Surgical technique and pitfalls of breast reconstruction immediately after mastectomy for carcinoma: initial experience.

Abstract:

:Breast reconstruction immediately after mastectomy is being used with increasing frequency. In a study of the first 100 consecutive patients at our institution who underwent this procedure, with (21 patients) or without (79 patients) later nipple reconstruction, 85% responded affirmatively on a follow-up questionnaire when asked whether they would recommend the procedure to other patients. Moreover, 32% rated their cosmetic results as "perfect." No deaths occurred in the immediate postoperative period, but 13 patients had major complications--most commonly, wound infection or displacement or partial extrusion of the implant. All infections, however, occurred early in the study, and with increasing experience and improved selection of patients, the associated morbidity decreased. For the entire group, the mean duration of hospitalization was 7.8 days, similar to that for patients who undergo mastectomy without reconstruction (7.5 days). The high patient acceptance and the overall good results in this preliminary study support the use of breast reconstruction immediately after mastectomy.

journal_name

Mayo Clin Proc

journal_title

Mayo Clinic proceedings

authors

van Heerden JA,Jackson IT,Martin JK Jr,Fisher J

doi

10.1016/s0025-6196(12)62440-9

subject

Has Abstract

pub_date

1987-03-01 00:00:00

pages

185-91

issue

3

eissn

0025-6196

issn

1942-5546

pii

S0025-6196(12)62440-9

journal_volume

62

pub_type

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