PDF(Pubmed)
Abstract：
UNASSIGNED: The purpose of this study was to compare postoperative pain between SF flap and serratus anterior muscle (SM) in direct-to-implant breast reconstruction.
UNASSIGNED: This is a prospective cohort study that included 53 women diagnosed with breast cancer who underwent mastectomy and one-stage implant-based breast reconstruction from January 2020 to March 2021. Twenty-nine patients (54.7%) had SF elevation, and 24 patients (45.3%) underwent SM elevation. We evaluated patient-reported early postoperative pain on the first day after surgery. Also, it was reported that all surgical complications in the first month and patient reported outcomes (PROs) were measured with the BRECON 23 questionnaire.
UNASSIGNED: The serratus fascia group used implants with larger volumes, 407.6 ± 98.9 cc (p < 0.01). There was no significant difference between the fascial and muscular groups regarding the postoperative pain score reported by the patients (2 versus 3; p = 0.30). Also, there was no difference between the groups regarding early surgical complications and PROs after breast reconstruction.
UNASSIGNED: The use of SF seems to cause less morbidity, which makes the technique an alternative to be considered in breast reconstruction. Although there was no statistical difference in postoperative pain scores between the fascia and serratus muscle groups.
UNASSIGNED: This is a prospective cohort study that included 53 women diagnosed with breast cancer who underwent mastectomy and one-stage implant-based breast reconstruction from January 2020 to March 2021. Twenty-nine patients (54.7%) had SF elevation, and 24 patients (45.3%) underwent SM elevation. We evaluated patient-reported early postoperative pain on the first day after surgery. Also, it was reported that all surgical complications in the first month and patient reported outcomes (PROs) were measured with the BRECON 23 questionnaire.
UNASSIGNED: The serratus fascia group used implants with larger volumes, 407.6 ± 98.9 cc (p < 0.01). There was no significant difference between the fascial and muscular groups regarding the postoperative pain score reported by the patients (2 versus 3; p = 0.30). Also, there was no difference between the groups regarding early surgical complications and PROs after breast reconstruction.
UNASSIGNED: The use of SF seems to cause less morbidity, which makes the technique an alternative to be considered in breast reconstruction. Although there was no statistical difference in postoperative pain scores between the fascia and serratus muscle groups.
摘要：
■这项研究的目的是比较直接种植乳房重建中SF皮瓣和前锯肌（SM）之间的术后疼痛。
■这是一项前瞻性队列研究，纳入了2020年1月至2021年3月期间接受乳房切除术和一期基于植入物的乳房再造的53名诊断为乳腺癌的女性。29例患者（54.7%）有SF升高，24例(45.3%)患者接受SM抬高。我们在术后第一天评估了患者报告的术后早期疼痛。此外，据报道,第1个月的所有手术并发症和患者报告的结局(PRO)均使用BRECON23问卷进行测量.
■锯齿筋膜组使用体积较大的植入物，407.6±98.9cc（p<0.01）。在患者报告的术后疼痛评分方面，筋膜组和肌肉组之间没有显着差异（2对3；p=0.30）。此外，在早期手术并发症和乳房重建后的PROs方面，两组之间没有差异。
■使用SF似乎减少了发病率，这使得该技术成为乳房重建中考虑的替代方法。尽管筋膜和锯齿肌组之间的术后疼痛评分没有统计学差异。
■这是一项前瞻性队列研究，纳入了2020年1月至2021年3月期间接受乳房切除术和一期基于植入物的乳房再造的53名诊断为乳腺癌的女性。29例患者（54.7%）有SF升高，24例(45.3%)患者接受SM抬高。我们在术后第一天评估了患者报告的术后早期疼痛。此外，据报道,第1个月的所有手术并发症和患者报告的结局(PRO)均使用BRECON23问卷进行测量.
■锯齿筋膜组使用体积较大的植入物，407.6±98.9cc（p<0.01）。在患者报告的术后疼痛评分方面，筋膜组和肌肉组之间没有显着差异（2对3；p=0.30）。此外，在早期手术并发症和乳房重建后的PROs方面，两组之间没有差异。
■使用SF似乎减少了发病率，这使得该技术成为乳房重建中考虑的替代方法。尽管筋膜和锯齿肌组之间的术后疼痛评分没有统计学差异。
