Revision Surgery to Improve Cosmesis with Immediate Implant-Based Breast Reconstruction. (September 2021)
- Record Type:
- Journal Article
- Title:
- Revision Surgery to Improve Cosmesis with Immediate Implant-Based Breast Reconstruction. (September 2021)
- Main Title:
- Revision Surgery to Improve Cosmesis with Immediate Implant-Based Breast Reconstruction
- Authors:
- Clough, R
Darragh, L
Maclennan, L
O'Donoghue, JM - Abstract:
- Summary: Background: Following mastectomy for breast cancer, patients may be presented with a range of reconstructive options. The most popular being immediate implant-based reconstruction (IBR). Objective: To determine the rate of revision surgery to improve cosmesis following IBR. Design: Retrospective cohort study. Setting/Patients: All patients who underwent IBR at a single UK-based specialist breast reconstructive centre between June 2012 and June 2013. Measurements: The authors collected data, including demographics, original surgery, revision surgeries and factors likely to influence the cosmetic result. Results: A total of 88 procedures were included in the study and follow up was performed for a mean duration of 1125 days. In all, 39 breasts required further revision to improve cosmesis to undergo a total of 53 additional procedures. Lipomodelling was the most frequently performed revision (n = 18), whilst implant exchange (n = 16), implant removal (n = 11) and other minor revisions (n = 8) made up the remainder. An early (<3 months) complication, adjuvant radiotherapy and capsular contracture significantly increased the chance of revision surgery (p = 0.018, p = 0.04 and p = 0.009, respectively). Revision surgery added an additional monetary cost of 27.1%-74.1%, which depends on the original procedure performed. Limitations: The risk of further revision surgery is likely to be higher in those who are followed up for longer periods. Conclusions: Following immediateSummary: Background: Following mastectomy for breast cancer, patients may be presented with a range of reconstructive options. The most popular being immediate implant-based reconstruction (IBR). Objective: To determine the rate of revision surgery to improve cosmesis following IBR. Design: Retrospective cohort study. Setting/Patients: All patients who underwent IBR at a single UK-based specialist breast reconstructive centre between June 2012 and June 2013. Measurements: The authors collected data, including demographics, original surgery, revision surgeries and factors likely to influence the cosmetic result. Results: A total of 88 procedures were included in the study and follow up was performed for a mean duration of 1125 days. In all, 39 breasts required further revision to improve cosmesis to undergo a total of 53 additional procedures. Lipomodelling was the most frequently performed revision (n = 18), whilst implant exchange (n = 16), implant removal (n = 11) and other minor revisions (n = 8) made up the remainder. An early (<3 months) complication, adjuvant radiotherapy and capsular contracture significantly increased the chance of revision surgery (p = 0.018, p = 0.04 and p = 0.009, respectively). Revision surgery added an additional monetary cost of 27.1%-74.1%, which depends on the original procedure performed. Limitations: The risk of further revision surgery is likely to be higher in those who are followed up for longer periods. Conclusions: Following immediate IBR, revision surgery represents a substantial burden to the patient including healthcare costs. … (more)
- Is Part Of:
- JPRAS open. Volume 29(2021)
- Journal:
- JPRAS open
- Issue:
- Volume 29(2021)
- Issue Display:
- Volume 29, Issue 2021 (2021)
- Year:
- 2021
- Volume:
- 29
- Issue:
- 2021
- Issue Sort Value:
- 2021-0029-2021-0000
- Page Start:
- 106
- Page End:
- 112
- Publication Date:
- 2021-09
- Subjects:
- Immediate Breast Reconstruction -- Implants -- Revision surgery -- Mastectomy
Surgery, Plastic -- Great Britain -- Periodicals
617.9505 - Journal URLs:
- http://www.sciencedirect.com/science/journal/23525878 ↗
http://www.sciencedirect.com/ ↗ - DOI:
- 10.1016/j.jpra.2021.04.006 ↗
- Languages:
- English
- ISSNs:
- 2352-5878
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 19897.xml