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Ambulatory surgery for partial breast reconstruction with pedicled chest wall perforator flaps

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    Geeta Shetty
    Correspondence
    Corresponding Author: Mrs/Prof Geeta Shetty, Sandwell and West Birmingham Hospitals NHS Trust, United Kingdom
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    Sandwell and West Birmingham NHS Trust, City Hospital, Dudley Road, Birmingham, UK, B187QH

    Manipal Academy of Higher Education(MAHE) & Kasturba Medical College, Mangalore, India
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    Arwa Ashoor
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    Sandwell and West Birmingham NHS Trust, City Hospital, Dudley Road, Birmingham, UK, B187QH
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    Shaista Zafar
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    Sandwell and West Birmingham NHS Trust, City Hospital, Dudley Road, Birmingham, UK, B187QH
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    Ishita Laroyia
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    Sandwell and West Birmingham NHS Trust, City Hospital, Dudley Road, Birmingham, UK, B187QH
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    Josiah Moki Mwendwa
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    Sandwell and West Birmingham NHS Trust, City Hospital, Dudley Road, Birmingham, UK, B187QH
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    Melissa Tan
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    Sandwell and West Birmingham NHS Trust, City Hospital, Dudley Road, Birmingham, UK, B187QH
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Published:November 21, 2022DOI:https://doi.org/10.1016/j.bjps.2022.11.013

      Abstract

      Ambulatory surgery has increased in popularity over recent years, and it has extended to more complex surgeries, even for patients with different co-morbidities. Our study evaluates the ambulatory care for complex oncoplastic breast surgical procedures, involving partial breast reconstruction with chest wall perforator flaps (CWPF). Out of 150 patients, 146 (97.3%) patients were discharged within 23hrs. The overall complication rate was 11.3% (n=17), seroma and wound breakdown being the most common complications (3.3% each). Two (1.4%) patients had an immediate postoperative haematoma that required a return to theatre. The 30 days readmission rate was 2.7% (n=4). Amongst those 4 patients, 2 had wound breakdown and one patient developed a delayed haematoma. Another patient developed pulmonary embolism on the 4th postoperative day. These results were comparable to other studies. Therefore, we propose that ambulatory surgery is feasible and safe for CWPFs in partial breast reconstruction.

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