Evaluation of prepectoral reconstruction surgical outcomes: Main operating room vs ambulatory surgery center

IF 2 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2024-09-14 DOI:10.1016/j.bjps.2024.09.038

Lexy Anderson , Kandace Fung , Ju Young Lee , Leila Musavi , Tahera Alnaseri , Maral Demirjian , Lorna Kwan , Cristopher Crisera , Jaco Festekjian , Michael DeLong

{"title":"Evaluation of prepectoral reconstruction surgical outcomes: Main operating room vs ambulatory surgery center","authors":"Lexy Anderson , Kandace Fung , Ju Young Lee , Leila Musavi , Tahera Alnaseri , Maral Demirjian , Lorna Kwan , Cristopher Crisera , Jaco Festekjian , Michael DeLong","doi":"10.1016/j.bjps.2024.09.038","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>During the height of the recent Coronavirus (COVID-19) pandemic, several surgeries were transitioned to ambulatory surgery centers to reserve inpatient resources and reduce transmission risks. Our study evaluated the surgical outcomes of patients who underwent prepectoral breast reconstruction in the operating rooms of two full-service main hospitals versus their associated surgery centers.</div></div><div><h3>Methods</h3><div>A retrospective chart review was conducted of patients who underwent immediate prepectoral breast reconstruction at a single hospital between 2018 and 2022. Eligible patients had at least 3 months of post-expander follow-up, with the majority also having 3 months of post-implant follow-up. Patient demographics, reconstructive characteristics, post-expander outcomes, and post-implant outcomes were evaluated between the surgery center and main operating room using the chi-squared (or Fisher’s exact) and Wilcoxon ranked-sum tests.</div></div><div><h3>Results</h3><div>This study included 301 patients, outcomes of 509 post-expander breasts, and outcomes of 410 post-implant breasts. The patient characteristics were similar with the only significant difference being the hospital length of stay (increased stay at the main hospital). There were no statistically significant differences in any of the surgical outcomes between the two groups in the post-expander or post-implant period.</div></div><div><h3>Conclusion</h3><div>The COVID-19 pandemic disrupted elective procedures, prompting a shift toward outpatient surgery to optimize hospital resources and reduce inpatient exposure risks. Although breast reconstruction is elective, delays can pose risks for patients with cancer. Our results show that surgical outcomes for prepectoral prosthetic breast reconstruction remain consistent whether performed in outpatient surgical centers or main hospitals.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"98 ","pages":"Pages 406-413"},"PeriodicalIF":2.0000,"publicationDate":"2024-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Plastic Reconstructive and Aesthetic Surgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1748681524005898","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction

During the height of the recent Coronavirus (COVID-19) pandemic, several surgeries were transitioned to ambulatory surgery centers to reserve inpatient resources and reduce transmission risks. Our study evaluated the surgical outcomes of patients who underwent prepectoral breast reconstruction in the operating rooms of two full-service main hospitals versus their associated surgery centers.

Methods

A retrospective chart review was conducted of patients who underwent immediate prepectoral breast reconstruction at a single hospital between 2018 and 2022. Eligible patients had at least 3 months of post-expander follow-up, with the majority also having 3 months of post-implant follow-up. Patient demographics, reconstructive characteristics, post-expander outcomes, and post-implant outcomes were evaluated between the surgery center and main operating room using the chi-squared (or Fisher’s exact) and Wilcoxon ranked-sum tests.

Results

This study included 301 patients, outcomes of 509 post-expander breasts, and outcomes of 410 post-implant breasts. The patient characteristics were similar with the only significant difference being the hospital length of stay (increased stay at the main hospital). There were no statistically significant differences in any of the surgical outcomes between the two groups in the post-expander or post-implant period.

Conclusion

The COVID-19 pandemic disrupted elective procedures, prompting a shift toward outpatient surgery to optimize hospital resources and reduce inpatient exposure risks. Although breast reconstruction is elective, delays can pose risks for patients with cancer. Our results show that surgical outcomes for prepectoral prosthetic breast reconstruction remain consistent whether performed in outpatient surgical centers or main hospitals.

查看原文本刊更多论文

口腔前重建手术效果评估：主手术室与非住院手术中心

导言：在近期冠状病毒（COVID-19）大流行期间，一些手术被转移到非住院手术中心，以保留住院资源并降低传播风险。我们的研究评估了在两家提供全面服务的大医院手术室接受胸前乳房重建手术的患者与其相关手术中心的手术效果：我们对2018年至2022年间在一家医院接受即刻胸前乳房重建术的患者进行了回顾性病历审查。符合条件的患者至少接受了 3 个月的扩张器术后随访，其中大多数患者还接受了 3 个月的植入物术后随访。使用卡方检验（或费雪精确检验）和威尔科克森秩和检验对手术中心和主手术室之间的患者人口统计学、重建特征、扩张器后结果和植入后结果进行了评估：这项研究包括301名患者、509个扩张后乳房的结果和410个植入后乳房的结果。患者特征相似，唯一的显著差异是住院时间（在大医院住院时间延长）。两组患者在乳房外露后或植入后的手术结果在统计学上没有明显差异：结论：COVID-19 大流行扰乱了选择性手术，促使手术转向门诊手术，以优化医院资源并降低住院患者的风险。虽然乳房再造是选择性手术，但延误手术会给癌症患者带来风险。我们的研究结果表明，无论是在门诊手术中心还是在大医院，胸前假体乳房重建的手术效果都是一致的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.