The Assessment of Early Complications and Risk Factors Affecting Their Occurrence in Breast Reconstructive Procedures

Abstract The presence of postoperative complications may have a significant impact on the outcome breast reconstruction. aim this study was to investigate early and risk factors for their occurrence. A prospective analysis carried out evaluate surgical outcomes after reconstructive surgeries performed over 2-year period. Procedures included expander/implant (TE/IMP), pedicle transverse rectus abdominis musculocutaneous (pTRAM), latissimus dorsi (LD) techniques. All adverse events which occurred within 6 weeks surgery were ranked according severity based contracted Accordion grading system. Outcomes assessed association with surgical, demographic, clinical variables. Sixty-one consecutive reconstruction procedures analyzed. overall complication rate 60.7% ( n = 37), 8 patients (13.1%) required reoperation. lowest observed in implant-based reconstructions (TE/IMP, 18.8%; pTRAM, 72.7%; LD, 78.3%; p 0.008). Mild significantly more often LD (LD, 60.9%; 22.7%; TE/IMP, 12.5%; 0.031), while severe frequent pTRAM (pTRAM, 27.3%; 6.2%; 8.7%; 0.047). Severe associated higher rehospitalization 0.010) longer hospital stay. Study revealed operative method incidence little effect from other demographic factors.