+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Comparison of postoperative wound complications and early cancer recurrence between patients undergoing mastectomy with or without immediate breast reconstruction



Comparison of postoperative wound complications and early cancer recurrence between patients undergoing mastectomy with or without immediate breast reconstruction



American Journal of Surgery 166(1): 1-5



The incidence of postoperative wound complications and early cancer recurrence was studied in 289 patients who had mastectomy alone and in 113 patients who underwent immediate reconstruction following mastectomy. Patients undergoing immediate reconstruction were younger and had less advanced disease than patients who had mastectomy alone. The postoperative hospital stay was 3.8 days and 4.4 days (p < 0.05) in patients with and without reconstruction, respectively. The overall incidence of postoperative complications was similar in the two groups of patients: 31% and 28% in patients with and without reconstruction, respectively. The incidence of postoperative seroma was higher among patients with mastectomy alone (19% versus 3%, p < 0.05), whereas the incidence of other wound complications was similar in the two groups of patients. Prosthesis-specific complications occurred in 17%. Eight prostheses were removed because of complications. During the relatively short follow-up period (approximately 20 months), local recurrence was noted in 16 patients (6%) who had mastectomy alone and in 1 patient (1%) who had immediate reconstruction after mastectomy (p < 0.05). There was no significant difference in the incidence of distant metastases between the two groups of patients. The results suggest that immediate breast reconstruction can be performed following mastectomy for cancer without increased risk for overall postoperative complications, prolonged hospital stay, or local recurrence. However, patients who choose to have immediate reconstruction need to be informed about risks for specific complications associated with the procedure, especially if an implant is used.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 045595216

Download citation: RISBibTeXText

PMID: 8392300

DOI: 10.1016/s0002-9610(05)80572-0


Related references

The effect of wound complications following mastectomy with immediate reconstruction on breast cancer recurrence. American Journal of Surgery: -, 2018

Wound complications in patients receiving adjuvant chemotherapy after mastectomy and immediate breast reconstruction for breast cancer. Journal of Surgical Oncology 55(3): 194-197, 1994

Preoperative Paravertebral Block Improves Postoperative Pain Control and Reduces Hospital Length of Stay in Patients Undergoing Autologous Breast Reconstruction after Mastectomy for Breast Cancer. Annals of Surgical Oncology 23(13): 4262-4269, 2016

Immediate breast reconstruction in early breast cancer patient who underwent conservative mastectomy or conventional mastectomy has identical oncological outcomes and complications. Breast 32: S117-S118, 2017

Intraoperative boost radiation effects on early wound complications in breast cancer patients undergoing breast-conserving surgery. Turkish Journal of Medical Sciences 47(4): 1185-1190, 2017

Postoperative wound complications and systemic recurrence in breast cancer. British Journal of Cancer 97(9): 1211-1217, 2007

Influence of yoga on postoperative outcomes and wound healing in early operable breast cancer patients undergoing surgery. International Journal of Yoga 1(1): 33-41, 2008

Skin-sparing mastectomy and immediate breast reconstruction: incidence of recurrence in patients with invasive breast cancer. Breast 13(6): 488-493, 2004

Quality of life after immediate breast reconstruction and skin-sparing mastectomy - a comparison with patients undergoing breast conserving surgery. European Journal of Surgical Oncology 37(11): 937-943, 2011

Reasons of not having breast reconstruction: a historical cohort of 1937 breast cancer patients undergoing mastectomy. Springerplus 2: 325-325, 2013

Trends and variation in use of breast reconstruction in patients with breast cancer undergoing mastectomy in the United States. Journal of Clinical Oncology 32(9): 919-926, 2014

Trends and Variation in Use of Breast Reconstruction in Patients With Breast Cancer Undergoing Mastectomy in the United States. Breast Diseases: A Year Book Quarterly 26(2): 155-156, 2015

No increase of local recurrence rate in breast cancer patients treated with skin-sparing mastectomy followed by immediate breast reconstruction. Breast 22(6): 1166-1170, 2014

Recurrence and mortality dynamics for breast cancer patients undergoing mastectomy according to estrogen receptor status: different mortality but similar recurrence. Cancer Science 101(3): 826-830, 2010

The impact of postoperative nausea and vomiting prophylaxis with dexamethasone on postoperative wound complications in patients undergoing laparotomy for endometrial cancer. Anesthesia and Analgesia 116(5): 1041-1047, 2013