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术后第1天排泄在深部下腹上腺动脉中穿孔器片乳房重建

Marion W Tapp¹, Mary L Duet¹, Thomas N Steele¹

¹From the Atrium Health Wake Forest Baptist.

Plastic and reconstructive surgery. Global open

|June 16, 2023

概括

在深部下部表胃动脉穿孔器 (DIEP) 板乳房重建后,在术后第一天 (POD1) 放出选择的患者是安全的. 较低的BMI和较短的手术时间可能预测早期出院的适合性.

科学领域:

整形外科整形外科整形外科
重建性手术是一种重建性手术.

背景情况:

自主乳房重建的成功率很高,将重点转移到患者的结果.
从历史上看,长时间住院一直是自主乳房重建的缺点.
越来越多地探索早期出院,以改善患者的体验.

研究的目的:

评估DIEP片乳房重建后在术后第一天 (POD1) 送院患者的安全性和可行性.
为了确定与成功POD1释放相关的术前和术内因素.

主要方法:

对510名接受846次DIEP片乳房重建的患者进行了回顾性图表审查 (2019年1月 - 2022年3月).
收集的数据包括患者人口统计,病史,手术细节和术后结果.
在POD1上出院的患者与后来出院的患者 (POD2+) 的比较.

主要成果:

二十三名患者 (33个片) 在POD1.1上出院.
在POD1和POD2+组之间,年龄,ASA得分或并发症没有显著差异.
POD1组的BMI显著降低,手术时间缩短 (单边和双边).
在POD1排放组中没有观察到任何重大并发症.

结论:

同日出院 (POD1) 对于接受DIEP片乳房重建的选择性患者来说是一个安全的选择.
下肢体质量指数 (BMI) 和缩短的手术时间是早期出院资格的潜在预测因素.
优化出院标准可以提高患者的康复和医院资源利用率.

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