@article{GS5030,
author = {Samir Rao and Ellen C. Stolle and Sarah Sher and Chun-Wang Lin and Bahram Momen and Maurice Y. Nahabedian},
title = {A multiple logistic regression analysis of complications following microsurgical breast reconstruction},
journal = {Gland Surgery},
volume = {3},
number = {4},
year = {2014},
keywords = {},
abstract = {Background: Although we practice in an era of high flap success rates following microsurgical breast reconstruction, complications can still occur. Several studies have evaluated the impact of risk factors on microvascular outcomes in the setting of a particular type of patient or with a particular type of flap. However, few studies that have evaluated a consecutive series of high-risk patients will all types of microvascular breast reconstruction. Our goal was to gain a better understanding of the relationship between risk factors and complications in order to provide useful information for patients and surgeons considering free flap breast reconstruction in high-risk patients.
Methods: We performed a retrospective review of all patients who underwent microsurgical breast reconstruction by the senior author (M.Y.N) from July 2005 July 2010. Patient records were analyzed for risk factors (age, BMI, smoking history, medical history, adjunct therapies, timing of reconstruction, type of reconstruction), and complications (hematoma, seroma, infection, wound dehiscence, pulmonary embolism (PE), deep venous thrombosis (DVT), pneumonia, fat necrosis, leech use, partial flap loss, total flap loss). Statistical methods were employed to determine statistically significant relationships.
Results: A total of 352 patients underwent 490 microvascular breast reconstructions during the study period. Active smoking was found to be a statistically significant risk factor for seroma [P},
issn = {2227-8575}, url = {https://gs.amegroups.org/article/view/5030}
}