Comparative analysis of the economic efficiency of the monomethod of total breast reconstruction by means of adipose tissue transplantation and traditional methods of reconstruction

The presented study was based on a comparative analysis of the cost – efficiency of a single-method breast reconstruction using lipografting technology and traditional reconstruction methods, such as the two-stage expanderimplant method and the TRAM flap method.

The conducted comparative analysis shows that the method of breast reconstruction using lipografting technology has comparable efficiency with traditional methods, but is statistically significantly more cost – efficiency (p < 0.05).

1. Ghasroddashti A., Guyn C., Head L. Cost-benefit analysis of 3D-printed vascular models in abdominal free flap breast reconstruction. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2024;93:1-3.

2. Pisano S., Ochoa O., Gassman A., Ledoux P., Nastala Ch.L., Whipple L., Arishita G., Chrysopoulo M. How to Start and Build a Practice in Microsurgical Breast Reconstruction: Success and Sustainability in a Private Practice Setting. Plastic and Reconstructive Surgery. Global Open. 2024;12(2):5267.

3. Safran T., Retrouvey H., Gorsky K., Baltzer H.L. Use of decision analysis and economic evaluation in upper extremity surgery: a systematic review. Plastic and Reconstructive Surgery. 2019;144(2):395-407.

4. Sears E.D., Chung K.C. Decision analysis in plastic surgery: a primer. Plastic and Reconstructive Surgery. 2010; 126(4):1373–1380.

5. Fedosov S.I. The method of breast reconstruction. Patent RU for invention No. 2751929. (In Russ.). URL: https://patents.s3.yandex.net/RU2751929C1_20210720.pdf

6. Piyavsky S.A. A simple and universal method of decision making within the scope of criteria of cost and efficiency. Ontologiya proyektirovaniya – Ontology of Designing. 2014;3:89-102. (In Russ.).

7. Pusic A.L., Klassen A.F., Scott A.M., et al. Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plastic and Reconstructive Surgery. 2009;124(2):345-353.