{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:20:56Z","timestamp":1777533656085,"version":"3.51.4"},"reference-count":19,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T00:00:00Z","timestamp":1737936000000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Breast Journal"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Introduction:<\/jats:bold>\n                    Tumescent dissection (TUM) combines the use of crystalloid, local anesthetic, and epinephrine to create a bloodless plane to raise skin flaps. We aim to compare outcomes of TUM versus standard electrocautery dissection in mastectomies with and without reconstruction.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    We conducted a retrospective cohort study of patients who underwent mastectomy by a single surgeon between January 2016 and October 2020 utilizing the electronic medical record. The primary outcome was complication rate, and the secondary outcome was operative time. Chi\u2010squared analysis and two\u2010sample\n                    <jats:italic>t<\/jats:italic>\n                    \u2010tests were used to examine outcomes.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    Among 242 patients, 141 patients underwent TUM and 101 patients underwent electrocautery. 44.68% of TUM patients experienced one or more complications compared to 59.41% of electrocautery patients (\n                    <jats:italic>p<\/jats:italic>\n                    = 0.024). There were fewer cases of wound healing complications in the TUM group with reconstruction compared to the electrocautery group with reconstruction (6.1% vs. 21%,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.005). Infection rate was higher in the TUM group with reconstruction compared to the electrocautery group with reconstruction (14.3% vs. 3.2%,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.023). There was no significant difference in rates of hematoma, seroma, skin flap necrosis, nipple areolar complex necrosis, or re\u2010exploration by dissection technique. The mean operative time was shorter with TUM compared to electrocautery (216.09\u2009min vs. 250.16\u2009min,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.016).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    TUM yields comparable results with decreased overall complication rates compared to electrocautery dissection. Electrocautery thermal effect may account for skin\u2010related complications. Additionally, tumescent mastectomies have shorter length of operative time which could reduce the risk of complications associated with increased time under general anesthesia.\n                  <\/jats:p>","DOI":"10.1155\/tbj\/7634729","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T04:19:27Z","timestamp":1737951567000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Switching to Tumescent Dissection in Mastectomy"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1847-4955","authenticated-orcid":false,"given":"Emna","family":"Bakillah","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ari D.","family":"Brooks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seye","family":"Adekeye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,27]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199612000-00048"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1075-122X.2005.21536.x"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.2147\/BCTT.S131398"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.21037\/gs.2019.05.04"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/tbj.13442"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0305-4179(01)00057-2"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.accpm.2018.05.008"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005100"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2021.648955"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-011-1913-y"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-012-2304-8"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.suronc.2020.05.003"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2009.12.011"},{"key":"e_1_2_9_14_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-147-8-200710160-00010"},{"key":"e_1_2_9_15_2","unstructured":"Annales Fran\u00e7aises d\u2019Anesthesie et de Reanimation 2008 Tumescent Infiltrative Anaesthesia for Mastectomy: about Six Cases"},{"key":"e_1_2_9_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2015.03.050"},{"key":"e_1_2_9_17_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-013-3311-0"},{"key":"e_1_2_9_18_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-015-4709-7"},{"key":"e_1_2_9_19_2","doi-asserted-by":"publisher","DOI":"10.3109\/2000656X.2014.884973"}],"container-title":["The Breast Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/tbj\/7634729","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/tbj\/7634729","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/tbj\/7634729","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T16:50:42Z","timestamp":1772988642000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/tbj\/7634729"}},"subtitle":[],"editor":[{"given":"Guan-Jun","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":19,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/tbj\/7634729"],"URL":"https:\/\/doi.org\/10.1155\/tbj\/7634729","archive":["Portico"],"relation":{},"ISSN":["1075-122X","1524-4741"],"issn-type":[{"value":"1075-122X","type":"print"},{"value":"1524-4741","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2023-12-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"7634729"}}