Comparative study of prepectoral and subpectoral expander-based breast reconstruction and Clavien IIIb score outcomes
Plastic and Reconstructive Surgery - Global Open Aug 12, 2017
Bettinger LN, et al. – Authors compared complications between 2 subpectoral and 1 prepectoral breast reconstruction technique. Prepectoral and subpectoral Classic and No acellular dermal matrix (ADM) breast reconstructions were similar regarding grade IIIb Clavien score complications. Findings revealed body mass index (BMI) > 40, stage 4 cancer, and contralateral prophylactic mastectomy were associated with adverse expander outcomes and a prior history of radiation therapy adversely impacted implant outcomes. They identified ninety–day follow–up for expander and implant complications as a better National Surgical Quality Improvement Program measure.
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