Various Methods of Breast Reconstruction After Mastectomy: An Economic Comparison

摘要: This study is an economic comparison of various methods breast reconstruction after mastectomy. The hospital bills 287 patients undergoing at three institutions from June 1988 to March 1991 were analyzed. procedures examined included mastectomy, implant and tissue-expander reconstruction, TRAM latissimus pedicle flaps, as well free gluteal flaps. These subdivided into those which performed the time mastectomy a later admission. In addition, auxiliary (i.e., revision, nipple exchange, contralateral mastopexy/reduction) also examined. Where appropriate, these under general or local anesthesia by inpatient outpatient status. Data converted N.Y.U. Medical Center costs for standardization. A table presented that summarizes each individual procedure with all pertinent variations. unique novel method analyzing data was developed. paper describes menu system whereby other regarding morbidity, mortality, revision rates may be superimposed. With this information, final cost can extrapolated compared. applied almost any complex series multiple procedures. most salient points elucidated are follows: savings generated performing immediate varies between $5092 (p Lastly, we point out numerous inefficiencies in effort lower financial surgical treatment cancer subsequent reconstruction. Among our suggestions perform when medically feasible acceptable patient, possible, technically feasible.