Surgical Complications in Breast Reconstruction: Assessment and Associations

Introduction: Breast cancer represents a pathology that generates catastrophic impact and has recently increased its incidence survival due to timely diagnosis treatment. Therefore, improving the quality of life survivors become priority, offering reconstructive procedures reduce complications, costs, hospital stay, optimize resources. Material methods: 264 patients reconstructed with autologous tissue (TRAM flap latissimus dorsi) alloplastic (breast expander—breast implant direct breast implant) were included. Variables such as demographic, anthropometric, histologic type collected. Results: 62% through use alloplastics 38% tissue. The risk factors related greater probability immediate postoperative complications (surgical site infection, surgical wound dehiscence reconstruction failure) obesity (OR: 2.1, CI: 1.5 - 2.7), preoperative radiation 1.89, 1.75 1.92), arterial hypertension 1.2), Diabetes Mellitus 1.78) smoking 1.31). Conclusions: process is complex influenced by patient factors, surgeon experience center. However, when choosing strategy, present in each must be considered, since complications.