michael Alperovich, M.D., M.Sc., Section of Plastic and Reconstructive Surgery, Yale University School of Medicine, 330 Cedar Street, Boardman Building, 3rd Floor, New Haven, Conn. 06510, michael.alperovich@yale.edu
Plastic & Reconstructive Surgery – Wolters Kluwer Health
Published: Apr 1, 2019
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.