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Laser-assisted indocyanine green angiography in implant-based immediate breast reconstruction: a retrospective study

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@article{ed72c091b0174949882b060db6e52800,
title = "Laser-assisted indocyanine green angiography in implant-based immediate breast reconstruction: a retrospective study",
abstract = "OBJECTIVE: Necrosis in implant-based immediate breast reconstruction is a feared complication. Accurate evaluation of mastectomy skin flaps per-operatively is necessary to decrease this risk. The present study is the first in Scandinavia to review the effects of perioperative evaluation with laser-assisted indocyanine green fluorescence angiography (LA-ICGA).METHOD: A retrospective review was performed using data from the electronic patient record at the Department of Plastic and Breast Surgery at Aarhus University Hospital in Denmark on all patients who underwent implant-based skin-sparing immediate breast reconstruction with ADM in the time period March 2012 to October 2015. A total of 92 patients undergoing 128 breasts reconstructions were included in the study. An evaluation of complications before and after the implementation of LA-ICGA was performed.RESULTS: No significant difference in necrosis rates requiring surgical revision (p = .411) or conservative treatment (p = .149) in patients undergoing implant-based immediate breast reconstruction were found.CONCLUSION: Our results differ from previously published studies in that no beneficial effect on necrosis rates of was found after implementing LA-ICGA, possibly due to our limited sample size.",
keywords = "Acellular Dermis, Adult, Breast Implants, Breast Neoplasms/surgery, Case-Control Studies, Coloring Agents, Female, Fluorescein Angiography/methods, Humans, Indocyanine Green, Lasers, Mammaplasty, Mastectomy, Middle Aged, Necrosis/prevention & control, Postoperative Complications/prevention & control, Reoperation/statistics & numerical data, Retrospective Studies, Surgical Flaps/blood supply",
author = "Niels Hammer-Hansen and Juhl, {Alexander Andersen} and Damsgaard, {Tine Engberg}",
year = "2018",
month = "6",
doi = "10.1080/2000656X.2017.1372289",
language = "English",
volume = "52",
pages = "158--162",
journal = "Journal of Plastic Surgery and Hand Surgery",
issn = "2000-656X",
publisher = "Informa Healthcare",
number = "3",

}

RIS

TY - JOUR

T1 - Laser-assisted indocyanine green angiography in implant-based immediate breast reconstruction

T2 - a retrospective study

AU - Hammer-Hansen, Niels

AU - Juhl, Alexander Andersen

AU - Damsgaard, Tine Engberg

PY - 2018/6

Y1 - 2018/6

N2 - OBJECTIVE: Necrosis in implant-based immediate breast reconstruction is a feared complication. Accurate evaluation of mastectomy skin flaps per-operatively is necessary to decrease this risk. The present study is the first in Scandinavia to review the effects of perioperative evaluation with laser-assisted indocyanine green fluorescence angiography (LA-ICGA).METHOD: A retrospective review was performed using data from the electronic patient record at the Department of Plastic and Breast Surgery at Aarhus University Hospital in Denmark on all patients who underwent implant-based skin-sparing immediate breast reconstruction with ADM in the time period March 2012 to October 2015. A total of 92 patients undergoing 128 breasts reconstructions were included in the study. An evaluation of complications before and after the implementation of LA-ICGA was performed.RESULTS: No significant difference in necrosis rates requiring surgical revision (p = .411) or conservative treatment (p = .149) in patients undergoing implant-based immediate breast reconstruction were found.CONCLUSION: Our results differ from previously published studies in that no beneficial effect on necrosis rates of was found after implementing LA-ICGA, possibly due to our limited sample size.

AB - OBJECTIVE: Necrosis in implant-based immediate breast reconstruction is a feared complication. Accurate evaluation of mastectomy skin flaps per-operatively is necessary to decrease this risk. The present study is the first in Scandinavia to review the effects of perioperative evaluation with laser-assisted indocyanine green fluorescence angiography (LA-ICGA).METHOD: A retrospective review was performed using data from the electronic patient record at the Department of Plastic and Breast Surgery at Aarhus University Hospital in Denmark on all patients who underwent implant-based skin-sparing immediate breast reconstruction with ADM in the time period March 2012 to October 2015. A total of 92 patients undergoing 128 breasts reconstructions were included in the study. An evaluation of complications before and after the implementation of LA-ICGA was performed.RESULTS: No significant difference in necrosis rates requiring surgical revision (p = .411) or conservative treatment (p = .149) in patients undergoing implant-based immediate breast reconstruction were found.CONCLUSION: Our results differ from previously published studies in that no beneficial effect on necrosis rates of was found after implementing LA-ICGA, possibly due to our limited sample size.

KW - Acellular Dermis

KW - Adult

KW - Breast Implants

KW - Breast Neoplasms/surgery

KW - Case-Control Studies

KW - Coloring Agents

KW - Female

KW - Fluorescein Angiography/methods

KW - Humans

KW - Indocyanine Green

KW - Lasers

KW - Mammaplasty

KW - Mastectomy

KW - Middle Aged

KW - Necrosis/prevention & control

KW - Postoperative Complications/prevention & control

KW - Reoperation/statistics & numerical data

KW - Retrospective Studies

KW - Surgical Flaps/blood supply

U2 - 10.1080/2000656X.2017.1372289

DO - 10.1080/2000656X.2017.1372289

M3 - Journal article

VL - 52

SP - 158

EP - 162

JO - Journal of Plastic Surgery and Hand Surgery

JF - Journal of Plastic Surgery and Hand Surgery

SN - 2000-656X

IS - 3

ER -

ID: 59223301