Evaluation of Dual-port versus Single-port Tissue Expanders in Postmastectomy Breast Reconstruction.
Journal
Plastic and reconstructive surgery. Global open
ISSN: 2169-7574
Titre abrégé: Plast Reconstr Surg Glob Open
Pays: United States
ID NLM: 101622231
Informations de publication
Date de publication:
Jul 2021
Jul 2021
Historique:
received:
26
02
2021
accepted:
27
05
2021
entrez:
9
8
2021
pubmed:
10
8
2021
medline:
10
8
2021
Statut:
epublish
Résumé
Immediate tissue expander placement in postmastectomy breast reconstruction can be complicated by seroma or infection, requiring further imaging studies or interventions. This study compares dual-port tissue expanders, with both an aspiration and expansion port, with single-port expanders in terms of postoperative complications and further interventions. Patients with immediate tissue expander placement from March 2019 to March 2020 were reviewed. Complications included seroma, infection, hematoma, necrosis, and malposition of the expander. Further intervention included aspiration, ultrasound imaging, interventional radiology (IR) drainage, or return to operating room. In total, 128 dual-port expanders were compared with 125 single-port expanders. Patients with single-port expanders were younger ( There were no differences in key postoperative complications between the two expander cohorts. Dual-port expanders significantly reduced postoperative ultrasound imaging, and delayed IR drain placement. The added convenience of clinic aspirations likely reduced costs related to utilization of resources from other departments.
Sections du résumé
BACKGROUND
BACKGROUND
Immediate tissue expander placement in postmastectomy breast reconstruction can be complicated by seroma or infection, requiring further imaging studies or interventions. This study compares dual-port tissue expanders, with both an aspiration and expansion port, with single-port expanders in terms of postoperative complications and further interventions.
METHODS
METHODS
Patients with immediate tissue expander placement from March 2019 to March 2020 were reviewed. Complications included seroma, infection, hematoma, necrosis, and malposition of the expander. Further intervention included aspiration, ultrasound imaging, interventional radiology (IR) drainage, or return to operating room.
RESULTS
RESULTS
In total, 128 dual-port expanders were compared with 125 single-port expanders. Patients with single-port expanders were younger (
CONCLUSIONS
CONCLUSIONS
There were no differences in key postoperative complications between the two expander cohorts. Dual-port expanders significantly reduced postoperative ultrasound imaging, and delayed IR drain placement. The added convenience of clinic aspirations likely reduced costs related to utilization of resources from other departments.
Identifiants
pubmed: 34367849
doi: 10.1097/GOX.0000000000003703
pmc: PMC8341374
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e3703Informations de copyright
Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.
Déclaration de conflit d'intérêts
Disclosure: The authors have no financial interest to declare in relation to the content of this article.
Références
Ann Plast Surg. 2020 Jul;85(S1 Suppl 1):S60-S62
pubmed: 32530848
Plast Reconstr Surg. 2011 Jun;127(6):124e-135e
pubmed: 21617423
Plast Reconstr Surg. 2009 Dec;124(6):1735-1740
pubmed: 19952627
Plast Reconstr Surg. 2019 Aug;144(2):276-286
pubmed: 31348326
Plast Reconstr Surg. 2019 Jan;143(1):1-6
pubmed: 30589768
Plast Reconstr Surg Glob Open. 2018 Dec 17;6(12):e2046
pubmed: 30656121
Plast Reconstr Surg. 2018 May;141(5):1077-1084
pubmed: 29697602
Plast Reconstr Surg. 2010 Feb;125(2):429-436
pubmed: 20124828
Plast Reconstr Surg Glob Open. 2019 Dec 24;7(12):e2524
pubmed: 32537287
Ann Plast Surg. 2010 May;64(5):674-8
pubmed: 20395795
Plast Reconstr Surg. 2013 Jan;131(1):24-25
pubmed: 23271516
Plast Reconstr Surg. 2013 Jan;131(1):15-23
pubmed: 23271515
Plast Reconstr Surg. 2017 Jun;139(6):1300-1310
pubmed: 28538548
Plast Reconstr Surg. 2018 Apr;141(4S Sientra Shaped and Round Cohesive Gel Implants):29S-39S
pubmed: 29595716
Plast Reconstr Surg. 2019 Jan;143(1):24-34
pubmed: 30303927