Search Our Scientific Publications & Authors

Publications
find publications by category +
Translate page:

A Comparative Study of Drain in Oncoplastic Breast Conserving Surgery (Therapeutic Mammaplasty and Chest Wall Perforator Flap Partial Breast Reconstruction) vs. Mastectomy.

Authors:
Ian Samir Yep Manzano Amit Agrawal

Clin Breast Cancer 2022 Aug 6;22(6):619-627. Epub 2022 May 6.

Cambridge University Hospitals, Breast Unit, Cambridge Biomedical Research Centre, Cambridge, United Kingdom. Electronic address:

Background: Increasingly, breast surgery is same day or 23-hour day-case surgery. Discharge criteria need to ensure patient safety outside hospital. We explore some of the evolving day-case factors in oncoplastic breast surgery (OBS).

Materials And Methods: Available data of BMI and drain usage of an OBS practice (Nov 2014-Oct 2019) were reviewed. These were correlated with length of stay (LoS) and complications. Statistical analysis was performed using R programming language; Pearson's correlation, χ test, and Welch's 2 sample t test.

Results: Of 188 patients in the study, drain usage was highest following mastectomy (62%) followed by partial reconstruction and mammaplasty. Drain was associated with increased seroma rates in all three operations. Its use in the partial reconstruction group was associated with significantly longer mean LoS with drain vs. those without drain (0.93 vs. 0.45 day, P = .009). Drain was associated with nonsignificantly longer LoS in both mammaplasty (1.57 vs. 1.00 day, P = .0708) and mastectomy (1.08 vs. 0.927 day, P = .685) groups. The mean BMI across all patients was 27.5, lowest in partial reconstruction (25.31), highest in mammaplasty (31.79), and 27.1 in mastectomy.

Conclusion: Drain use did not correlate directly with occurrence of seroma. However, overall, it was associated increased LoS, being significant in the partial reconstruction group. The temporal trend over the dataset shows numerically less drain usage in the latter half of series across all procedures with decreasing LoS. Minimal drain use may allow more day-case OBS.

Download full-text PDF

 Source
http://dx.doi.org/10.1016/j.clbc.2022.05.003DOI Listing
August 2022

Publication Analysis

Top Keywords

partial reconstruction
16
drain usage
12
drain
10
drain associated
8
associated increased
8
breast surgery
8
reconstruction group
8
longer los
8
oncoplastic breast
8
study drain
8
reconstruction
5
partial
5
los
5
operations partial
4
increased seroma
4
seroma rates
4
rates three
4
three operations
4
day p = 009
4
045 day
4

Keyword Occurance

Similar Publications

Evaluation of the Safety of a GalaFLEX-AlloDerm Construct in Prepectoral Breast Reconstruction.

Authors:
Steven Sigalove Erin O'Rorke G Patrick Maxwell Allen Gabriel

Plast Reconstr Surg 2022 Aug 10. Epub 2022 Aug 10.

Clinical Professor of Surgery, Department of Plastic Surgery, Loma Linda University Medical Center, Loma Linda, CA.

Background: Prepectoral implant-based breast reconstruction is gaining in popularity. Acellular dermal matrices (ADMs) are an integral part of prepectoral reconstruction. However, large quantities of ADM are required for total implant coverage and the cost of ADMs could be a deterrent to reconstruction. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Oncologic and functional outcomes of different reconstruction modalities after resection of chondrosarcoma of the scapula: a medium- to long-term follow-up study.

Authors:
Xiao-Jun Yu Qi-Kun Liu Ying-Guang Wang Shan-Xi Wang Rui Lu Hao-Ran Xu Jun-Lai Wan Hao Kang

BMC Musculoskelet Disord 2022 Aug 8;23(1):758. Epub 2022 Aug 8.

Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and TechnologyQiaokou DistrictHubei Province, No. 1095, Jiefang Avenue, 430030, Wuhan, China.

Objectives: To evaluate the oncologic and functional results of scapular reconstruction after partial or total scapulectomy for chondrosarcoma.

Materials And Methods: Twenty-one patients with chondrosarcoma who underwent partial or total scapulectomy between January 2005 and July 2019 were reviewed retrospectively.

Results: At a mean follow-up of 62. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Postoperative Complications and Their Risk Factors of Completion Total Gastrectomy for Remnant Gastric Cancer Following an Initial Gastrectomy for Cancer.

Authors:
Sin Hye Park Sang Soo Eom Bang Wool Eom Hong Man Yoon Young-Woo Kim Keun Won Ryu

J Gastric Cancer 2022 Jul;22(3):210-219

Center for Gastric Cancer, National Cancer Center, Goyang, Korea.

Purpose: Completion total gastrectomy (CTG) for remnant gastric cancer (RGC) is a technically demanding procedure and associated with increased morbidity. The present study aimed to evaluate postoperative complications and their risk factors following surgery for RGC after initial partial gastrectomy due to gastric cancer excluding peptic ulcer.

Materials And Methods: We retrospectively reviewed the data of 107 patients who had previously undergone an initial gastric cancer surgery and subsequently underwent CTG for RGC between March 2002 and December 2020. Read More

View Article and Full-Text PDF
July 2022
Similar Publications

MRI Using Artificial Intelligence Algorithm to Evaluate Concurrent Chemoradiotherapy for Local Recurrence and Distant Metastasis of Cervical Squamous Cell Carcinoma.

Authors:
Youyi Wu Tingting Chen Yiwei Huang Yongchou Li Xiaoyan Wang

Comput Math Methods Med 2022 28;2022:4449696. Epub 2022 Jul 28.

Department of Oncology Radiotherapy, The Third Affiliated Hospital of Wenzhou Medical University (Ruian People's Hospital), Ruian, Wenzhou, 325200 Zhejiang, China.

The aim of this study was to investigate the magnetic resonance imaging (MRI) features of patients with local recurrence and distant metastasis of cervical squamous cell carcinoma before and after concurrent chemoradiotherapy based on artificial intelligence algorithm. In this study, 100 patients with cervical squamous cell carcinoma with local recurrence and distant metastasis who underwent concurrent chemoradiotherapy were collected as the research subjects, and all underwent MRI multisequence imaging scans. At the same time, according to the evaluation criteria of solid tumor efficacy, patients with complete remission were classified into the effective group, and patients with partial remission, progressive disease, and stable disease were classified into the ineffective group. Read More

View Article and Full-Text PDF
August 2022
Similar Publications

Application of depithelized gracilis adipofascial flap for pelvic floor reconstruction after pelvic exenteration.

Authors:
Chen Zhang Xin Yang Hongsen Bi

BMC Surg 2022 Aug 6;22(1):304. Epub 2022 Aug 6.

Department of Plastic Surgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.

Background: Pelvic exenteration is a radical surgery performed in selected patients with locally advanced or recurrent pelvic malignancy. It involves radical en bloc resection of the adjacent anatomical structures affected by the tumor. The authors sought to evaluate the clinical application of a depithelized gracilis adipofascial flap for pelvic floor reconstruction after pelvic exenteration. Read More

View Article and Full-Text PDF
August 2022
Similar Publications
}