1. Does concurrent gynaecological surgery affect infectious complications rate after mastectomy with implant-based reconstruction?Nina Pišlar, Barbara Perić, Uroš Ahčan, Romi Cencelj-Arnež, Janez Žgajnar, Andraž Perhavec, 2023, original scientific article 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.
Keywords: rak na dojki, infekcijski zapleti, rekonstrukcija z vsadki
Published in DiRROS: 25.07.2024; Views: 191; Downloads: 110
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7. Rak zunanjega spolovila : zbornik znanstvenih prispevkov2017, proceedings of peer-reviewed scientific conference contributions (domestic conferences) Keywords: epidemiologija, simptomi, diagnostika, zdravljenje, patološka histologija, kirurško zdravljenje, rekonstrukcija, radioterapija, rehabilitacija, zborniki
Published in DiRROS: 08.04.2020; Views: 2138; Downloads: 735
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9. Pacientke z rakom dojk - trendi in novosti2013, proceedings of professional or unreviewed scientific conference contributions Keywords: dejavniki tveganja, dedne bolezni, genetsko svetovanje, presejanje, mastektomija, rekonstrukcija, fizioterapija, radioterapija, sistemsko zdravljenje, telesna aktivnost, paliativna oskrba, zborniki
Published in DiRROS: 13.01.2020; Views: 2392; Downloads: 816
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