Wound complications following modified radical mastectomy: an analysis of perioperative factors.
Identifieur interne : 00D960 ( Main/Exploration ); précédent : 00D959; suivant : 00D961Wound complications following modified radical mastectomy: an analysis of perioperative factors.
Auteurs : R A Hoefer ; J J Dubois ; L B Ostrow ; L F SilverSource :
- The Journal of the American Osteopathic Association [ 0098-6151 ] ; 1990.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Mastectomie radicale modifiée.
- étiologie : Infection de plaie opératoire.
- Adulte, Adulte d'âge moyen, Facteurs de risque, Femelle, Humains, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives.
English descriptors
- KwdEn :
- MESH :
- adverse effects : Mastectomy, Modified Radical.
- etiology : Surgical Wound Infection.
- Adult, Aged, Aged, 80 and over, Female, Humans, Middle Aged, Retrospective Studies, Risk Factors.
Abstract
To assess the effect of perioperative factors on the incidence of postoperative wound complications, the authors retrospectively analyzed 101 patients who had undergone modified radical mastectomy. These factors included age, body weight, operative techniques, estimated blood loss, wound-catheter drainage, extent of axillary dissection, nodal involvement, and length of hospital stay. Complications included seroma (10.9%), wound infection (8.9%), wound necrosis (5%), hematoma (3%), lymphedema (2%), and pneumothorax (1%). The logistic regression method was used to analyze the data. When electrocautery was used to create the skin flaps, the probability of a wound complication was .462, a 44% increase over that calculated for the cold-knife technique (P = .05). A prolonged hospitalization accompanied the occurrence of a wound complication. No other factors reached statistical significance.
PubMed: 2312369
Affiliations:
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Le document en format XML
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modified radical mastectomy: an analysis of perioperative factors.</title><author><name sortKey="Hoefer, R A" sort="Hoefer, R A" uniqKey="Hoefer R" first="R A" last="Hoefer">R A Hoefer</name><affiliation><nlm:affiliation>Department of General Surgery, David Grant USAF Medical Center, Travis Air Force Base, Calif.</nlm:affiliation><wicri:noCountry code="subField">Calif</wicri:noCountry></affiliation></author><author><name sortKey="Dubois, J J" sort="Dubois, J J" uniqKey="Dubois J" first="J J" last="Dubois">J J Dubois</name></author><author><name sortKey="Ostrow, L B" sort="Ostrow, L B" uniqKey="Ostrow L" first="L B" last="Ostrow">L B Ostrow</name></author><author><name sortKey="Silver, L F" sort="Silver, L F" uniqKey="Silver L" first="L F" last="Silver">L F Silver</name></author></analytic><series><title level="j">The Journal of the American Osteopathic Association</title><idno type="ISSN">0098-6151</idno><imprint><date when="1990" type="published">1990</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Mastectomy, Modified Radical (adverse effects)</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Surgical Wound Infection (etiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Infection de plaie opératoire (étiologie)</term><term>Mastectomie radicale modifiée (effets indésirables)</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mastectomy, Modified Radical</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Mastectomie radicale modifiée</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Surgical Wound Infection</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Infection de plaie opératoire</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Facteurs de risque</term><term>Femelle</term><term>Humains</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">To assess the effect of perioperative factors on the incidence of postoperative wound complications, the authors retrospectively analyzed 101 patients who had undergone modified radical mastectomy. These factors included age, body weight, operative techniques, estimated blood loss, wound-catheter drainage, extent of axillary dissection, nodal involvement, and length of hospital stay. Complications included seroma (10.9%), wound infection (8.9%), wound necrosis (5%), hematoma (3%), lymphedema (2%), and pneumothorax (1%). The logistic regression method was used to analyze the data. When electrocautery was used to create the skin flaps, the probability of a wound complication was .462, a 44% increase over that calculated for the cold-knife technique (P = .05). A prolonged hospitalization accompanied the occurrence of a wound complication. No other factors reached statistical significance.</div></front></TEI><affiliations><list></list><tree><noCountry><name sortKey="Dubois, J J" sort="Dubois, J J" uniqKey="Dubois J" first="J J" last="Dubois">J J Dubois</name><name sortKey="Hoefer, R A" sort="Hoefer, R A" uniqKey="Hoefer R" first="R A" last="Hoefer">R A Hoefer</name><name sortKey="Ostrow, L B" sort="Ostrow, L B" uniqKey="Ostrow L" first="L B" last="Ostrow">L B Ostrow</name><name sortKey="Silver, L F" sort="Silver, L F" uniqKey="Silver L" first="L F" last="Silver">L F Silver</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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