The Surgical Impact of E-Cigarettes: A Case Report and Review of the Current Literature
Archives of Plastic Surgery
;
: 477-481, 2017.
Article
in English
| WPRIM
| ID: wpr-131545
ABSTRACT
We report a case of a 51 years old female with a 25 pack year smoking history who underwent bilateral mastectomy and immediate tissue expander reconstruction for newly diagnosed right breast cancer. The patient reported herself as a non-smoker despite significant e-cigarette use, with resulting significant mastectomy skin flap necrosis and breast reconstruction failure. Little is known about the physiologic effect of e-cigarettes on wound healing and tissue perfusion. To this end, we provide an updated review of the impact of e-cigarettes on surgical outcomes. PubMed, Ovid MEDLINE, and PRS GO were searched for the terms “e-cigarette”, “electronic cigarette”, “e-cig”, “electronic nicotine delivery system”, “vaping”, “surgery”, “surgical”, “peri-operative”, “operate”, “operative”, and “wound healing”. Abstract review of all articles was performed. 123 articles returned that contained both variants of e-cigarettes and surgery as keywords. Of those, manual assessment returned three articles which were found to be relevant to e-cigarette use in the surgical patient. No articles were found that compared perioperative complications in e-cigarette versus traditional cigarette users in humans. In conclusion, our case report depicts the potential dangers associated with e-cigarette use in the surgical patient. There is a public misconception that e-cigarettes are healthier than traditional cigarettes and as such their use may go unreported by patients. Early evidence suggests e-cigarettes may induce some of the same physiologic changes as traditional cigarettes, and may have a significant deleterious effect on wound healing.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Perfusion
/
Skin
/
Smoke
/
Surgery, Plastic
/
Wound Healing
/
Breast Neoplasms
/
Smoking
/
Tissue Expansion Devices
/
Mammaplasty
/
Tobacco Products
Type of study:
Practice guideline
Limits:
Female
/
Humans
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2017
Type:
Article
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