{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T04:06:35Z","timestamp":1750824395427,"version":"3.41.0"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,12,30]],"date-time":"2024-12-30T00:00:00Z","timestamp":1735516800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Patients with or at risk for breast cancer may opt for risk\u2010reducing gynecologic surgeries, including bilateral salpingo\u2010oophorectomies and\/or total abdominal hysterectomy. The timing and safety of combining these procedures with autologous breast reconstruction (ABR) are debated. This study assesses the impact of concurrent ABR and gynecologic surgeries on clinical and patient\u2010reported outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Female patients who underwent ABR from 2010 to 2023 were included. Three groups were compared: (1) same\u2010day ABR with gynecologic surgery, (2) staged ABR and gynecologic surgery, and (3) ABR alone. Clinical and patient\u2010reported outcomes included operative time, length of stay (LOS), complications, return to the operating room, and BREAST\u2010Q Physical Well\u2010Being of the Abdomen scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 2288 patients were included. Of these, 66 had simultaneous surgeries (Group 1), 256 had staged surgeries (Group 2), and 1966 had ABR alone (Group 3). There were no meaningful differences in operative time, return to the operating room, LOS, or overall complication rates. Seroma occurrence was significantly lower in Group 3 than Group 2 (6.1% vs. 6.3% vs. 3.5%; <jats:italic>p<\/jats:italic>\u2009=\u20090.046) which emerged during pairwise comparisons. BREAST\u2010Q Physical Well\u2010Being of the Abdomen scores did not significantly differ among the three cohorts at preoperative, 6\u2010month postoperative, and 1\u2010year postoperative time points.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings indicate that simultaneous ABR and gynecologic surgeries do not significantly impact complication rates, operative times, hospital stays, or patient\u2010reported abdominal well\u2010being, supporting that simultaneous surgery as a safe and efficient approach for appropriate patients.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.28048","type":"journal-article","created":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T07:59:35Z","timestamp":1735631975000},"page":"1400-1406","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Combined Autologous Breast Reconstruction and Gynecologic Procedures: Does Timing Affect Clinical and Patient\u2010Reported Outcomes?"],"prefix":"10.1002","volume":"131","author":[{"given":"Janet C.","family":"Coleman\u2010Belin","sequence":"first","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minji","family":"Kim","sequence":"additional","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francis D.","family":"Graziano","sequence":"additional","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lillian A.","family":"Boe","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nima","family":"Khavanin","sequence":"additional","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sameer","family":"Massand","sequence":"additional","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0329-4422","authenticated-orcid":false,"given":"Jonas A.","family":"Nelson","sequence":"additional","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2959-109X","authenticated-orcid":false,"given":"Robert J.","family":"Allen","sequence":"additional","affiliation":[{"name":"Section of Plastic and Reconstructive Surgery Memorial Sloan Kettering Cancer Center New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1158\/1940-6207.CAPR-14-0293"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000000156"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.21.00382"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.critrevonc.2018.09.018"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdw327"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa012158"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10198-021-01396-9"},{"issue":"4","key":"e_1_2_8_9_1","article-title":"Risk\u2010Reducing Mastectomy for the Prevention of Primary Breast Cancer","volume":"4","author":"Carbine N. 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