A Nationwide Analysis of Cost Variation for Autologous Free Flap Breast Reconstruction
نویسندگان
چکیده
منابع مشابه
The Gracilis Myocutaneous Free Flap: A Quantitative Analysis of the Fasciocutaneous Blood Supply and Implications for Autologous Breast Reconstruction
BACKGROUND Mastectomies are one of the most common surgical procedures in women of the developed world. The gracilis myocutaneous flap is favoured by many reconstructive surgeons due to the donor site profile and speed of dissection. The distal component of the longitudinal skin paddle of the gracilis myocutaneous flap is unreliable. This study quantifies the fasciocutaneous vascular territorie...
متن کاملAbstract P1. A National Data-Driven Approach to Optimizing Monitoring of Autologous Breast Free Flap Reconstruction: Analysis of 3,666 Patients
RESULTS: Inpatient status, obesity (BMI ≥30.0), hypertension, American Society of Anesthesiology (ASA) class ≥3, and smoking were independent predictors of unplanned reoperation (all p<0.05). Of the 3,666 patient cohort, 4.7% required reoperation between the end of surgery and end of POD1, 1.1% required reoperation during POD2. Risk factors did not significantly increase the likelihood of reope...
متن کاملSensibility following innervated free TRAM flap for breast reconstruction.
BACKGROUND The free transverse rectus abdominis musculocutaneous (TRAM) flap has proven to be a reliable means of recreating the aesthetic breast form after mastectomy. The purpose of this study was to determine whether neurotization of the free TRAM flap improved sensation of the reconstructed breast. METHODS Twenty-seven patients undergoing 37 free TRAM flap reconstructions were randomized ...
متن کاملSubmental island flap reconstruction reduces cost in oral cancer reconstruction compared to radial forearm free flap reconstruction: a case series and cost analysis
BACKGROUND In Canada, 4,400 cases of oral cancer are diagnosed yearly. Surgical resection is a key component of treatment in many of these cancers. Reconstruction of defects, with the goal of preserving function, is of utmost importance. Several choices are possible for reconstruction of larger defects, including both free and pedicled flaps. Free flap reconstruction is reliable and effective, ...
متن کاملThe Pedicled LICAP Flap Combined with a Free Abdominal Flap In Autologous Breast Reconstructions
Background Previous surgery or slim body configuration can limit the size of the available abdominal flap in autologous breast reconstruction. However, redundant skin and subcutaneous tissue lateral to the mastectomy site can be utilized as the pedicled lateral intercostal artery perforator (LICAP) flap. This study evaluates the combination of a free abdominal flap and a pedicled LICAP flap to ...
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ژورنال
عنوان ژورنال: JAMA Surgery
سال: 2017
ISSN: 2168-6254
DOI: 10.1001/jamasurg.2017.2339