Mastectomy Skin Necrosis After Breast Reconstruction: A Comparative Analysis Between Autologous Reconstruction and Implant-Based Reconstruction

Annals of Plastic Surgery
Gloria R Sue, Gordon K Lee

Abstract

Mastectomy skin necrosis is a significant problem after breast reconstruction. We sought to perform a comparative analysis on this complication between patients undergoing autologous breast reconstruction and patients undergoing 2-stage expander implant breast reconstruction. A retrospective review was performed on consecutive patients undergoing autologous breast reconstruction or 2-stage expander implant breast reconstruction by the senior author from 2006 through 2015. Patient demographic factors including age, body mass index, history of diabetes, history of smoking, and history of radiation to the breast were collected. Our primary outcome measure was mastectomy skin necrosis. Fisher exact test was used for statistical analysis between the 2 patient cohorts. The treatment patterns of mastectomy skin necrosis were then analyzed. We identified 204 patients who underwent autologous breast reconstruction and 293 patients who underwent 2-stage expander implant breast reconstruction. Patients undergoing autologous breast reconstruction were older, heavier, more likely to have diabetes, and more likely to have had prior radiation to the breast compared with patients undergoing implant-based reconstruction. The incidence of mastec...Continue Reading

References

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Feb 8, 2006·Plastic and Reconstructive Surgery·Jeffrey A AschermanDuncan B Hughes
Jul 3, 2008·Plastic and Reconstructive Surgery·Stephen R SullivanF Frank Isik
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Mar 3, 2011·Plastic and Reconstructive Surgery·Melissa A CrosbySteven J Kronowitz
Mar 29, 2014·Annals of Plastic Surgery·Matthew NykielGordon K Lee
Apr 29, 2015·The Journal of Surgical Research·Christina R VargasBernard T Lee
Aug 9, 2016·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·K E Hamnett, A Subramanian
Mar 17, 2017·Annals of Plastic Surgery·Gloria R SueGordon K Lee

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