Journal article
Surgical management of breast fat necrosis: Multi-institutional data analysis of early outcomes and risk factors for complications
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, v 88
Jan 2024
PMID: 38029475
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: Breast fat necrosis (BFN) is a non-cancerous condition affecting the adipose tissue. Despite incidence rates of up to 25% after breast surgery, little is known about risk factors and postoperative outcomes following the surgical treatment of BFN. Methods: The National Surgical Quality Improvement Program of the American College of Surgeons (2008-2021) was queried to identify female patients diagnosed with and surgically treated for BFN. Outcomes of interest included 30-day surgical and medical complications, reoperation, and readmission. We performed confounder-adjusted multivariable analyses to determine risk factors. Results: The study population included 1179 female patients (mean age: 55.8 +/- 13.8 years), of whom 96% (n = 1130) underwent direct excision and 4.2% (n = 49) received debridement of necrotic tissue. The majority of cases were operated on by general surgeons (n = 867; 74%) in the outpatient setting (n = 1107; 94%). Overall, 74 patients (6.3%) experienced postoperative adverse events, most of which were surgical complications (n = 43; 3.7%). Twenty-one (1.8%) women had to return to operating room, while readmission was reported in 18 (1.5%) cases. Adverse events were significantly more likely to occur in patients with chronic heart failure (p = 0.002) and higher wound classes (p = 0.033). Conclusion: Complication rates following the surgical management of BFN were found to be relatively high and seen to correlate with the setting. We identified chronic heart failure and wound contamination as risk factors for complication occurrence. These evidence-based insights may sensitize surgeons to critically balance patients' eligibility for BFN surgery and refine perioperative algorithms.
Metrics
Details
- Title
- Surgical management of breast fat necrosis: Multi-institutional data analysis of early outcomes and risk factors for complications
- Publication Details
- JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, v 88
- Publisher
- ELSEVIER SCI LTD; London
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Drexel University
- Web of Science ID
- WOS:001166645900001
- Scopus ID
- 2-s2.0-85178184327
- Other Identifier
- 991021861169404721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Surgery