Analysis of factors that affect drainage volume after expander-based breast reconstruction
Background Closed-suction drains are widely used in expander-based breast reconstruction. These drains are typically removed using a volume-based criterion. The drainage volume affects the hospital stay length and the recovery time. However, few studies have analyzed the factors that influence drai...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2020-01-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00283 |
| _version_ | 1811305910776102912 |
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| author | Yoon Min Lim Dae Hyun Lew Tai Suk Roh Seung Yong Song |
| author_facet | Yoon Min Lim Dae Hyun Lew Tai Suk Roh Seung Yong Song |
| author_sort | Yoon Min Lim |
| collection | DOAJ |
| description | Background Closed-suction drains are widely used in expander-based breast reconstruction. These drains are typically removed using a volume-based criterion. The drainage volume affects the hospital stay length and the recovery time. However, few studies have analyzed the factors that influence drainage volume after expander-based breast reconstruction.
Methods We retrospectively analyzed data regarding daily drainage from patients who underwent expander-based breast reconstruction between April 2014 and January 2018 (159 patients, 176 expanders). Patient and operative factors were analyzed regarding their influence on total drainage volume and drain placement duration using univariate and multivariate analyses and analysis of variance.
Results The mean total drainage volume was 1,210.77±611.44 mL. Univariate analysis showed correlations between total drainage volume and age (B=19.825, P<0.001), body weight (B=17.758, P<0.001), body mass index (B=51.817, P<0.001), and specimen weight (B=1.590, P<0.001). Diabetes history (P<0.001), expander type (P<0.001), and the surgical instrument used (P<0.001) also strongly influenced total drainage. The acellular dermal matrix type used did not affect total drainage (P=0.626). In the multivariate analysis, age (B=11.907, P=0.004), specimen weight (B=0.927, P<0.001), and expander type (B=593.728, P<0.001) were significant predictors of total drainage.
Conclusions Our findings suggest that the total drainage and the duration of drain placement needed after expander-based breast reconstruction can be predicted using preoperative and intraoperative data. Patient age, specimen weight, and expander type are important predictors of drainage volume. Older patients, heavier specimens, and use of the Mentor rather than the Allergan expander corresponded to a greater total drainage volume and a longer duration of drain placement. |
| first_indexed | 2024-04-13T08:34:53Z |
| format | Article |
| id | doaj.art-b8085174956c43cbbec0ba77c749b501 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-13T08:34:53Z |
| publishDate | 2020-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-b8085174956c43cbbec0ba77c749b5012022-12-22T02:54:08ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712020-01-014701334110.5999/aps.2019.002833701Analysis of factors that affect drainage volume after expander-based breast reconstructionYoon Min Lim0Dae Hyun Lew1Tai Suk Roh2Seung Yong Song3Department of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, KoreaDepartment of Plastic and Reconstructive Surgery, Institute for Human Tissue Restoration, Yonsei University College of Medicine, Seoul, KoreaBackground Closed-suction drains are widely used in expander-based breast reconstruction. These drains are typically removed using a volume-based criterion. The drainage volume affects the hospital stay length and the recovery time. However, few studies have analyzed the factors that influence drainage volume after expander-based breast reconstruction. Methods We retrospectively analyzed data regarding daily drainage from patients who underwent expander-based breast reconstruction between April 2014 and January 2018 (159 patients, 176 expanders). Patient and operative factors were analyzed regarding their influence on total drainage volume and drain placement duration using univariate and multivariate analyses and analysis of variance. Results The mean total drainage volume was 1,210.77±611.44 mL. Univariate analysis showed correlations between total drainage volume and age (B=19.825, P<0.001), body weight (B=17.758, P<0.001), body mass index (B=51.817, P<0.001), and specimen weight (B=1.590, P<0.001). Diabetes history (P<0.001), expander type (P<0.001), and the surgical instrument used (P<0.001) also strongly influenced total drainage. The acellular dermal matrix type used did not affect total drainage (P=0.626). In the multivariate analysis, age (B=11.907, P=0.004), specimen weight (B=0.927, P<0.001), and expander type (B=593.728, P<0.001) were significant predictors of total drainage. Conclusions Our findings suggest that the total drainage and the duration of drain placement needed after expander-based breast reconstruction can be predicted using preoperative and intraoperative data. Patient age, specimen weight, and expander type are important predictors of drainage volume. Older patients, heavier specimens, and use of the Mentor rather than the Allergan expander corresponded to a greater total drainage volume and a longer duration of drain placement.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00283drainage volumebreast reconstructiontissue expanderimplant reconstruction |
| spellingShingle | Yoon Min Lim Dae Hyun Lew Tai Suk Roh Seung Yong Song Analysis of factors that affect drainage volume after expander-based breast reconstruction Archives of Plastic Surgery drainage volume breast reconstruction tissue expander implant reconstruction |
| title | Analysis of factors that affect drainage volume after expander-based breast reconstruction |
| title_full | Analysis of factors that affect drainage volume after expander-based breast reconstruction |
| title_fullStr | Analysis of factors that affect drainage volume after expander-based breast reconstruction |
| title_full_unstemmed | Analysis of factors that affect drainage volume after expander-based breast reconstruction |
| title_short | Analysis of factors that affect drainage volume after expander-based breast reconstruction |
| title_sort | analysis of factors that affect drainage volume after expander based breast reconstruction |
| topic | drainage volume breast reconstruction tissue expander implant reconstruction |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00283 |
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