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The Safety of Same-day Discharge after Immediate Alloplastic Breast Reconstruction: A Systematic Review

Authors :
Troy Marxen, BS
Orr Shauly, MD
Albert Losken, MD
Source :
Plastic and Reconstructive Surgery, Global Open, Vol 10, Iss 7, p e4448 (2022)
Publication Year :
2022
Publisher :
Wolters Kluwer, 2022.

Abstract

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.

Subjects

Subjects :
Surgery
RD1-811

Details

Language :
English
ISSN :
21697574 and 00000000
Volume :
10
Issue :
7
Database :
Directory of Open Access Journals
Journal :
Plastic and Reconstructive Surgery, Global Open
Publication Type :
Academic Journal
Accession number :
edsdoj.9351f48115c44beeab1bcd2ade08b7c8
Document Type :
article
Full Text :
https://doi.org/10.1097/GOX.0000000000004448