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Breast Reconstruction in a Coronavirus Disease 2019 Hub

Andrea Lisa1, Andrea Battistini1, Silvia Giannasi1

  • 1Plastic Surgery Unit, Department of Medical Biotechnology and Translational Medicine BIOMETRA, Humanitas Clinical and Research Hospital, Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Rozzano, Milan, Italy.

Plastic and Reconstructive Surgery. Global Open
|August 18, 2020
PubMed

Insights

During the COVID-19 pandemic, a new protocol for immediate implant-based breast reconstruction was safely and effectively implemented for cancer patients, showing no increase in complications or pain.

Area of Science:

  • Oncology
  • Plastic Surgery
  • Infectious Disease Epidemiology

Background:

  • The COVID-19 pandemic significantly disrupted healthcare systems globally.
  • Humanitas Clinical and Research Hospital became a regional hub for COVID-19 patient care.
  • This necessitated adaptations in surgical protocols, particularly for cancer patients.

Purpose of the Study:

  • To evaluate the safety and efficacy of a new protocol for immediate implant-based breast reconstruction during the COVID-19 pandemic.
  • To assess the feasibility of performing oncologic surgery and reconstruction while minimizing risks.
  • To adapt surgical practices in a high-risk environment.

Main Methods:

  • A new protocol was adopted for breast cancer patients undergoing mastectomy and immediate reconstruction.
  • Key goals included reducing COVID-19 transmission risk, prioritizing oncologic surgery, and enabling rapid patient discharge.
  • Pain management strategies and reduced postoperative consultations were integral to the protocol.

Main Results:

  • The protocol was applied to 51 patients in the first month of the pandemic (March-April 2020).
  • A retrospective review found no significant increase in postoperative pain or complication rates compared to pre-pandemic data.
  • The protocol facilitated timely oncologic treatment and reconstruction.

Conclusions:

  • The developed protocol is safe and effective for immediate implant-based breast reconstruction in cancer patients.
  • It allows for successful tumor resection and reconstruction without compromising patient or staff safety.
  • This approach demonstrates adaptability in surgical care during a pandemic.

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