Intraoperative | |
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Common intraoperative outcomes | |
Admission status (admitted/not admitted) | |
Need for completion axillary lymph node dissection (yes/no) | |
Mastectomy flap deemed to have significant ischemia (yes/no) | |
Significant mastectomy flap thickness asymmetry between two sides (yes/no) | |
Mastectomy weight (right breast (g)/left breast (g)) | |
Mastectomy flap thickness (significant dermal exposure/patches of dermis exposed/thin flap without dermis exposed/normal) | |
Skin incision (horizontal ellipse/vertical ellipse/oblique ellipse/nipple-sparing with inframammary fold incision/nipple-sparing with lateral extension) | |
Sentinel lymph node biopsy (yes/no, left- and right-side) | |
Number of drains | |
Tension with skin closure (present/absent) | |
First stage of the two-stage | Direct to implant with ADM |
TE style | Excess skin excision precluding one-stage implant reconstruction (yes/no) |
Initial fill volume (cc) | Size of ADM (cm2) |
Implant style | |
Implant volume (g) | |
Implant surface and shape (round/anatomic or textured/smooth) | |
If TE inserted in the place of an implant: reason (implants too large/too small/flap necrosis suspected) | |
Second stage surgery (exchange to implant) | Â |
Total TE fill volume (cc) | Â |
Capsulectomy (total/subtotal/none) | Â |
Capsulotomy (yes/no) | Â |
Capsulorrhapy sutures (yes/no) | Â |
Implant size and style | Â |
Implant surface and shape (round/anatomic or textured/smooth) | Â |
Within first 2Â months of surgery | |
Common outcomes | |
Signs of seroma (yes/no, if yes, amount of fluid drained (cc)) | |
Mastectomy flap viability (100%, 95 to 100%, 80 to 95%, 60 to 80%, <60%) | |
Need for debridement of necrosis (yes/no, if yes, debrided (cm2)) | |
Signs of infection (yes/no, if yes, name and dosage of antibiotics prescribed) | |
Signs of incisional dehiscence (yes/no) | |
Other complications/additional comments | |
Number of days until drains removed | |
Two-stage | One-stage with ADM |
Need for deflation of TE (yes/no) | Signs of implant malposition (yes/no) |
Signs of TE malposition (yes/no) | Signs of implant exposure (yes/no) |
Signs of TE exposure (yes/no) | Signs of ADM exposure (yes/no) |
Expansion each visit (cc) | Â |
Long-term complications common to both procedures | |
Signs of implant malposition (yes/no) | |
Signs of implant exposure (yes/no) | |
Signs of implant rippling (yes/no, if yes, superior/medial) | |
Symmetry (overall) (poor/fair/good/outstanding/excellent) | |
Symmetry of inframammary fold (poor/fair/good/outstanding/excellent) | |
Hypertrophic or keloid scar present (yes/no, assessed for each breast) | |
Aesthetics (poor/fair/good/outstanding/excellent, assessed for each breast) | |
Capsular contracture (none/II barely visible, palpable/III visible, palpable/IV severe, painful, assessed for each breast) |