A multimodal system for assessing iatrogenic breast deformities in women (Breast Iatrogenic Deformity System – BIDS)
- 1O. O. Bogomolets National Medical University, Kyiv
Abstract
Objective. To develop a mathematically sound multimodal system for assessing iatrogenic breast deformities in women (Breast Iatrogenic Deformity System – BIDS) and to implement it in clinical practice to objectify the condition of the breast, stratify surgical risks and standardise treatment decisions in cases of tertiary iatrogenic asymmetry.
Materials and methods. An analysis of current scientific literature indicates that revision mammoplasty remains the most unpredictable area of reconstructive surgery. Given the high surgical risks, a multimodal system for assessing iatrogenic breast deformities (Breast Iatrogenic Deformity System – BIDS) was developed and implemented.
Results. A mathematical model for risk stratification (with a maximum total score of 75 points) has been proposed, using which deformities are classified into four severity grades. The concept of ‘absolute risk modifiers’ has been introduced, enabling the predictive identification of a state of critical microcirculatory deficit (total devascularisation) in the tissue envelope, as well as the assessment of patients’ psycho-emotional impairment to optimise pre-operative planning.
Conclusions. The developed BIDS assessment system functions as an objectified tactical algorithm, enabling the optimisation of surgical strategy selection in cases of tertiary breast asymmetry in women. The use of the scale ensures the minimisation of clinical risks and improved regulatory compliance through the objective pre-operative documentation of the patient’s baseline anatomical and functional tissue deficits. In the future, the proposed system may serve as a basis for the standardisation of surgical approaches and the integration of data across different surgical centres.
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BibTeX
@article{motuziuk2026multimodal,
title = {{A multimodal system for assessing iatrogenic breast deformities in women (Breast Iatrogenic Deformity System – BIDS)}},
author = {I. M. Motuziuk and A. V. Ganuschak},
journal = {Український журнал клінічної хірургії},
year = {2026},
month = oct,
doi = {10.26779/2786-832x.2026.5.44},
url = {https://doi.org/10.26779/2786-832x.2026.5.44},
note = {CC BY},
}
RIS
TY - JOUR
TI - A multimodal system for assessing iatrogenic breast deformities in women (Breast Iatrogenic Deformity System – BIDS)
AU - I. M. Motuziuk
AU - A. V. Ganuschak
PY - 2026
DA - 2026/10/23
JO - Український журнал клінічної хірургії
DO - 10.26779/2786-832x.2026.5.44
UR - https://doi.org/10.26779/2786-832x.2026.5.44
AB - Objective. To develop a mathematically sound multimodal system for assessing iatrogenic breast deformities in women (Breast Iatrogenic Deformity System – BIDS) and to implement it in clinical practice to objectify the condition of the breast, stratify surgical risks and standardise treatment decisions in cases of tertiary iatrogenic asymmetry. Materials and methods. An analysis of current scientific literature indicates that revision mammoplasty remains the most unpredictable area of reconstructive surgery. Given the high surgical risks, a multimodal system for assessing iatrogenic breast deformities (Breast Iatrogenic Deformity System – BIDS) was developed and implemented. Results. A mathematical model for risk stratification (with a maximum total score of 75 points) has been proposed, using which deformities are classified into four severity grades. The concept of ‘absolute risk modifiers’ has been introduced, enabling the predictive identification of a state of critical microcirculatory deficit (total devascularisation) in the tissue envelope, as well as the assessment of patients’ psycho-emotional impairment to optimise pre-operative planning. Conclusions. The developed BIDS assessment system functions as an objectified tactical algorithm, enabling the optimisation of surgical strategy selection in cases of tertiary breast asymmetry in women. The use of the scale ensures the minimisation of clinical risks and improved regulatory compliance through the objective pre-operative documentation of the patient’s baseline anatomical and functional tissue deficits. In the future, the proposed system may serve as a basis for the standardisation of surgical approaches and the integration of data across different surgical centres.
SN - 2786-832X
SN - 2786-8311
ER -