Risk Factors Associated With Complications After Unilateral Immediate Breast Reconstruction: A French Prospective Multicenter Study

For women who have undergone a mastectomy, breast reconstruction provides psychological as well as aesthetic benefits. Thus, many patients ask for an immediate breast reconstruction (IBR). The present study focuses on risk factors assiociated with complications after IBR. A national prospective stud...

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Published inIn vivo (Athens) Vol. 35; no. 2; pp. 937 - 945
Main Authors DAUPLAT, JACQUES, THIVAT, EMILIE, ROUANET, PHILIPPE, DELAY, EMMANUEL, CLOUGH, KRISHNA, VERHAEGHE, JEAN-LUC, RAOUST, INES, BANNIER, MARIE, LEMASURIER, PERIG, POMEL, CHRISTOPHE
Format Journal Article
LanguageEnglish
Published Greece International Institute of Anticancer Research 01.03.2021
International Institute of Anticancer Research (IIAR)
Subjects
Biopsy
Breast cancer
Cancer
Cancer therapies
Chemotherapy
Diabetes
Dissection
Health risks
Hematoma
Hospitalization
Intervention
Life Sciences
Lymphatic system
Lymphedema
Mastectomy
Multivariate analysis
Obesity
Overweight
Pain
Patients
Radiation therapy
Skin
Surgery
Surgical outcomes
Tumors
Wound dehiscence
risk factors
Breast cancer
mastectomy
complications
morbidity
breast reconstruction
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Summary:For women who have undergone a mastectomy, breast reconstruction provides psychological as well as aesthetic benefits. Thus, many patients ask for an immediate breast reconstruction (IBR). The present study focuses on risk factors assiociated with complications after IBR. A national prospective study (2007-2009) was conducted on 404 patients who underwent an unilateral IBR: 205 implants alone (IA) including 46 tissue expanders, 91 latissimus dorsi musculocutaneous flaps with implant (LDI), 78 autologous latissimus dorsi musculocutaneous flaps (LD), and 30 autologous transverse rectus abdominis musculocutaneous flaps (TRAM). Outcomes concerned major and minor complications, as well as early and late complications. Related risks of complications were different according to the IBR technique. Major complications rate remained moderate and concerned 15% of patients. Obesity and diabetes significantly increased the incidence of major complications. To reduce complication rate, the risk factors associated with each type of IBR should be taken into account.
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PMCID: PMC8045092
ISSN:0258-851X
1791-7549
1791-7549
DOI:10.21873/invivo.12334