Combined Autologous Breast Reconstruction and Gynecologic Procedures: Does Timing Affect Clinical and...

Area of Science:

• Oncology
• Plastic Surgery
• Gynecology

Background:

• Patients at risk for breast cancer often undergo risk-reducing gynecologic surgeries.
• The combination of these surgeries with autologous breast reconstruction (ABR) is debated.
• This study evaluates the safety and outcomes of concurrent ABR and gynecologic procedures.

Purpose of the Study:

• To assess the clinical and patient-reported outcomes of combining autologous breast reconstruction with gynecologic surgeries.
• To compare same-day ABR and gynecologic surgery versus staged procedures or ABR alone.
• To determine the safety and efficiency of simultaneous surgical approaches.

Main Methods:

• Retrospective review of female patients who underwent ABR between 2010 and 2023.
• Comparison of three groups: same-day ABR and gynecologic surgery, staged procedures, and ABR alone.
• Outcomes analyzed included operative time, length of stay, complications, return to OR, and BREAST-Q scores.

Main Results:

• No significant differences in operative time, length of stay, or overall complication rates were observed among the groups.
• Seroma rates were lowest in the ABR-alone group.
• Patient-reported abdominal well-being scores (BREAST-Q) did not differ significantly across the groups at any time point.

Conclusions:

• Simultaneous autologous breast reconstruction and gynecologic surgery is a safe and efficient option for appropriate patients.
• The combined approach does not negatively impact key clinical outcomes or patient-reported well-being.
• This supports the feasibility of concurrent procedures to streamline care for high-risk individuals.