Complications After Two-Stage Expander Implant Breast Reconstruction Requiring Reoperation: A Critical Analysis of Outcomes

Annals of Plastic Surgery
Gloria R SueGordon K Lee

Abstract

Two-stage expander implant breast reconstruction is commonly performed after mastectomy. Salvage and long-term outcomes after development of complications have not been well described. We examined a single surgeon's experience to study the rate of reoperation secondary to complications after first-stage expander placement and to evaluate their outcomes. Better understanding of salvage techniques may help guide future management. We performed a retrospective analysis of consecutive patients who underwent placement of a tissue expander (TE) for breast reconstruction between December 2006 and August 2015 with the senior author. Patient demographics including age, body mass index, medical comorbidities, history of smoking, and history of radiation to the breast were collected. Surgical factors including timing of reconstruction (immediate vs delayed) and location of TE (total submuscular vs with acellular dermal matrix) were recorded. Complications were analyzed, as were patients who underwent reoperation in the setting of developing a complication. We analyzed 282 patients who underwent 453 implant-based breast reconstructions. Of these, 39 patients and 45 breasts required a reoperation after development of a postoperative complic...Continue Reading

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Citations

Jan 19, 2019·Plastic and Reconstructive Surgery. Global Open·Jordan T BloughJohn Y S Kim
Jul 20, 2019·Plastic and Reconstructive Surgery. Global Open·Shayda MirhaidariDouglas S Wagner
Jun 17, 2020·Plastic and Reconstructive Surgery. Global Open·Jaco SuijkerNicole M A Krekel
Jul 29, 2021·Plastic and Reconstructive Surgery. Global Open·Yara L BlokNicole M A Krekel

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