breast reconstruction

^[1]^[2]^[3]^[4]

Indications

breast reconstruction after mastectomy facilitated by the use of breast implants^[1]^[2]
some reconstruction techniques use autologous tissue^[1]^[2]

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]

2 years later, patients more satisfied with autologous reconstruction than implants^[2]

↑ ^1.0 ^1.1 ^1.2 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 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/24550418 <Internet> http://jco.ascopubs.org/content/early/2014/02/18/JCO.2013.52.2284
↑ ^2.0 ^2.1 ^2.2 ^2.3 ^2.4 ^2.5 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: https://www.ncbi.nlm.nih.gov/pubmed/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: https://www.ncbi.nlm.nih.gov/pubmed/29926096
Fan KL, Song DH. Autologous vs prosthetic breast reconstruction: Where do we stand? JAMA Surg 2018 Jun 20; PMID: https://www.ncbi.nlm.nih.gov/pubmed/29926098
↑ Lee GK, Sheckter CC Breast Reconstruction Following Breast Cancer Treatment - 2018. JAMA. Published online August 31, 2018. PMID: https://www.ncbi.nlm.nih.gov/pubmed/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