Title: | Does concurrent gynaecological surgery affect infectious complications rate after mastectomy with implant-based reconstruction? |
---|
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) |
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
|
---|
Language: | English |
---|
Typology: | 1.01 - Original Scientific Article |
---|
Organization: | OI - Institute of Oncology
|
---|
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 |
---|
Publication status: | Published |
---|
Publication version: | Version of Record |
---|
Publication date: | 01.01.2023 |
---|
Publisher: | Association of Radiology and Oncology |
---|
Year of publishing: | 2023 |
---|
Number of pages: | str. 80-85, VIII |
---|
Numbering: | Vol. 57, no. 1 |
---|
Source: | Ljubljana |
---|
PID: | 20.500.12556/DiRROS-19827 |
---|
UDC: | 618.19-006 |
---|
ISSN on article: | 1318-2099 |
---|
DOI: | 10.2478/raon-2022-0026 |
---|
COBISS.SI-ID: | 146435075 |
---|
Copyright: | by Authors |
---|
Note: | Soavtorji: Barbara Peric, Uros Ahcan, Romi Cencelj-Arnez, Janez Zgajnar, Andraz Perhavec;
|
---|
Publication date in DiRROS: | 25.07.2024 |
---|
Views: | 315 |
---|
Downloads: | 170 |
---|
Metadata: | |
---|
:
|
Copy citation |
---|
| | | Share: | |
---|
Hover the mouse pointer over a document title to show the abstract or click
on the title to get all document metadata. |