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Published on: April 16, 2017
Breast reconstruction: complication rate and tissue expander type
R Yanko-Arzi1, M J Cohen, R Braunstein
1Department of Plastic, Aesthetic, and Hand Surgery, Hadassah-Hebrew University Medical Center, Hadassah Hospital Ein-Kerem Campus, P.O. Box 12000, Jerusalem, 91120, Israel.
Background:
Limited literature exists regarding complication rates among women undergoing breast reconstruction and the association of these rates with tissue expander types (anatomic, round and Becker).
Methods:
A historical cohort study investigated all breast reconstructions performed at Hadassah Medical Center for 140 consecutive women. Analyses were performed using both logistic and Poisson regression multivariate methods.
Results:
At least one major complication occurred in each of the following groups: anatomic (41%), round (20%), and Becker (11.7%) (p = 0.015). Women reconstructed with anatomic expanders were at increased risk for at least one complication (odds ratio [OR], 3.96; 95% confidence interval [CI], 1.18-13.3; p = 0.026) and an average increase of 331% (95% CI, 102-817%; p = 0.0002) in the number of major complications.
Conclusion:
The results of this study suggest that integrated-valve expanders are associated with more complications than the distant inflation port. The benefits of an anatomic shape may perhaps be better exploited using devices with a distant port.
