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Reoperations after prophylactic mastectomy with or without implant reconstruction
Sara M Zion1, Jeffrey M Slezak, Thomas A Sellers
1New York Presbyterian Hospital, Weill Cornell Medical Center, New York, New York, USA.
Cancer
|November 6, 2003
Summary
Reoperations after prophylactic mastectomy were common with implants but rare without. Implant-related issues drove most reoperations in women undergoing breast reconstruction.
Area of Science:
- Oncology
- Plastic Surgery
- Medical Device Research
Background:
- Prophylactic mastectomy is performed in high-risk women to reduce breast cancer incidence.
- Unanticipated reoperations can impact outcomes after these procedures.
Purpose of the Study:
- To characterize the rates and reasons for reoperations after prophylactic mastectomy.
- To compare reoperation rates between women with and without implant reconstruction.
Main Methods:
- Retrospective review of 1417 women undergoing prophylactic mastectomy (1960-1993).
- Data collected via medical records and patient surveys.
- Follow-up duration varied by reconstruction type.
Main Results:
- Reoperations were uncommon (6%) after mastectomy without reconstruction.
- Reoperations were common (52% bilateral, 37% contralateral) after mastectomy with implant reconstruction.
- Implant-related issues were the primary cause for reoperation in reconstruction groups.
Conclusions:
- Prophylactic mastectomy with implant reconstruction is associated with a high rate of reoperations.
- Mastectomy without reconstruction has a low reoperation rate.
- Implant complications are the main driver of reoperations in reconstructed breasts.