Peculiarities of postoperative period in women depending on breast reconstruction option

Close metadata

OBJECTIVE

To assess the incidence of early and long-term postoperative complications after the first and the second stages of simultaneous and delayed breast reconstruction.

MATERIAL AND METHODS

The study included 212 patients after mastectomy for breast cancer with simultaneous or delayed mammoplasty. The main group included patients (n=133) who underwent total mastectomy with simultaneous breast reconstruction. The control group (n=79) included women who underwent total mastectomy with delayed breast reconstruction. Postoperative follow-up period was 5 years.

RESULTS

Incidence of postoperative complications after mastectomy with simultaneous breast reconstruction was 10.5%, in the control group — 10.1%. In our study, total mastectomy with simultaneous breast reconstruction was followed by excellent results in 68.4% of cases, good results in 25.6% of cases, satisfactory results in 4.5% of cases. There were unsatisfactory outcomes in 2 cases (1.5%). Similar results were obtained in the control group (64.6%, 25.3%, 6.3% and 3.8%, respectively).

CONCLUSION

Simultaneous reconstructive surgery after total mastectomy does not increase the incidence of postoperative complications compared to reconstruction and can be recommended for patients with breast cancer.

Keywords:

breast cancer

reconstructive operations

mammoplasty

postoperative complications

Authors:

A.Kh. Ismagilov

Republican Clinical Oncology Dispensary

V.E. Karasev

Omsk State Medical University;
Clinical Oncology Dispensary

Received:

01.11.2021

Accepted:

15.12.2021

List of references:

Yarema VI, Fatuev OE, Stepanyants NG, Safronova VV. Immediate and remote results of surgical interventions on the breast. Research and Practical Medicine Journal. 2019;6(2):110-119. (In Russ.). https://doi.org/10.17709/2409-2231-2019-6-2-11
Vorotnikov VV, Pakhomova RA, Arkhitskaya AA, Karapetyan GE, Kochetova LV, Gugnina AS, Abdugafforov SA. Breast cancer is not a sentence (literature review). Moscow Surgical Journal. 2020;(3):115-120. (In Russ.).
Khodorovich OS, Kalinina-Masri AA, Kanakhina LB. Polushkin PV, Izmailov TR. Reconstructive plastic surgery with an expander/implant and radiation therapy for breast cancer. Bulletin of the Russian Scientific Center for X-ray Radiology. 2020;20(1):1-14. (In Russ.).
Tielemans HJP, van Kuppenveld PIP, Winters H, Hupkens P, Ulrich DJO, Hummelink S. Breast reconstruction with the extended profunda artery perforator flap. J Plast Reconstr Aesthet Surg. 2021;74(2):300-306. https://doi.org/10.1016/j.bjps.2020.08.109
DeLong MR, Tandon VJ, Bertrand AA, MacEachern M, Goldberg M, Salibian A, Pusic AL, Festekjian JH, Wilkins EG. Review of Outcomes in Prepectoral Prosthetic Breast Reconstruction with and without Surgical Mesh Assistance. Plastic and Reconstructive Surgery 2021;147(2):305-315. https://doi.org/10.1097/prs.0000000000007586
Savelyev VN, Tkachev MV, Kochetkov RI, Borisov AP, Katyushin AA, Bukanova MS, Lamonov MS, Konovalova TV. Alternative method for one-stage reconstruction in patients with diagnosis of breast cancer. Volga Oncological Bulletin. 2017;4(31):40-43. (In Russ.).
Prikhodko KA, Ptukh EYa, Stegniy KV. Immediate breast reconstruction using implants and acellular dermal matrix. Pacific Medical Journal. 2017; 1(67):93-95. (In Russ.).
Meshulam-Derazon S, Shay T, Lewis S, Adler N. Immediate Breast Reconstruction: Comparative Outcome Study of One-Stage Direct-to-Implant and Two-Stage/Tissue Expander Techniques. Isr Med Assoc J. 2018;20(6):340-344.
Zikiryakhodzhaev AD, Shirokikh IM, Ablitsova NV, Ermoshchenkova MV, Kharchenko NV, Saribekyan EK, Tukmakov AYu, Sukhotko AS, Zapirov GM, Khakimova ShG. Biological and synthetic materials in reconstructive surgery for breast cancer treatment (literature review). Tumors of Female Reproductive System. 2018;14(1):28-37. (In Russ.). https://doi.org/10.17650/1994-4098-2018-14-1-28-37
Karapetyan GE, Ratushny NA, Pakhomova RA, Kochetova LV. Capsular contracture: reasons, preventive measures. Surgical Practice. 2017;2:42-46. (In Russ.).
Plaksin SA. Late Seromas After Implant-Based Breast Enlargement Surgery. Surgery News. 2019;27(4):402-408. (In Russ.). https://doi.org/10.18484/2305-0047.2019.4.402
Panayi A, Agha R, Sieber B, Orgill D. Impact of Obesity on Outcomes in Breast Reconstruction: A Systematic Review and Meta-Analysis. Journal of Reconstructive Microsurgery. 2018;34(5):363-375. https://doi.org/10.1055/s-0038-1627449
Mallucci P, Bistoni G. The Use of Anatomic Implants in Aesthetic Breast Surgery. Clinics in Plastic Surgery. 2021;48(1):141-156. https://doi.org/10.1016/j.cps.2020.09.010
Vinnik YuA, Fomina SA, Grineva AYu. The improvement of results of the complex treatment ofpatients with BC by means of determination of indications for using the different variants of reconstructive-plastic operations. ScienceRise. 2016;4(3-21):23-27. (In Russ.). https://doi.org/10.15587/2313-8416.2016.67471
Shcherbinina EP, Olifirenko EM, Gordova VS. Thoracic silicone implants: To the question of postoperative complications. Bulletin of the Baltic Federal University named after I. Kant. 2020;3:89-99. (In Russ.).
Zikiryakhodzhaev A, Shirokikh I, Ablitsov N, Ermoshchenkova M, Khakimova Sh, Khakimova G, Tukmakov A. One-step breast reconstruction and postoperative radiation therapy: development of capsule contracture. Oncology Issues. 2019;65(3):374-385. (In Russ.). https://doi.org/10.37469/0507-3758-2019-65-3-374-385
Watad A, Rosenberg V, Tiosano S, Jan Willem Cohen Tervaert JW, Yavne Y, Shoenfeld Y, Shalev V, Chodick G, Amital H. Silicone breast implants and the risk of autoimmune/rheumatic disorders: A real-world analysis. International Journal of Epidemiology. 2018;47(6):1846-1854. https://doi.org/10.1093/ije/dyy217
Naoum GE, Oladeru OT, Niemierko A, Salama L, Winograd J, Colwell A, Arafat WO, Smith B, Ho A, Taghian AG. Optimal breast reconstruction type for patients treated with neoadjuvant chemotherapy, mastectomy followed by radiation therapy. Breast Cancer Research and Treatment. 2020;183(1):127-136. https://doi.org/10.1007/s10549-020-05747-7
Piper ML, Roussel LO, Koltz PF, Wang F, Singh K, Chin R, Sbitany H, Langstein HN. Characterizing infections in prosthetic breast reconstruction: a validity assessment of national health databases. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2017;70(10):1345-1353. https://doi.org/10.1016/j.bjps.2017.05.004
Ozturk C, Ozturk CN, Platek M, Soucise A, Laub P, Morin N, Lohman R, Moon W. Management of Expander- and Implant-Associated Infections in Breast Reconstruction. Aesthetic Plastic Surgery. 2020;44(6):2075-2082. https://doi.org/10.1007/s00266-020-01923-8
Song JH, Kim YS, Jung BK, Lee DW, Song SY, Roh TS, Lew DH. Salvage of infected breast implants. Arch Plast Surg. 2017;44(6):516-522. https://doi.org/10.5999/aps.2017.01025
Schwartz JD. Early Expander-to-Implant Exchange after Postmastectomy Reconstruction Reduces Rates of Subsequent Major Infectious Complications. Plastic and Reconstructive Surgery. 2020;8(12):3275. https://doi.org/10.1097/gox.0000000000003275
Virden CP, Dobke MK, Stein P, Parsons CL, Frank DH. Subclinical Infection of the Silicone Breast Implant Surface as a Possible Cause of Capsular Contracture. Aesthetic Plastic Surgery. 2020;44(4):1141-1147. https://doi.org/10.1007/s00266-020-01816-w
Lista F, Austin RE, Saheb-Al-Zamani M, Ahmad J. Does Implant Surface Texture Affect the Risk of Capsular Contracture in Subglandular Breast Augmentation and Breast Augmentation-Mastopexy? Aesthet Surg J. 2020;40(5): 499-512. https://doi.org/10.1093/asj/sjz241
Moshurov IP, Mikhailov AA, Vasilyev MB, Ovsyannikov AA, Azarov GA, Gusev SS, Martynov AK, Vasilyeva MM, Nazliev DK. One-time reconstruction of the breast with the use of Becker expander-implant 35 as an early stage of rehabilitation of breast cancer patients who underwent a mastectomy. Research and Practical Medicine. 2018;5:213. (In Russ.).
Yoon AP, Qi J, Brown DL, Kim HM, Hamill JB, Erdmann-Sager J, Pusic AL, Wilkins EG. Outcomes of immediate versus delayed breast reconstruction: Results of a multicenter prospective study. Breast. 2018;37:72-79. https://doi.org/10.1016/j.breast.2017.10.009

Close metadata