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Can I read Increasing the Time to Expander-Implant Exchange after Postmastectomy Radiation Therapy Reduces Expander-Implant Failure on EtoBox?
Increasing the Time to Expander-Implant Exchange after Postmastectomy Radiation Therapy Reduces Expander-Implant Failure by Anne Warren Peled; Robert D. Foster; Laura J. Esserman; Catherine C. Park; E. Shelley Hwang; Barbara Fowble is a Medicine article available to read on EtoBox.
What is Increasing the Time to Expander-Implant Exchange after Postmastectomy Radiation Therapy Reduces Expander-Implant Failure about?
## Background: Increased rates of complications can occur when postmastectomy radiation therapy is required after immediate expander-implant breast reconstruction. the sequence and timing of tissue expansion and implant exchange with regard to postmastectomy radiation therapy may impact complication rates. ## Methods: A prospectively maintained database of patients undergoing mastectomy and immediate reconstruction was queried for patients who underwent postmastectomy radiation therapy. the authors' protocol is to complete tissue expansion before radiation, irradiate the fully inflated expander, and then perform expander-implant exchange. starting in 2009, the authors refined their protocol by increasing the time interval between completion of radiation therapy and expander-implant exchange from 3 months to 6 months as a strategy to reduce surgical complications. for analysis, patients were divided into two cohorts based on whether expander-implant exchange was performed less than 6 months or more than 6 months after radiation. the primary outcome was expander-implant failure, defined as device removal without concurrent replacement. ## Results: Eighty-eight patients met selection
Who reads Increasing the Time to Expander-Implant Exchange after Postmastectomy Radiation Therapy Reduces Expander-Implant Failure?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Anne Warren Peled; Robert D. Foster; Laura J. Esserman; Catherine C. Park; E. Shelley Hwang; Barbara Fowble
- Publisher
- Ovid Technologies (Wolters Kluwer Health)
- Published
- 2012
- Language
- EN
- Field
- Medicine (Health Sciences)