Prantl, L. and Moellhoff, N. and von Fritschen, U. and Giunta, R. E. and Germann, G. and Kehrer, A. and Lonic, D. and Zeman, F. and Broer, P. N. and Heidekrueger, P. (2020) Immediate versus secondary DIEP flap breast reconstruction: a multicenter outcome study. ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 302 (6). pp. 1451-1459. ISSN 0932-0067, 1432-0711
Full text not available from this repository. (Request a copy)Abstract
Purpose Immediate breast reconstruction (IBR) at the time of mastectomy is gaining popularity, as studies show no negative impact on recurrence or patient survival, but better aesthetic outcome, less psychological distress and lower treatment costs. Using the largest database available in Europe, the presented study compared outcomes and complications of IBR vs. delayed breast reconstruction (DBR). Methods 3926 female patients underwent 4577 free DIEP-flap breast reconstructions after malignancies in 22 different German breast cancer centers. The cases were divided into two groups according to the time of reconstruction: an IBR and a DBR group. Surgical complications were accounted for and the groups were then compared. Results Overall, the rate of partial-(1.0 versus 1.2 percent of cases;p = 0.706) and total flap loss (2.3 versus 1.9 percent of cases;p = 0.516) showed no significant difference between the groups. The rate of revision surgery was slightly, but significantly lower in the IBR group (7.7 versus 9.8 percent;p = 0.039). Postoperative mobilization was commenced significantly earlier in the IBR group (mobilization on postoperative day 1: 82.1 versus 68.7 percent;p < 0.001), and concordantly the mean length of hospital stay was significantly shorter (7.3 (SD3.7) versus 8.9 (SD13.0) days;p < 0.001). Conclusion IBR is feasible and cannot be considered a risk factor for complications or flap outcome. Our results support the current trend towards an increasing number of IBR. Especially in times of economic pressure in health care, the importance of a decrease of hospitalization cannot be overemphasized.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SKIN-SPARING MASTECTOMY; 2011 AMERICAN-COLLEGE; PATIENT SATISFACTION; NEOADJUVANT CHEMOTHERAPY; PERFORATOR FLAP; CANCER PATIENTS; IMPACT; COMPLICATIONS; IMPLANT; SURGERY; Breast reconstruction; DIEP flap; Immediate breast reconstruction; Delayed breast reconstruction; Microsurgery |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 12 Mar 2021 07:51 |
| Last Modified: | 12 Mar 2021 07:51 |
| URI: | https://pred.uni-regensburg.de/id/eprint/43846 |
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