Journal of Plastic, Reconstructive & Aesthetic Surgery
Complications analysis of 266 immediate breast reconstructions☆
Section snippets
Patients
This study was a retrospective review of charts drawn up between January 1, 1990 and December 31, 2002, all women who underwent a mastectomy and a breast reconstructive procedure during a single anaesthetic were included. The only exclusion criterion was for patients who underwent an extensive mastectomy for local advanced cancer and required a covering procedure to close large skin defects.
Definitions and methods
We consider bilateral immediate breast reconstruction to be two distinct reconstructions, because tumour
Results
Patient characteristics, tumour's status, associated treatments and surgical procedures for the 266 immediate breast reconstructions are presented in Table 1.
Mean age was 48 and the median follow-up was seven years. The percentage of smokers was 17% as was the percentage of women who had a Body Mass Index >25. Ductal carcinoma in situ was the main histology accounting for 68% of the cases. The mastectomy was performed for a primary treatment in 86% of the cases. Chemotherapy and radiotherapy
Discussion
With 266 immediate breast reconstructions our study is one of the largest series to be published.7, 10, 11, 12, 13, 14, 15 The mean follow-up is long enough (seven years) for late-onset complications to be taken into consideration. The mean age of the patients (48 years) reflects a young population as well as delayed reconstruction patients.16 We attribute the 4% higher rate of left side cancer cases to chance. Most of the patients had a T0 or T1 in situ ductal carcinoma, were N0 before surgery
Acknowledgements
We wish to special thank Véronique Brouste from the Bergonié Institute department of Biostatistics and Clinical Research.
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Presented at the 49th Congress of French Society of Plastic Surgery (November 2004).