دورية أكاديمية
Oncoplastic Breast Reduction: A Systematic Review of Postoperative Complications
| العنوان: | Oncoplastic Breast Reduction: A Systematic Review of Postoperative Complications |
|---|---|
| المؤلفون: | Katherine C. Benedict, MD, Madyson I. Brown, BS, Hunter A. Berry, MD, Scott M. Berry, MD, Robert C. O’Brien, PhD, MS, BS, Jared M. Davis, MD, MBA |
| المصدر: | Plastic and Reconstructive Surgery, Global Open, Vol 11, Iss 10, p e5355 (2023) |
| بيانات النشر: | Wolters Kluwer, 2023. |
| سنة النشر: | 2023 |
| المجموعة: | LCC:Surgery |
| مصطلحات موضوعية: | Surgery, RD1-811 |
| الوصف: | Background:. Breast-conserving therapy with oncoplastic reduction is a useful strategy for partial mastectomy defect reconstruction. The most recently published systematic review of oncoplastic breast reduction outcomes from 2015 showed wound dehiscence in 4.3%, hematoma in 0.9%, infection in 2.8%, and nipple necrosis in 0.9% of patients. We performed a systematic review of oncoplastic breast reduction literature, comparing outcomes and complication rates reported over the past 8 years. Methods:. Studies describing the use of oncoplastic breast reduction and discussion of postoperative complications were included. The primary outcome assessed was the postoperative complication rate; secondary outcomes analyzed were rates of margin expansion, completion mastectomy, and delays in adjuvant therapy due to complications. Results:. Nine articles met inclusion criteria, resulting in 1715 oncoplastic breast reduction patients. The mean rate of hematoma was 3%, nipple necrosis was 2%, dehiscence was 4%, infection was 3%, and seroma was 2%. The need for re-excision of margins occurred in 8% of patients, and completion mastectomy in 2%. Finally, delay in adjuvant treatment due to a postoperative complication occurred in 4% of patients. Conclusions:. Oncoplastic breast reduction is an excellent option for many patients undergoing breast-conserving therapy; however, postoperative complications can delay adjuvant radiation therapy. Results of this systematic literature review over the past 8 years showed a slight increase in complication rate compared to the most recent systematic review from 2015. With increased popularity and surgeon familiarity, oncoplastic breast reduction remains a viable option for reconstruction of partial mastectomy defects despite a slight increase in complication rate. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2169-7574 00000000 |
| Relation: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000005355; https://doaj.org/toc/2169-7574 |
| DOI: | 10.1097/GOX.0000000000005355 |
| URL الوصول: | https://doaj.org/article/48a0fd3202164608966b73293e6360db |
| رقم الأكسشن: | edsdoj.48a0fd3202164608966b73293e6360db |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 21697574 00000000 |
|---|---|
| DOI: | 10.1097/GOX.0000000000005355 |