The Safety of Same-day Discharge after Immediate Alloplastic Breast Reconstruction: A Systematic Review
Background:. Implant-based breast reconstruction can be accomplished in a variety of ways and can result in vastly different postoperative experiences for patients. The COVID-19 pandemic and recent trends have resulted in a shift toward outpatient management of these patients. Methods:. A systematic...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2022-07-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004448 |
| _version_ | 1811288799461769216 |
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| author | Troy Marxen, BS Orr Shauly, MD Albert Losken, MD |
| author_facet | Troy Marxen, BS Orr Shauly, MD Albert Losken, MD |
| author_sort | Troy Marxen, BS |
| collection | DOAJ |
| description | Background:. Implant-based breast reconstruction can be accomplished in a variety of ways and can result in vastly different postoperative experiences for patients. The COVID-19 pandemic and recent trends have resulted in a shift toward outpatient management of these patients.
Methods:. A systematic review of PubMed and Embase databases was conducted. A total of 1328 articles were identified on initial search, and after several rounds of review, a total of four met inclusion and exclusion criteria. Manuscripts were included if postmastectomy alloplastic breast reconstruction was performed, and there was documentation of same-day discharge. This cohort of patients was compared with traditional, planned overnight admission cohorts found in the literature. Objective data compared between groups included preoperative patient factors and postoperative complication rates.
Results:. Four studies representing data on a total of 574 patients were included: 289 were same-day discharge and 285 were overnight admission. Patient characteristics of body mass index, radiation, smoking, and bilateral procedures were comparable. Tissue expanders were used more frequently than implants in both cohorts. The rate of overall complications was 33% for same-day discharge and 34% for overnight admission. Rates of major and minor complications, including infection, seroma, and hematoma, were similar. There was no increase in reoperations or readmissions reported in any of the studies.
Conclusions:. Same-day discharge after mastectomy with immediate alloplastic reconstruction is a safe approach to treatment in both the ambulatory and hospital setting. There are comparable rates of common complications such as infection, seroma, and hematoma, with no increase in readmission or reoperation. |
| first_indexed | 2024-04-13T03:43:47Z |
| format | Article |
| id | doaj.art-9351f48115c44beeab1bcd2ade08b7c8 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-13T03:43:47Z |
| publishDate | 2022-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-9351f48115c44beeab1bcd2ade08b7c82022-12-22T03:04:05ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742022-07-01107e444810.1097/GOX.0000000000004448202207000-00024The Safety of Same-day Discharge after Immediate Alloplastic Breast Reconstruction: A Systematic ReviewTroy Marxen, BS0Orr Shauly, MD1Albert Losken, MD2From the * Department of Medical Education, Emory University School of Medicine, Atlanta, Ga.† Division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, Ga.† Division of Plastic and Reconstructive Surgery, Emory University School of Medicine, Atlanta, Ga.Background:. Implant-based breast reconstruction can be accomplished in a variety of ways and can result in vastly different postoperative experiences for patients. The COVID-19 pandemic and recent trends have resulted in a shift toward outpatient management of these patients. Methods:. A systematic review of PubMed and Embase databases was conducted. A total of 1328 articles were identified on initial search, and after several rounds of review, a total of four met inclusion and exclusion criteria. Manuscripts were included if postmastectomy alloplastic breast reconstruction was performed, and there was documentation of same-day discharge. This cohort of patients was compared with traditional, planned overnight admission cohorts found in the literature. Objective data compared between groups included preoperative patient factors and postoperative complication rates. Results:. Four studies representing data on a total of 574 patients were included: 289 were same-day discharge and 285 were overnight admission. Patient characteristics of body mass index, radiation, smoking, and bilateral procedures were comparable. Tissue expanders were used more frequently than implants in both cohorts. The rate of overall complications was 33% for same-day discharge and 34% for overnight admission. Rates of major and minor complications, including infection, seroma, and hematoma, were similar. There was no increase in reoperations or readmissions reported in any of the studies. Conclusions:. Same-day discharge after mastectomy with immediate alloplastic reconstruction is a safe approach to treatment in both the ambulatory and hospital setting. There are comparable rates of common complications such as infection, seroma, and hematoma, with no increase in readmission or reoperation.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004448 |
| spellingShingle | Troy Marxen, BS Orr Shauly, MD Albert Losken, MD The Safety of Same-day Discharge after Immediate Alloplastic Breast Reconstruction: A Systematic Review Plastic and Reconstructive Surgery, Global Open |
| title | The Safety of Same-day Discharge after Immediate Alloplastic Breast Reconstruction: A Systematic Review |
| title_full | The Safety of Same-day Discharge after Immediate Alloplastic Breast Reconstruction: A Systematic Review |
| title_fullStr | The Safety of Same-day Discharge after Immediate Alloplastic Breast Reconstruction: A Systematic Review |
| title_full_unstemmed | The Safety of Same-day Discharge after Immediate Alloplastic Breast Reconstruction: A Systematic Review |
| title_short | The Safety of Same-day Discharge after Immediate Alloplastic Breast Reconstruction: A Systematic Review |
| title_sort | safety of same day discharge after immediate alloplastic breast reconstruction a systematic review |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004448 |
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