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breast reconstruction
Indications:
- mastectomy
Procedure:
- breast reconstruction after mastectomy facilitated by the use of breast implants [1,2]
- some reconstruction techniques use autologous tissue [1,2]
Complications:
- overall complication rates were 33% [2]
- 19% complication requiring reoperation
- 10% (wound infections)
- complications more likely for autologous flap reconstruction than for implant-based reconstruction [2]
Notes:
- 2 years later, patients more satisfied with autologous reconstruction than implants [2]
Related
breast; mammary gland
General
plastic surgery
References
- Jagsi R et al.
Trends and variation in use of breast reconstruction in
patients with breast cancer undergoing mastectomy in the
United States.
J Clin Oncol 2014 Feb 18
PMID: 24550418
http://jco.ascopubs.org/content/early/2014/02/18/JCO.2013.52.2284
- Bennett KG, Qi J, Kim HM, Hamill JB, Pusic AL, Wilkins EG.
Comparison of 2-year complication rates among common techniques
for postmastectomy breast reconstruction.
JAMA Surg 2018 Jun 20;
PMID: 29926077
- Santosa KB, Qi J, Kim HM, Hamill JB, Wilkins EG, Pusic AL.
Long-term patient-reported outcomes in postmastectomy breast
reconstruction. JAMA Surg 2018 Jun 20;
PMID: 29926096
- Fan KL, Song DH.
Autologous vs prosthetic breast reconstruction: Where do we stand?
JAMA Surg 2018 Jun 20;
PMID: 29926098
- Lee GK, Sheckter CC
Breast Reconstruction Following Breast Cancer Treatment - 2018.
JAMA. Published online August 31, 2018.
PMID: 30178060
https://jamanetwork.com/journals/jama/fullarticle/2701789
- Agency for Healthcare Research & Quality (AHRQ)
Breast Reconstruction After Mastectomy.
AHRQ Systematic Review. July 14, 2021
https://effectivehealthcare.ahrq.gov/products/breast-reconstruction-mastectomy/research