POSTMASTECTOMY COMPLICATIONS IN BREAST RECONSTRUCTION

In a group of patients where breast reconstruction was performed at th e time of mastectomy, the incidence of complications was studied. One hundred one consecutive patients had an autologous reconstruction usin g the transverse rectus abdominis musculocutaneous flap, and 115 conse cutive patients had a prosthetic reconstruction with tissue expanders or with tissue expander and/or implant. One patient in the autologous reconstruction group had a cardiac arrhythmia requiring monitoring, bu t there were no other serious complications. Infection was more common in the group undergoing prosthetic reconstruction (5% compared with 3 % in the autologous reconstruction group). A total of 8% of the patien ts in the group undergoing prosthetic reconstruction had to have their implants removed because of infection or exposure of the implant. Sev en percent of the transverse rectus abdominis musculocutaneous flap pa tients had significant necrosis of a portion of the flap. Secondary su rgical revision of the reconstructed breast was much more common (20%) in the prosthetic reconstruction group compared with 6% in the autolo gous reconstruction group.