{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T12:16:47Z","timestamp":1783340207064,"version":"3.54.6"},"reference-count":29,"publisher":"Royal College of Surgeons of England","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> Day-case surgery is safe and efficacious for most breast surgical procedures. Limited data exist on its use in immediate breast reconstruction. We present our experience of day-case management of mastectomy with immediate pre-pectoral implant-based reconstruction (IBR). <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Data were collected on 47 patients who underwent day-case skin-sparing (SSM) or nipple-sparing (NSM) mastectomy with pre-pectoral IBR between October 2017 and September 2019. Clinicopathological data were collected, including postoperative complications, re-admission and re-operation. The data were compared to published national standards. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Median age was 52 years (range 37\u201374). Thirty-two patients (68%) had an SSM and 15 (32%) had an NSM. Two patients (4%) had risk-reducing mastectomies and 45 had treatment for invasive cancer or ductal carcinoma in situ (DCIS). Mean tumour size was 33.3mm (range 7\u201385mm). Forty-two (89%) patients went home on the day of surgery. No patients required re-operation in the first 48 hours. The median postoperative follow-up time was 11.4 months (range 1.8\u201322.7 months). During the first 90-day postoperative period, eight patients (17%) developed superficial skin necrosis, five patients (10.6%) developed postoperative infections and five patients (10.6%) suffered an implant loss. Eight patients (17%) were readmitted for re-operation. Compared to UK national standards set in the iBRA study, our cohort has demonstrated comparable postoperative infection, implant loss and re-operation and re-admission rates. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> We have demonstrated close to 90% day-case success rate for mastectomy with IBR. These early data suggest that immediate IBR can be carried out in a manner that is cost-efficient without impacting surgical outcomes. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2020.7152","type":"journal-article","created":{"date-parts":[[2021,5,31]],"date-time":"2021-05-31T23:01:25Z","timestamp":1622502085000},"page":"426-431","source":"Crossref","is-referenced-by-count":9,"title":["Day-case approach to immediate breast reconstruction: pushing the boundaries of ambulatory breast surgery in the post-COVID-19 era"],"prefix":"10.1308","volume":"103","author":[{"given":"H","family":"Shaker","sequence":"first","affiliation":[{"name":"Wrightington, Wigan and Leigh NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"NAR","family":"Leena","sequence":"additional","affiliation":[{"name":"Wrightington, Wigan and Leigh NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Mayers","sequence":"additional","affiliation":[{"name":"Wrightington, Wigan and Leigh NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Koussa","sequence":"additional","affiliation":[{"name":"Wrightington, Wigan and Leigh NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Wrightington, Wigan and Leigh NHS Foundation Trust, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"171","reference":[{"key":"C1","doi-asserted-by":"publisher","DOI":"10.1111\/anae.14639"},{"key":"C2","doi-asserted-by":"publisher","DOI":"10.1159\/000370207"},{"key":"C3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2009.04.015"},{"key":"C4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMe2002387"},{"key":"C5","doi-asserted-by":"publisher","DOI":"10.21873\/invivo.11962"},{"key":"C6","doi-asserted-by":"publisher","DOI":"10.3332\/ecancer.2020.1041"},{"key":"C7","volume-title":"BADS Directory of Procedures","author":"British Association of Day Surgery","year":"2012","edition":"4"},{"key":"C8","volume-title":"BADS Directory of Procedures","author":"British Association of Day Surgery","year":"2019","edition":"6"},{"key":"C9","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10161"},{"key":"C10","doi-asserted-by":"publisher","DOI":"10.12701\/yujm.2019.00283"},{"key":"C11","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-015-4407-5"},{"key":"C12","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003057"},{"key":"C13","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2014.04.022"},{"key":"C14","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30781-2"},{"key":"C15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2017.01.092"},{"key":"C16","author":"Stefanova I","year":"2019","journal-title":"J One-Day Surg"},{"key":"C17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2019.01.077"},{"key":"C18","doi-asserted-by":"publisher","DOI":"10.1111\/tbj.13419"},{"key":"C19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2007.03.030"},{"key":"C20","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003056"},{"key":"C21","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-020-05739-7"},{"key":"C23","doi-asserted-by":"publisher","DOI":"10.21873\/anticanres.14178"},{"key":"C24","doi-asserted-by":"publisher","DOI":"10.4103\/joacp.JOACP_191_17"},{"key":"C25","doi-asserted-by":"publisher","DOI":"10.4103\/ija.IJA_237_19"},{"key":"C26","doi-asserted-by":"publisher","DOI":"10.1055\/s-0033-1347876"},{"key":"C27","doi-asserted-by":"publisher","DOI":"10.1016\/j.breast.2017.07.016"},{"key":"C28","doi-asserted-by":"publisher","DOI":"10.1097\/01.GOX.0000584380.20843.44"},{"key":"C29","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2012.12.012"},{"key":"C30","doi-asserted-by":"publisher","DOI":"10.3332\/ecancer.2019.927"}],"container-title":["The Annals of The Royal College of Surgeons of England"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/pdf\/10.1308\/rcsann.2020.7152","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,15]],"date-time":"2023-05-15T10:35:25Z","timestamp":1684146925000},"score":1,"resource":{"primary":{"URL":"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2020.7152"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6]]},"references-count":29,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1308\/rcsann.2020.7152"],"URL":"https:\/\/doi.org\/10.1308\/rcsann.2020.7152","relation":{},"ISSN":["0035-8843","1478-7083"],"issn-type":[{"value":"0035-8843","type":"print"},{"value":"1478-7083","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6]]}}}