RT Journal Article
SR Electronic
T1 Risk Factors Associated With Complications After Unilateral Immediate Breast Reconstruction: A French Prospective Multicenter Study
JF In Vivo
JO In Vivo
FD International Institute of Anticancer Research
SP 937
OP 945
DO 10.21873/invivo.12334
VO 35
IS 2
A1 JACQUES DAUPLAT
A1 EMILIE THIVAT
A1 PHILIPPE ROUANET
A1 EMMANUEL DELAY
A1 KRISHNA CLOUGH
A1 JEAN-LUC VERHAEGHE
A1 INES RAOUST
A1 MARIE BANNIER
A1 PERIG LEMASURIER
A1 CHRISTOPHE POMEL
A1 the STIC-RMI Working Group
YR 2021
UL http://iv.iiarjournals.org/content/35/2/937.abstract
AB Background/Aim: For women who have undergone a mastectomy, breast reconstruction provides psychological as well as aesthetic benefits. Thus, many patients ask for an immediate breast reconstruction (IBR). The present study focuses on risk factors assiociated with complications after IBR. Patients and Methods: A national prospective study (2007-2009) was conducted on 404 patients who underwent an unilateral IBR: 205 implants alone (IA) including 46 tissue expanders, 91 latissimus dorsi musculocutaneous flaps with implant (LDI), 78 autologous latissimus dorsi musculocutaneous flaps (LD), and 30 autologous transverse rectus abdominis musculocutaneous flaps (TRAM). Outcomes concerned major and minor complications, as well as early and late complications. Results: Related risks of complications were different according to the IBR technique. Major complications rate remained moderate and concerned 15% of patients. Obesity and diabetes significantly increased the incidence of major complications. Conclusion: To reduce complication rate, the risk factors associated with each type of IBR should be taken into account.