Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 임우성 | * |
dc.contributor.author | 우경제 | * |
dc.contributor.author | 박진우 | * |
dc.date.accessioned | 2021-01-14T16:30:16Z | - |
dc.date.available | 2021-01-14T16:30:16Z | - |
dc.date.issued | 2020 | * |
dc.identifier.issn | 2227-684X | * |
dc.identifier.issn | 2227-8575 | * |
dc.identifier.other | OAK-28572 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/255960 | - |
dc.description.abstract | Background: This study evaluated the feasibility of direct-to-implant breast reconstruction after nipple-sparing mastectomy using pure hemi-periareolar incision without extension and with the aid of indocyanine green angiographic evaluation on the mastectomy skin flap. Methods: Patients who underwent immediate direct-to-implant breast reconstruction from December 2018 to February 2020 were included. After nipple-sparing mastectomy, indocyanine green angiographic evaluation of perfusion to nipple-areola complex was performed by video recording with a near infrared camera, and nipple perfusion time and perfusion pattern were analyzed. Patients were divided into a pure hemi-periareolar incision group and conventional lateral radial incision groups to compare nipple perfusion and surgical outcomes. Results: A total of 61 breasts in 56 patients were included. Pure hemi-periareolar incision was used in 41 breasts, and conventional lateral radial incisions were used in 20 breasts. Nipple perfusion time was significantly increased in the pure hemi-periareolar incision group (79.6 +/- 65.8 vs. 43.2 +/- 49.8 seconds, P=0.031). While minor nipple-areola complex necrosis was significantly increased in the pure hemiperiareolar incision group (19.5% versus 0%; P=0.044), major nipple-areola complex necrosis (2.4% versus 5.0%; P>0.999) was not significantly different between the two groups. The rates of nipple-areola complex necrosis were 0%, 16.7%, and 63.6% in rapid, delayed, and no perfusion groups, respectively (P<0.001). No nipple perfusion pattern was a significant predictor for nipple-areola complex necrosis in univariable and multivariable analyses (P<0.001). There was no case of reconstruction failure. Conclusions: Immediate direct-to-implant breast reconstruction after nipple-sparing mastectomy using pure hemi-periareolar incision can be safely performed using indocyanine green angiographic evaluation on the mastectomy skin flap. | * |
dc.language | English | * |
dc.publisher | AME PUBL CO | * |
dc.subject | Direct-to-implant breast reconstruction | * |
dc.subject | nipple-sparing mastectomy | * |
dc.subject | indocyanine green | * |
dc.subject | nipple-areola complex necrosis | * |
dc.subject | mastectomy skin flap | * |
dc.title | Pure hemi-periareolar incision versus conventional lateral radial incision mastectomy and direct-to-implant breast reconstructions: comparison of indocyanine green angiographic perfusion and necrosis of the nipple | * |
dc.type | Article | * |
dc.relation.issue | 5 | * |
dc.relation.volume | 9 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 1193 | * |
dc.relation.lastpage | 1204 | * |
dc.relation.journaltitle | GLAND SURGERY | * |
dc.identifier.doi | 10.21037/gs-20-506 | * |
dc.identifier.wosid | WOS:000585472600006 | * |
dc.author.google | Park, Jin-Woo | * |
dc.author.google | Seong, Ik Hyun | * |
dc.author.google | Lim, Woosung | * |
dc.author.google | Woo, Kyong-Je | * |
dc.contributor.scopusid | 임우성(27167744500) | * |
dc.contributor.scopusid | 우경제(35319271600) | * |
dc.contributor.scopusid | 박진우(57191595200) | * |
dc.date.modifydate | 20240315113708 | * |