203 posters, 14 topics, 5 sessions, 817 authors, 256 institutions
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The AAPS 102nd Annual Meeting
May 18-21, 2024 | The Westin Copley Place, Boston, MA
P1
Evaluating The Impact Of Concurrent Risk-Reducing Gynecologic Surgery On Infection Rates After Prosthetic Breast Reconstruction
Poster Presenter
Part of Topic
Aesthetic Face/Breast/Body/ Body Contouring
Background
•Infection is one of the most significant concerns after prosthetic breast reconstruction.
•Patients, especially genetic mutation carriers, often undergo mastectomy and reconstruction concurrently with risk-reducing gynecologic operations (BSO, TAH).
•Studies suggest longer OR times and increased OR traffic can increase infection risk.
•Unknown impact of these concurrent procedures on SSI risk after tissue expander (TE) or implant placement.
Aims
To evaluate the impact of concurrent gynecologic operations and surgery sequence on SSI rates after prosthetic breast reconstruction.
Methods
•Retrospective review: all patients who underwent mastectomy with tissue expander or implant placement between January 2018-January 2023
•≥ 6 months follow-up
Results
Demographics
•424 total patients, and 730 breasts included (Figure 2)
•Demographics were similar between the concurrent surgery and no concurrent surgery groups (Table 1)
•Demographics were similar between the Gynecology first and Breast first groups (Table 2)
Post-Operative Outcomes
Concurrent Surgery vs. No Concurrent Surgery
•Overall infection rate, minor infection rate, major infection rate, and reconstruction loss due to infection were similar between groups.
•Reconstruction loss due to infection was also similar between both groups: 10% Concurrent, 5% No Concurrent (p=0.11).
Post-Operative Outcomes
Gynecology Operates First vs. Breast Operates First
•There was a pattern of higher infection rates in the Breast first group, but this was not significant (p=0.41).
•Reconstruction loss due to infection was similar between groups: 13% Breast first group, 7% Gyn first Group (p=0.41).
Conclusions
•Concurrent gynecologic procedures can be performed without higher infection rates after prosthetic reconstruction.
•Evaluating case order may represent a straightforward intervention to reduce SSI.
•As our sample size is small, data collection is ongoing to refine these findings.
Acknowledgements
Thank you to the breast outcomes database team: Daniel Soroudi, Aileen Gozali, Jasmin Wilson, Serena Bhaskerrao, Nisha Parmeshwar, Laura Barnes, Catherine Dugan