| Title: | Does concurrent gynaecological surgery affect infectious complications rate after mastectomy with implant-based reconstruction? |
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| Authors: | ID Pišlar, Nina (Author)
ID Perić, Barbara (Author)
ID Ahčan, Uroš (Author)
ID Cencelj-Arnež, Romi (Author)
ID Žgajnar, Janez (Author)
ID Perhavec, Andraž (Author) |
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| Files: |  URL - Source URL, visit https://www.radioloncol.com/index.php/ro/article/view/3897/5139
 PDF - Presentation file, download (927,32 KB)
MD5: BD0A8535E0CBA1D68CBC9E5520A11992
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  OI - Institute of Oncology
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| Abstract: | Background. Women who undergo breast cancer surgery often have an indication for gynaecological procedure. The aim of our study was to compare infectious complications rate after mastectomy with implant-based reconstruc-tion in patients with and without concurrent gynaecological procedure.Patients and methods. We retrospectively reviewed clinical records of 159 consecutively operated patients after mastectomy with implant-based reconstruction. The patients were divided in 2 groups: 102 patients without (Group 1) and 57 with (Group 2) concurrent gynaecological procedure. Infectious complications rates between the groups were compared using χ2-test. Logistic regression was performed to test for association of different variables with infec-tious complications.Results. There were240 breast reconstructions performed. Median follow-up time was 297 days (10–1061 days). Mean patient age was 47.2 years (95% CI 32.8–65.9); 48.2 years (95% CI 46.1–50.3) in Group 1 and 45.8 years (95% CI 43.2–48.3) in Group 2; p = 0.002). Infectious complications rate was 17.6% (17.6% vs. 17.5%, p = 0.987), implant loss occurred in 5.7% (4.9% vs. 7.0%, p = 0.58). Obesity (body mass index[BMI] > 30 kg/m2), age, previous breast conserv-ing treatment (BCT) with radiotherapy (RT) were identified as risk factors for infectious complications in univariate analysis. Obesity (adjusted odds ratio [aOR] 3.319, 95% CI 1.085–10.157, p = 0.036) and BCT with RT (aOR 7.481, 95% CI 2.230–25.101, p = 0.001) were independently associated with infectious complications in multivariate model.Conclusions. Concurrent gynaecological procedure for patients undergoing mastectomy with implant-based re-construction did not carry an increased risk for infectious complications. |
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| Keywords: | rak na dojki, infekcijski zapleti, rekonstrukcija z vsadki |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Publication date: | 01.01.2023 |
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| Publisher: | Association of Radiology and Oncology |
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| Year of publishing: | 2023 |
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| Number of pages: | str. 80-85, VIII |
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| Numbering: | Vol. 57, no. 1 |
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| Source: | Ljubljana |
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| PID: | 20.500.12556/DiRROS-19827  |
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| UDC: | 618.19-006 |
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| ISSN on article: | 1318-2099 |
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| DOI: | 10.2478/raon-2022-0026 |
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| COBISS.SI-ID: | 146435075 |
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| Copyright: | by Authors |
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| Note: | Soavtorji: Barbara Peric, Uros Ahcan, Romi Cencelj-Arnez, Janez Zgajnar, Andraz Perhavec;
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| Publication date in DiRROS: | 25.07.2024 |
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| Views: | 311 |
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| Downloads: | 168 |
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