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Postoperative outcomes of breast reconstruction after mastectomy: A retrospective study.

Abstract 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.
PMID
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Authors

Mayor MeshTerms

Mammaplasty

Mastectomy

Keywords
Journal Title medicine
Publication Year Start




PMID- 29384865
OWN - NLM
STAT- MEDLINE
DCOM- 20180209
LR  - 20180209
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 5
DP  - 2018 Feb
TI  - Postoperative outcomes of breast reconstruction after mastectomy: A retrospective
      study.
PG  - e9766
LID - 10.1097/MD.0000000000009766 [doi]
AB  - 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.
FAU - Qin, Qinghong
AU  - Qin Q
AD  - Department of Breast Surgery, The Affiliated Tumor Hospital of Guangxi Medical
      University, Nanning, China.
FAU - Tan, Qixing
AU  - Tan Q
FAU - Lian, Bin
AU  - Lian B
FAU - Mo, Qinguo
AU  - Mo Q
FAU - Huang, Zhen
AU  - Huang Z
FAU - Wei, Changyuan
AU  - Wei C
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Breast Implants
MH  - Breast Neoplasms/*surgery
MH  - Female
MH  - Humans
MH  - *Mammaplasty
MH  - *Mastectomy
MH  - Middle Aged
MH  - Patient Satisfaction
MH  - Quality of Life
MH  - Retrospective Studies
MH  - Surgical Flaps
MH  - Tissue Expansion Devices
MH  - Treatment Outcome
MH  - Young Adult
EDAT- 2018/02/01 06:00
MHDA- 2018/02/10 06:00
CRDT- 2018/02/01 06:00
PHST- 2018/02/01 06:00 [entrez]
PHST- 2018/02/01 06:00 [pubmed]
PHST- 2018/02/10 06:00 [medline]
AID - 10.1097/MD.0000000000009766 [doi]
AID - 00005792-201802020-00027 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Feb;97(5):e9766. doi: 10.1097/MD.0000000000009766.