Tíðni og árangur tafarlausra brjóstauppbygginga á Landspítala 2008-2010

• Main Authors: Katrín Jónsdóttir, Svanheiður Lóa Rafnsdóttir, Þórdís Kjartansdóttir, Höskuldur Kristvinsson, Þorvaldur Jónsson, Kristján Skúli Ásgeirsson
• Other Authors: Department of Surgery, Landspitali-The National University Hospital of Iceland, Iceland.
• Format: Article in Journal/Newspaper
• Language: Icelandic
• Published: Læknafélag Íslands, Læknafélag Reykjavíkur 2012
• Subjects: Brjóstakrabbamein; Skurðlækningar; Konur; Adult; Aged; Breast Implantation; Breast Neoplasms; Female; Great Britain; Hospitals; University; Humans; Iceland; Mammaplasty; Mastectomy; Medical Audit; Middle Aged; Patient Readmission; Postoperative Complications; Reoperation; Retrospective Studies; Surgical Flaps; Time Factors; Treatment Outcome; Smella
• Online Access: http://hdl.handle.net/2336/251432

Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Allur texti - Full text In late 2007, the availability of immediate breast reconstructions increased as a result of the establishment of an oncoplastic breast surgical service at Landspítali-The National University Hospital The aim of this study was to look at the rates and early complications of immediate breast reconstructions in our hospital in 2008-2010 and compare with the results from the UK National Mastectomy and Breast Reconstruction Audit (NMBRA). This is a retrospective population-based study, including all women who had immediate breast reconstruction at Landspítali in 2008-2010. 319 mastectomies and 157 breast reconstructions were performed. Of these, 98 (62%) were immediate, (mean age 49, 29-69). The immediate breast reconstruction rate was therefore 31%, with a respective 55% for patients 50 years old or younger. In comparison, the rate was 5% in 2000-2005. Immediate reconstructions with an extended autologous latissimus dorsi flap were performed in 25 (26%) cases and implant based reconstructions in the remaining (n=73, 74%). Inpatient complications occurred in 12 (12%) patients and 5 needed reoperation (3 post-operative bleeding, 1 skin necrosis, 1 imminent LD-flap failure). Readmission due to complications after discharge occurred in 14 (14%), while 37 (38%) developed mild complications not requiring readmission. The results were comparable to NMBRA, although the rates of autologous flap reconstructions were significantly higher than in this study (63% vs. 26%). As a result of the establishment of an oncoplastic breast surgical service at Landspítali, the rates of immediate breast reconstruction have increased significantly (from 5% to 31%). The complication rates are low and similar to NMBRA. Inngangur: Möguleikar íslenskra brjóstakrabbameinssjúklinga til að gangast undir tafarlausa brjóstauppbyggingu hafa aukist verulega á undanförnum árum, einkum frá lokum árs 2007. Markmið þessarar ...