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Smoking as a Risk Factor for Surgical Site Complications in Implant-Based Breast Surgery
Background Smoking is a cause of many postoperative complications, including delayed wound healing, tissue necrosis, and reconstructive flap loss. However, there is a paucity of evidence-based guidelines for smoking cessation in patients undergoing implant-based breast surgery. Objective The objecti...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8599112/ https://www.ncbi.nlm.nih.gov/pubmed/34804725 http://dx.doi.org/10.7759/cureus.18876 |
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author | Zucker, Isaac Bouz, Antoun Castro, Grettel Rodriguez de la Vega, Pura Barengo, Noel C |
author_facet | Zucker, Isaac Bouz, Antoun Castro, Grettel Rodriguez de la Vega, Pura Barengo, Noel C |
author_sort | Zucker, Isaac |
collection | PubMed |
description | Background Smoking is a cause of many postoperative complications, including delayed wound healing, tissue necrosis, and reconstructive flap loss. However, there is a paucity of evidence-based guidelines for smoking cessation in patients undergoing implant-based breast surgery. Objective The objective of this study was to determine if smoking is associated with wound dehiscence or superficial/deep surgical site infection (SSI) in women undergoing implant-based breast surgery. Methods Using theAmerican College of Surgeons National Surgical Quality Improvement Program, data was obtained of U.S. adult females (n=10,077) between the ages of 18 and 70 who underwent insertion of a breast prosthesis from 2014 to 2016. The patient’s preoperative smoking status, demographics, and comorbidities were analyzed to determine association with wound dehiscence, superficial SSI, and deep SSI. Unadjusted and adjusted logistic regression analyses were used to calculate odds ratios (OR) and 95% confidence intervals (95% CI). Results Patients who smoked had a statistically significant higher proportion of wound complications (2.4%) compared to non-smokers (1.3%; p<0.01). Adjusted analysis demonstrated a significantly higher odds of wound complications in smoking patients compared to those who did not smoke (OR 2.0; 95% CI 1.3-3.2). Conclusions Our study suggests that smoking is an independent risk factor for postoperative complications in patients undergoing implant-based breast surgery. These results have significant clinical implications, as increased precautions can be taken in smokers undergoing breast surgery to minimize postoperative wound complications. Future studies may determine the optimal amount of time that patients should abstain from smoking prior to implant-based breast surgery. |
format | Online Article Text |
id | pubmed-8599112 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-85991122021-11-20 Smoking as a Risk Factor for Surgical Site Complications in Implant-Based Breast Surgery Zucker, Isaac Bouz, Antoun Castro, Grettel Rodriguez de la Vega, Pura Barengo, Noel C Cureus Plastic Surgery Background Smoking is a cause of many postoperative complications, including delayed wound healing, tissue necrosis, and reconstructive flap loss. However, there is a paucity of evidence-based guidelines for smoking cessation in patients undergoing implant-based breast surgery. Objective The objective of this study was to determine if smoking is associated with wound dehiscence or superficial/deep surgical site infection (SSI) in women undergoing implant-based breast surgery. Methods Using theAmerican College of Surgeons National Surgical Quality Improvement Program, data was obtained of U.S. adult females (n=10,077) between the ages of 18 and 70 who underwent insertion of a breast prosthesis from 2014 to 2016. The patient’s preoperative smoking status, demographics, and comorbidities were analyzed to determine association with wound dehiscence, superficial SSI, and deep SSI. Unadjusted and adjusted logistic regression analyses were used to calculate odds ratios (OR) and 95% confidence intervals (95% CI). Results Patients who smoked had a statistically significant higher proportion of wound complications (2.4%) compared to non-smokers (1.3%; p<0.01). Adjusted analysis demonstrated a significantly higher odds of wound complications in smoking patients compared to those who did not smoke (OR 2.0; 95% CI 1.3-3.2). Conclusions Our study suggests that smoking is an independent risk factor for postoperative complications in patients undergoing implant-based breast surgery. These results have significant clinical implications, as increased precautions can be taken in smokers undergoing breast surgery to minimize postoperative wound complications. Future studies may determine the optimal amount of time that patients should abstain from smoking prior to implant-based breast surgery. Cureus 2021-10-18 /pmc/articles/PMC8599112/ /pubmed/34804725 http://dx.doi.org/10.7759/cureus.18876 Text en Copyright © 2021, Zucker et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Plastic Surgery Zucker, Isaac Bouz, Antoun Castro, Grettel Rodriguez de la Vega, Pura Barengo, Noel C Smoking as a Risk Factor for Surgical Site Complications in Implant-Based Breast Surgery |
title | Smoking as a Risk Factor for Surgical Site Complications in Implant-Based Breast Surgery |
title_full | Smoking as a Risk Factor for Surgical Site Complications in Implant-Based Breast Surgery |
title_fullStr | Smoking as a Risk Factor for Surgical Site Complications in Implant-Based Breast Surgery |
title_full_unstemmed | Smoking as a Risk Factor for Surgical Site Complications in Implant-Based Breast Surgery |
title_short | Smoking as a Risk Factor for Surgical Site Complications in Implant-Based Breast Surgery |
title_sort | smoking as a risk factor for surgical site complications in implant-based breast surgery |
topic | Plastic Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8599112/ https://www.ncbi.nlm.nih.gov/pubmed/34804725 http://dx.doi.org/10.7759/cureus.18876 |
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