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Perioperative mortality has been defined as any death, regardless of cause, occurring within 30 days after surgery in or out of the hospital. [1] Globally, 4.2 million people are estimated to die within 30 days of surgery each year. [ 2 ]
A seroma is usually caused by surgery. Seromas are particularly common after breast surgery [3] (e.g., mastectomy), [4] abdominal surgery, and reconstructive surgery. It can also be seen after neck surgery, [1] thyroid and parathyroid surgery, [5] and hernia repair. [2] The larger the surgical intervention, the more likely that seromas form.
DIEP flap breast reconstruction is typically performed by the Plastic Surgery team (rather than the Breast Surgery team) so is only available in centres with Plastic Surgery support. It is a more complicated operation than other autologous or alloplastic options, but provides significantly better cosmetic results, which means better ...
Undergoing a preventive mastectomy does not guarantee that breast cancer will not develop later, however, it reduces the risk by 90% in high risk women. [2] [8] Also, a preventive mastectomy may not be able to remove all breast tissue as some of it may be in the arm pit, near the collar bone, or in the abdominal wall. [1]
[21] [6] Subsequent studies by Rotondo and colleagues in a group of 961 patients that had undergone damage control surgery demonstrate an overall mortality of 50% and a 40% morbidity rate. [23] There are four main complications. The first is development of an intra-abdominal abscess. This has been reported as high as 83%.
Statistics from U.S. healthcare report 18.1% re-admittance rate within 30 days for patients who undergo SBO surgery. [43] More than 90% of patients also form adhesions after major abdominal surgery. [44] Common consequences of these adhesions include small-bowel obstruction, chronic abdominal pain, pelvic pain, and infertility. [44]
Followed by flap dissection for removal of the breast tissue, NAC is preserved during the whole procedure. [7] Breast reconstruction options, such as implant-based or flap-based reconstruction, can be pursued at last. After the surgery, proper monitoring of blood pressure and psychological support are needed. [8]
In addition, there are several important misconceptions regarding breast-conservation surgery for patients and clinicians to keep in mind. [8] In appropriately selected patients, mastectomy and breast-conserving surgery have equivalent survival rates. Undergoing mastectomy does not eliminate the risk for recurrent or new cancer.
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