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Postoperative outcomes of breast reconstruction after mastectomy: A retrospective study

Medicine (Baltimore), 2018-02, Vol.97 (5), p.e9766-e9766 [Peer Reviewed Journal]

Copyright © 2018 the Author(s). Published by Wolters Kluwer Health, Inc. 2018 ;ISSN: 0025-7974 ;EISSN: 1536-5964 ;DOI: 10.1097/MD.0000000000009766 ;PMID: 29384865

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  • Title:
    Postoperative outcomes of breast reconstruction after mastectomy: A retrospective study
  • Author: Qin, Qinghong ; Tan, Qixing ; Lian, Bin ; Mo, Qinguo ; Huang, Zhen ; Wei, Changyuan
  • Subjects: Adult ; Breast Implants ; Breast Neoplasms - surgery ; Female ; Humans ; Mammaplasty ; Mastectomy ; Middle Aged ; Observational Study ; Patient Satisfaction ; Quality of Life ; Retrospective Studies ; Surgical Flaps ; Tissue Expansion Devices ; Treatment Outcome ; Young Adult
  • Is Part Of: Medicine (Baltimore), 2018-02, Vol.97 (5), p.e9766-e9766
  • Description: Breast reconstruction after mastectomy plays an active role in improving the quality-of-life (QoL) and alleviating the psychological trauma of breast cancer patients, and has become an indispensable part of the comprehensive treatment in breast cancer. However, compared with mastectomy alone, breast reconstruction also increase operative complications. The surgical, oncological outcomes, and cosmetic effect of breast reconstruction remains to be evaluated. Data for patients with breast cancer who underwent breast reconstruction after mastectomy from February 2009 to November 2015 in our hospital were retrospectively analyzed, with a median follow-up time of 44 months. The operating time, blood loss, drainage fluid, postoperative complications, postoperative cosmesis, oncological outcomes, and QoL were evaluated and compared between different reconstruction types. A total of 151 women were included. The flap-based group had higher complication rates of marginal necrosis of incision, while the incidence of capsular contracture was higher in immediate implant group. There was no difference in blood loss, drainage fluid, and other postoperative complications. Several independent factors were associated with increased postoperative complications included diabetic, obese, and reconstruction with flap. There was no significant difference in the disease-free survival rate and overall survival rate between different surgical groups. In terms of cosmetic effect, patients in the tissue expander group were more likely to get a satisfactory postoperative breast appearance. QoL outcomes shown that the tissue expander group has better body image and sexual enjoyment, while there was no significant difference for other QoL domains. In conclusion, different methods of breast reconstruction are safe and feasible for patients with breast cancer, tissue expander implantation following delayed implant breast reconstruction is a more effective treatment on cosmetic and QoL outcomes.
  • Publisher: United States: Wolters Kluwer Health
  • Language: English
  • Identifier: ISSN: 0025-7974
    EISSN: 1536-5964
    DOI: 10.1097/MD.0000000000009766
    PMID: 29384865
  • Source: IngentaConnect Open Access
    Journals@Ovid Open Access Journal Collection Rolling
    MEDLINE
    PubMed Central
    Wolters Kluwer Open Access
    DOAJ Directory of Open Access Journals
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