Archives of Plastic Surgery

  • 제42권2호
  • /
  • Pages.194-200
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  • 2015
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Early Surgical Site Infection Following Tissue Expander Breast Reconstruction with or without Acellular Dermal Matrix: National Benchmarking Using National Surgical Quality Improvement Program

  • 투고 : 2014.08.18
  • 심사 : 2014.11.18
  • 발행 : 2015.03.15
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초록

Background Surgical site infections (SSIs) result in significant patient morbidity following immediate tissue expander breast reconstruction (ITEBR). This study determined a single institution's 30-day SSI rate and benchmarked it against that among national institutions participating in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). Methods Women who underwent ITEBR with/without acellular dermal matrix (ADM) were identified using the ACS-NSQIP database between 2005 and 2011. Patient characteristics associated with the 30-day SSI rate were determined, and differences in rates between our institution and the national database were assessed. Results 12,163 patients underwent ITEBR, including 263 at our institution. SSIs occurred in 416 (3.4%) patients nationwide excluding our institution, with lower rates observed at our institution (1.9%). Nationwide, SSIs were significantly more common in ITEBR patients with ADM (4.5%) compared to non-ADM patients (3.2%, P=0.005), and this trend was observed at our institution (2.1% vs. 1.6%, P=1.00). A multivariable analysis of all institutions identified age ${\geq}50$ years (odds ratio [OR], 1.4; confidence interval [CI], 1.1-1.7), body mass index ${\geq}30kg/m^2$ vs. < $25kg/m^2$ (OR, 3.4; CI, 2.6-4.5), and operative time >4.25 hours (OR, 1.9; CI, 1.5-2.4) as risk factors for SSIs. Our institutional SSI rate was lower than the nationwide rate (OR, 0.4; CI, 0.2-1.1), although this difference was not statistically significant (P=0.07). Conclusions The 30-day SSI rate at our institution in patients who underwent ITEBR was lower than the nation. SSIs occurred more frequently in procedures involving ADM both nationally and at our institution.

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참고문헌

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  1. Surveillance and Prevention of Surgical Site Infections in Breast Oncologic Surgery with Immediate Reconstruction vol.9, pp.2, 2015, https://doi.org/10.1007/s40506-017-0117-9
  2. Prolonged Operative Duration Increases Risk of Surgical Site Infections: A Systematic Review vol.18, pp.6, 2017, https://doi.org/10.1089/sur.2017.089
  3. Late Surgical-Site Infection in Immediate Implant-Based Breast Reconstruction vol.139, pp.1, 2015, https://doi.org/10.1097/prs.0000000000002839
  4. Consensus Review of Optimal Perioperative Care in Breast Reconstruction: Enhanced Recovery after Surgery (ERAS) Society Recommendations vol.139, pp.5, 2015, https://doi.org/10.1097/prs.0000000000003242
  5. A Histological Comparison of Two Human Acellular Dermal Matrix Products in Prosthetic-Based Breast Reconstruction vol.5, pp.12, 2015, https://doi.org/10.1097/gox.0000000000001576
  6. A 3D Mammometric Comparison of Implant-Based Breast Reconstruction With and Without Acellular Dermal Matrix (ADM) vol.42, pp.1, 2018, https://doi.org/10.1007/s00266-017-0967-z
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