Breast Surgery in the Time of Global Pandemic: Benefits of Same-Day Surgery for Breast Cancer Patients Undergoing Mastectomy with Immediate Reconstruction during COVID-19

Perez‐Alvarez, Idanis M.; Bartholomew, Alex J.; King, Caroline A.; Lovett, Braeden L; Greenwalt, Ian; Song, David H.; Fan, Kenneth L.; Tousimis, Eleni

doi:10.1097/prs.0000000000007269

Cited by 20 publications

(54 citation statements)

References 4 publications

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“…In the place of ABR, several studies detailed exclusive use of implant-based reconstruction (in particular, direct-to-implant reconstruction), breast conservation surgery, or mastectomy alone. 6 , 13 , 14 , 17 , 18 , 21 – 23 , 26 , 27 Many authors cautioned the dangers of overlooking ABR and relying too heavily on implant-based breast reconstruction, and three studies described the successful resumption of ABR and established its safety during the COVID-19 pandemic. 4 , 15 , 24 , 25 One commentary described successful ABR in an asymptomatic carrier of COVID-19 in March 2020, the early stage of the pandemic before COVID-19 guidelines had been established.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Breast Reconstruction during the COVID-19 Pandemic: A Systematic Review

Hemal

Boyd

Bekisz

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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Introduction:The COVID-19 pandemic posed unique challenges for breast reconstruction. Many professional organizations initially placed restrictions on breast reconstruction, leading surgeons to conceive innovative protocols for offering breast reconstruction. This study reviewed the current evidence on breast reconstruction during the COVID-19 pandemic to provide guidance for surgeons facing future crises. Methods: The MEDLINE, EMBASE, and Cochrane Database of Systematic Reviews were searched for studies (1) describing implant and autologous breast reconstruction following mastectomy and (2) occurring during or pertaining to the COVID-19 pandemic. Results: Of the 1347 studies identified, 26 were included. Studies discussed type of reconstruction (18, 69%), complications (11, 42%), timing of reconstruction (10, 38%), protocols (10, 38%), COVID-19 screening (7, 27%), and length of hospital stay (7, 27%). The type of reconstruction varied depending on the stage of the pandemic: early on, autologous breast reconstruction was halted to preserve resources, but was later resumed. Within implant-based reconstruction, direct-toimplant was favored over serial tissue expansion. Several protocols were developed, with many emphasizing multidisciplinary collaborations for patient selection, use of specialized measures to reduce risk of COVID-19 transmission, and optimization of same-day discharge. Complication rates following breast reconstruction were similar to pre-pandemic rates. Conclusions: The COVID-19 pandemic has forever changed the landscape of breast reconstruction by raising important questions about delivery of care, cost, and resource utilization. The findings of this review may inform surgeons as they plan for similar future crises or strive for improved patient care and efficacy even during nonpandemic times.

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Section: Resultsmentioning

confidence: 99%

“…Ten studies commented on the timing of reconstruction. 4 , 5 , 13 , 17 , 25 , 26 , 30 , 33 – 35 Two studies described halting or reducing immediate breast reconstruction at the height of the pandemic. 13 , 17 Delayed breast reconstruction was halted in an effort to conserve resources and prevent exposure to COVID-19.…”

Section: Resultsmentioning

confidence: 99%

Breast Reconstruction during the COVID-19 Pandemic: A Systematic Review

Hemal

Boyd

Bekisz

et al. 2021

Plastic and Reconstructive Surgery - Global Open

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show abstract

“…Thorough research into the ideal characteristics of patients and resources required to appropriately educate and support same-day surgery for mastectomy is critical. Nonetheless, studies such as Dr. Schwartz’s 2 and ours 1 promote the transition to same-day surgery as a means of improved quality, satisfaction, and cost of reconstruction for breast cancer patients.…”

Section: Sirmentioning

confidence: 99%

“…We sincerely appreciate the comments provided by Dr. Jean-Claude Schwartz regarding our publication. 1 The budding topic of same-day surgery for mastectomy has certainly gained immense traction given the pandemic and its impact on hospital resource allocation. We acknowledge that overall, our own experiences, previous research, and Dr. Schwartz’s study 2 uphold the consistent outcomes of reduced readmissions, reoperations, and postoperative complications following same-day surgery for mastectomy.…”

Section: Sirmentioning

confidence: 99%

Reply: Breast Surgery in the Time of Global Pandemic: Benefits of Same-Day Surgery for Breast Cancer Patients Undergoing Mastectomy with Immediate Reconstruction during COVID-19

Perez‐Alvarez¹,

Bartholomew²,

King³

et al. 2021

Plastic &Amp; Reconstructive Surgery

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“…I read with interest the Viewpoint published in the October 2020 issue by Perez-Alvarez et al 1 describing their preliminary experience with same-day surgery after mastectomy and immediate implant-based reconstruction during the coronavirus disease of 2019 (COVID-19) pandemic. Their group began offering patients same-day surgery in 2018 and began enrolling patients in a prospective clinical trial comparing same-day surgery with inpatient admission in 2019.…”

Section: Sirmentioning

confidence: 99%