What are the possible complications of breast reconstruction?

Updated: Jan 10, 2020
  • Author: Mark F Deutsch, MD; Chief Editor: James Neal Long, MD, FACS  more...
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Answer

Answer

A retrospective study by Valente et al found that the risk of cancer recurrence was not increased among patients in whom, owing to wound complications subsequent to immediate postmastectomy breast reconstruction, initiation of adjuvant systemic breast cancer therapy was delayed. [18]

In a study of abdominally based flaps, Kwok et al determined the return rate to the operating room for vascular anastomosis revision to be 0% following immediate unilateral breast reconstruction with pedicled TRAM flaps. In comparison, the rates were 1.72%, 2.66%, and 5.64% for free TRAM flaps, DIEP flaps, and superficial inferior epigastric artery perforator (SIEA) flaps, respectively. [19]


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