Postmastectomy radiation therapy and breast reconstruction: an analysis of complications and patient satisfaction.

Abstract:

:The indications for postmastectomy radiotherapy (PMRT) have expanded over the past decade. This study examines PMRT and reconstruction compared with a control group without radiotherapy. There were 919 reconstructed breasts identified (1999-2006) and separated into 3 groups: mastectomy with PMRT before reconstruction (n = 57), immediate reconstruction then PMRT (n = 59), and reconstruction without PMRT (n = 665). A validated questionnaire assessed patient satisfaction (response rate 73.7%). Overall complication rates for patients undergoing PMRT (before and after reconstruction) were higher than that of the controls (39.66% vs. 23.16%, P < 0.001). Immediate reconstruction before PMRT had increased overall and late (>90 days) complication rates, compared with controls (47.46% vs. 23.16%, P < 0.001; 33.90% vs. 15.59%, P < 0.001, respectively); however general and aesthetic satisfaction was similar. In contrast, PMRT before reconstruction has similar complication rates and general satisfaction with controls, but decreased aesthetic satisfaction (50% vs. 66.88%, P < 0.035).

journal_name

Ann Plast Surg

authors

Lee BT,A Adesiyun T,Colakoglu S,Curtis MS,Yueh JH,E Anderson K,Tobias AM,Recht A

doi

10.1097/SAP.0b013e3181db7585

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

679-83

issue

5

eissn

0148-7043

issn

1536-3708

journal_volume

64

pub_type

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