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Does concurrent gynaecological surgery affect infectious complications rate after mastectomy with implant-based reconstruction? Cover

Does concurrent gynaecological surgery affect infectious complications rate after mastectomy with implant-based reconstruction?

Open Access
|Jul 2022

Figures & Tables

Variables associated with infectious complications

VariableORPaORp
Gynaecological procedure1.116 (0.486–2.564)0.796NANA
BMI < 251 1
         25–303.000 (0.974–9.239)0.0562.552 (0.777–8.382)0.122
         > 308.100 (2.540–25.826)< 0.0017.481 (2.230–25.101)0.001
Age > 452.707 (1.118–6.552)0.0271.939 (0.497–3.907)0.529
Smoking1.061 (0.413–2.724)0.903NANA
Diabetes2.286 (0.200-26.094)0.506NANA
ASA 11
         21.821 (0.560-5.921)0.319NANA
         30.6750.739NANA
Previous with RT BCT(0.067-6.789) 3.802 (1.546-9.354)0.0043.319 (1.085–10.157)0.036
NACT0.345 (0.076-1.553)0.165NANA
ACT0.995 (0.369-2.687)0.992NANA
Adj. RT0.909 (0.338-2.442)0.849NANA

Patients characteristics

VariableAllGroup 1Group 2p

N = 159N = 102 (64.2%)N = 57 (35.8%)
Age (years)47.2 (95% CI 32.8–65,9)48.2 (95% CI 46.1–50.3)45.8 (95% CI 43.2–48.3)0.002
BMI (kg/m2)24.7 (95% CI 18.9–34,8)24.4 (95% CI 23.4–25.4)25.8 (95% CI 24.1–27.4)0.189
Smoking37 (23.3%)22 (21.6%)15 (26.3%)0.497
Diabetes mellitus3 (1.9%)3 (2.9%)00.191
ASA score 0.622
         131 (19.5%)24 (23.5%)7 (12.3%)
         280 (50.3%)56 (54.9%)24 (42.1%)
         311 (6.9%)7 (6.9%)4 (7.0%)
         Unknown37 (23.3%)15 (14.7%)22 (38.6%)
Previous BCT with RT29 (18.2%)8 (7.8%)21 (36.8%)0.001
NACT25 (15.7%)22 (21.6%)3 (5.3%)0.007
Adjuvant RT35 (22.0%)32 (31.4%)3 (5.3%)0.001
ACT33 (20.8%)23 (22.5%)10 (17.5%)0.455

Surgical site infections after implant reconstruction

All (%)Group 1 (%)Group 2 (%)p-value
All*28 (17.6)18 (17.6)10 (17.5)0.987
Surgical intervention needed**13 (8.2)8 (7.8)5 (8.8)0.84
Implant loss***9 (5.7)5 (4.9)4 (7.0)0.58
DOI: https://doi.org/10.2478/raon-2022-0026 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 80 - 85
Submitted on: Apr 24, 2022
Accepted on: May 23, 2022
Published on: Jul 20, 2022
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2022 Nina Pislar, Barbara Peric, Uros Ahcan, Romi Cencelj-Arnez, Janez Zgajnar, Andraz Perhavec, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.