The American Society of Breast Surgeons classification system for oncoplastic breast conserving surgery independently predicts the risk of delayed wound healing

Maggi, Nadia; Rais, Daniel Simon; Nussbaumer, Rahel; Lévy, Jérémy; Schwab, Fabienne D.; Kurzeder, Christian; Heidinger, Martin; Weber, Walter

doi:10.1016/j.ejso.2023.107032

Cited by 2 publications

(2 citation statements)

References 55 publications

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“…It is important to emphasize that while these issues are indeed associated with technical flaws, patient-related risk factors have been identified as significant influences on wound healing, underscoring the necessity for careful patient selection. This consideration aligns with findings demonstrating that high-volume oncoplastic BCS is an independent risk factor for delayed wound healing ( 47 , 48 ).…”

Section: Oncologic Outcomessupporting

confidence: 85%

Evolution of breast conserving surgery—current implementation of oncoplastic techniques in breast conserving surgery: a literature review

Torras,

Cebrecos,

Castillo

et al. 2024

Gland Surg

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Background and Objective De-escalation in breast cancer surgery has been a natural evolution since breast conserving surgery (BCS) was introduced in the early 1980s. From Halsted mastectomies to wide local excisions, we are facing nowadays the next trend in form of oncoplastic breast surgery. Oncoplastic breast surgery combines oncological principles with plastic surgery techniques to preserve the breast shape and appearance. The aim of this work is to review recent oncological and quality of live outcomes derived from oncoplastic techniques as well as offer a perspective about its implementation in breast cancer units. Methods A literature review was conducted to explore the landscape of oncoplastic breast surgery. Key terms related to oncoplastic techniques and breast cancer were used in searches across databases such as PubMed, Embase and Cochrane Library. Inclusion criteria focused on recent articles discussing oncological and quality of life (QoL) outcomes, as well as perspectives on the role of oncoplastic surgery. Key Content and Findings The research aims to contribute valuable insights into the efficacy and impact of oncoplastic surgery in the context of breast cancer treatment. In this new era of precision medicine, it is more than just healing patients; it is about improving their well-being. We ought to consider specific oncoplasty role in leading this paradigm shift. It is also relevant to define whether these new technical-demanding surgical options can be applied to all patients and if professional training performs adequately to current demands of personalized treatments. Conclusions The global adoption of oncoplastic BCS is recommended due to its oncological safety and improvement in QoL compared to standard procedures. Emphasizing the need for skilled surgeons in complex cases, collaboration between breast surgeons and scientific societies is urged to certify ongoing educational training in oncoplastic techniques.

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Section: Oncologic Outcomessupporting

confidence: 85%

Evolution of breast conserving surgery—current implementation of oncoplastic techniques in breast conserving surgery: a literature review

Torras,

Cebrecos,

Castillo

et al. 2024

Gland Surg

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“…A study completed by Brown et al , in 2021 reported the overall major complication rate requiring operative intervention at 8.9%, with the most common reasons being hematoma evacuation and infection ( 31 ). Level II OPS techniques have been independently associated with higher rates of delayed wound healing, and increased rates of chronic postoperative pain when compared to level I techniques ( 33 ). Patient specific factors that have been associated with higher rates of postoperative complications include obesity, smoking, diabetes, bleeding disorder, chronic obstructive pulmonary disease, and American Academic of Anesthesiologists (ASA) category 3 or 4 ( 32 ).…”

Section: Operative Principles Of Ops Categorized By Volume Of Excisio...mentioning

confidence: 99%

Oncoplastic surgery in the USA: a review of where we started, where we are today and where we are headed

Willcox,

Losken,

Garcia Nores

2024

Gland Surg

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The surgical management of breast cancer has evolved tremendously over the last century and now includes oncoplastic techniques that improve both cosmetic and oncologic outcomes for patients. The purpose of this review is to provide the reader with a broad overview of the history of oncoplastic breast surgery in the United States (USA), and to summarize important patient factors and technical innovations for optimal operative planning in the era of multimodal treatment of breast cancer. The indications for oncoplastic surgery (OPS) have broadened significantly as more women pursue breast conservation with preservation of their native breast tissue. The operative philosophy of OPS is based on fundamental reconstructive principles, with technique selection based largely on tumor size and location. Reduction mammoplasty and mastopexy techniques have become some of the most utilized procedures in OPS due to their versatility to address tumors in almost all areas of the breast. Volume replacement techniques with locoregional perforator flaps continue to gain popularity as a single-stage reconstructive option for women with large tumor to breast ratios, especially with specialized plastic surgeons at high volume, academic centers. The oncologic advantages of OPS have allowed women to avoid mastectomy with improved margin control, re-excision rates, and equivalent overall survival all while preserving the aesthetic outcomes for these patients. Despite the proven benefits of OPS, numerous healthcare systems barriers including insurance status, geographic location, referral patterns, and racial disparities all continue to play a role in access to surgical sub-specialized breast oncology care demonstrating the need for ongoing research and education about oncoplastic principles.

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The American Society of Breast Surgeons classification system for oncoplastic breast conserving surgery independently predicts the risk of delayed wound healing

Cited by 2 publications

References 55 publications

Evolution of breast conserving surgery—current implementation of oncoplastic techniques in breast conserving surgery: a literature review

Evolution of breast conserving surgery—current implementation of oncoplastic techniques in breast conserving surgery: a literature review

Oncoplastic surgery in the USA: a review of where we started, where we are today and where we are headed

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