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Dec 16, 2018
Free Download MAGIX Samplitude Music Studio 2014 Full Serial MAGIX Samplitude Music Studio 2014 is one software that has variety of tools which needed for .Multivariable analyses for predicting suture line dehiscence after breast reconstruction.
Factors influencing the occurrence of significant suture line dehiscence (SLD) have not been clearly identified. The aim of this study was to evaluate the effect of demographic, medical, and surgical factors on the incidence of SLD after immediate breast reconstruction (IBR) using the free transverse rectus abdominis myocutaneous (TRAM) flap. This was a single-institution, retrospective cohort study in which electronic medical records were reviewed for all patients who underwent IBR using a TRAM flap between January 2006 and December 2011. Demographic and medical and surgical factors were recorded, and logistic regression was performed. In addition, a recurrence analysis was conducted to determine whether a risk of repeat SLD exists. Surgical debridement was the most common method of managing postoperative complications, although reclosure was performed in 63% (50/79) of patients with SLD. Men who had their IBR surgery 3 years before women (odds ratio [OR], 1.02; 95% confidence interval [CI], 1.01-1.03; P = 0.002) and who smoked (OR, 2.47; 95% CI, 1.00-6.12; P = 0.05) were significantly more likely to develop an SLD. Furthermore, women who underwent a multiple operation for cancer were significantly more likely to experience a SLD (OR, 9.94; 95% CI, 1.99-50.57; P = 0.004). The recurrence rate for SLD was 27% (14/52). Patients with a delay in wound closure after SLD had a 40.4 times higher risk of a recurrence (95% CI, 1.85-117.9; P = 0.005). In this study, factors associated with SLD were men, patients who smoked, tobacco cessation before IBR, multiple procedures for cancer, delayed wound closure, and a history of radiation. Patients with breast cancer who underwent a delayed postoperative wound closure have a significantly