Complications following subcutaneous mastectomy with Immediate Breast Reconstruction
Background: Breast cancer is the most frequent cancer among Norwegian women, and one of the surgical treatments involves subcutaneous mastectomy with immediate breast reconstruction. A master thesis published in 2017 reported that 56% of the breasts that underwent this type of surgery at UNN Tromsø,...
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UiT Norges arktiske universitet
2022
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ftunivtroemsoe:oai:munin.uit.no:10037/25600 2023-05-15T18:34:22+02:00 Complications following subcutaneous mastectomy with Immediate Breast Reconstruction Myrnes, Ingvild 2022-06-01 https://hdl.handle.net/10037/25600 eng eng UiT Norges arktiske universitet UiT The Arctic University of Norway https://hdl.handle.net/10037/25600 Copyright 2022 The Author(s) VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Plastisk kirurgi: 785 Breast cancer Subcutaneous mastectomy Immediate breast reconstruction Reconstructive surgery Postoperative complications MED-3950 Master thesis Mastergradsoppgave 2022 ftunivtroemsoe 2022-06-29T22:58:55Z Background: Breast cancer is the most frequent cancer among Norwegian women, and one of the surgical treatments involves subcutaneous mastectomy with immediate breast reconstruction. A master thesis published in 2017 reported that 56% of the breasts that underwent this type of surgery at UNN Tromsø, developed one or more postoperative complications. Based on the complication rate and new research on the field, changes were made in the surgical technique. The purpose of this study is to investigate if changes made in the surgical technique at UNN Tromsø has led to a reduction in postoperative complications. The changes include implementation of vertical incision, hydrodissection and prepectoral breast reconstruction. Materials and method: The study was conducted as a retrospective observational study for quality assurance at the Department of Urology, Breast and Endocrine- and Plastic and Reconstructive Surgery at UNN Tromsø. All patients having undergone subcutaneous mastectomy with immediate reconstruction during 2017-2021 were included. Results: A total of 87 patients (138 breast) were included in the study. The postoperative complication rate was reduced from 56% in the previous thesis to 32% in this study. Breasts operated without the HD technique had a significantly higher rate of skin flap necrosis (p = 0.004). Vertical incision was the most frequent used incision and was used in 50% of the breasts. No significant difference in complication rates were found when comparing prepectoral and subpectoral reconstruction. Reoperation was needed in 42% of the breasts because of complications and 31% of the breast needed one or more additional surgeries to obtain a cosmetic favorable result. Conclusion: A reduction in postoperative complications was found after the changes were made in the surgical technique. Vertical incision was used most frequent, and breasts operated without the HD technique had a significantly higher rate of skin flap necrosis, indicating that HD and vertical incision may have had a ... Master Thesis Tromsø University of Tromsø: Munin Open Research Archive Tromsø |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Plastisk kirurgi: 785 Breast cancer Subcutaneous mastectomy Immediate breast reconstruction Reconstructive surgery Postoperative complications MED-3950 |
spellingShingle |
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Plastisk kirurgi: 785 Breast cancer Subcutaneous mastectomy Immediate breast reconstruction Reconstructive surgery Postoperative complications MED-3950 Myrnes, Ingvild Complications following subcutaneous mastectomy with Immediate Breast Reconstruction |
topic_facet |
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Plastisk kirurgi: 785 Breast cancer Subcutaneous mastectomy Immediate breast reconstruction Reconstructive surgery Postoperative complications MED-3950 |
description |
Background: Breast cancer is the most frequent cancer among Norwegian women, and one of the surgical treatments involves subcutaneous mastectomy with immediate breast reconstruction. A master thesis published in 2017 reported that 56% of the breasts that underwent this type of surgery at UNN Tromsø, developed one or more postoperative complications. Based on the complication rate and new research on the field, changes were made in the surgical technique. The purpose of this study is to investigate if changes made in the surgical technique at UNN Tromsø has led to a reduction in postoperative complications. The changes include implementation of vertical incision, hydrodissection and prepectoral breast reconstruction. Materials and method: The study was conducted as a retrospective observational study for quality assurance at the Department of Urology, Breast and Endocrine- and Plastic and Reconstructive Surgery at UNN Tromsø. All patients having undergone subcutaneous mastectomy with immediate reconstruction during 2017-2021 were included. Results: A total of 87 patients (138 breast) were included in the study. The postoperative complication rate was reduced from 56% in the previous thesis to 32% in this study. Breasts operated without the HD technique had a significantly higher rate of skin flap necrosis (p = 0.004). Vertical incision was the most frequent used incision and was used in 50% of the breasts. No significant difference in complication rates were found when comparing prepectoral and subpectoral reconstruction. Reoperation was needed in 42% of the breasts because of complications and 31% of the breast needed one or more additional surgeries to obtain a cosmetic favorable result. Conclusion: A reduction in postoperative complications was found after the changes were made in the surgical technique. Vertical incision was used most frequent, and breasts operated without the HD technique had a significantly higher rate of skin flap necrosis, indicating that HD and vertical incision may have had a ... |
format |
Master Thesis |
author |
Myrnes, Ingvild |
author_facet |
Myrnes, Ingvild |
author_sort |
Myrnes, Ingvild |
title |
Complications following subcutaneous mastectomy with Immediate Breast Reconstruction |
title_short |
Complications following subcutaneous mastectomy with Immediate Breast Reconstruction |
title_full |
Complications following subcutaneous mastectomy with Immediate Breast Reconstruction |
title_fullStr |
Complications following subcutaneous mastectomy with Immediate Breast Reconstruction |
title_full_unstemmed |
Complications following subcutaneous mastectomy with Immediate Breast Reconstruction |
title_sort |
complications following subcutaneous mastectomy with immediate breast reconstruction |
publisher |
UiT Norges arktiske universitet |
publishDate |
2022 |
url |
https://hdl.handle.net/10037/25600 |
geographic |
Tromsø |
geographic_facet |
Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
https://hdl.handle.net/10037/25600 |
op_rights |
Copyright 2022 The Author(s) |
_version_ |
1766219077831884800 |