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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
Smith, Mark L. (Department of Surgery, Mount Sinai Beth Israel) Clarke-Pearson, Emily M. (Department of Surgery, Mount Sinai Beth Israel) Vornovitsky, Michael (Department of Surgery, Mount Sinai Beth Israel) Dayan, Joseph H. (Department of Surgery, Mount Sinai Beth Israel) Samson, William (Department of Surgery, Mount Sinai St. Luke's-Roosevelt) Sultan, Mark R. (Department of Surgery, Mount Sinai St. Luke's-Roosevelt)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제41권 제5호
발행연도
2014.1
수록면
535 - 541 (7page)

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Background Patients having unilateral breast reconstruction often require a second stage procedure on the contralateral breast to improve symmetry. In order to provide immediate symmetry and minimize the frequency and extent of secondary procedures, we began performing simultaneous contralateral balancing operations at the time of initial reconstruction. This study examines the indications, safety, and efficacy of this approach. Methods One-hundred and two consecutive breast reconstructions with simultaneous contralateral balancing procedures were identified. Data included patient age, body mass index (BMI), type of reconstruction and balancing procedure, specimen weight, transfusion requirement, complications and additional surgery under anesthesia. Unpaired t-tests were used to compare BMI, specimen weight and need for non-autologous transfusion. Results Average patient age was 48 years. The majority had autologous tissue-only reconstructions (94%) and the rest prosthesis-based reconstructions (6%). Balancing procedures included reduction mammoplasty (50%), mastopexy (49%), and augmentation mammoplasty (1%). Average BMI was 27 and average reduction specimen was 340 grams. Non-autologous blood transfusion rate was 9%. There was no relationship between BMI or reduction specimen weight and need for transfusion. We performed secondary surgery in 24% of the autologous group and 100% of the prosthesis group. Revision rate for symmetry was 13% in the autologous group and 17% in the prosthesis group. Conclusions Performing balancing at the time of breast reconstruction is safe and most effective in autologous reconstructions, where 87% did not require a second operation for symmetry.
#Breast neoplasms #Mammoplasty #Free tissue flaps

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참고문헌 (25)

참고문헌 신청
Nahabedian MY / 2005 / Symmetrical breast reconstruction: analysis of secondary procedures after reconstruction with im-plants and autologous tissue / Plast Reconstr Surg 115:257~260 google schola Nahabedian MY / 2008 / Managing the opposite breast: contralateral symmetry procedures / Cancer J 14:258~263 google schola Losken A / 2002 / Trends in unilateral breast reconstruction and management of the contralateral breast: the Emory experience / Plast Reconstr Surg 110:89~97 google schola Asplund O / 1983 / Adjustment of the contralateral breast following breast reconstruction / Scand J Plast Reconstr Surg 17:225~232 google schola Enajat M / 2010 / Aesthetic refinements and reoperative procedures following 370 consecutive DIEP and SIEA flap breast reconstructions: important considerations for patient consent / Aesthetic Plast Surg 34:306~312 google schola

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