A Comparison of Postoperative Outcomes in Immediate Versus Delayed Reconstruction After Mastectomy.

摘要: Objective: The objective of this study was to evaluate the frequency various postoperative complications in patients undergoing either immediate or delayed breast reconstruction after mastectomy for malignancy. Methods: ACS-NSQIP 2005–2012 database queried who underwent treatment These cases were then stratified, generating “mastectomy alone” and with reconstruction” cohorts. Database analysis also identified “delayed-reconstruction” oncologic patients. All stratified into tissue expander/implant flap-based group. assessed. A multiplicative risk model used calculate probability a alone, followed by on different date. values compared cohort, 1-sample binomial tests performed determine statistical significance. Results: total 49,450 that alone (n = 30,226), immediately 13,513), flap 2854), 2047), 810) identified. When reconstructive model, associated increased failure. However, modalities medical surgical complications. Finally, reconstruction, incidence return operating room higher than reconstruction. Conclusions: Awareness each modality will allow both surgeons effectively decide upon options.