Cirugía oncológica de la mama y reconstrucción inmediata con prótesis directa

Abstract

ObjectiveImmediate breast reconstruction with direct prosthesis attempts to fulfil patients’ wishes to retain their body image after mastectomy and to avoid reoperations. The aim of this study was to determine the safety of this technique and whether it provides similar results to those of reconstruction with expanders. Patients and methodsA retrospective analysis was conducted of 98 patients who underwent surgery consecutively between 2007 and 2015 with mastectomy and immediate reconstruction. Clinical data, complications, reoperation rates, admissions and days of stay were compared between patients who underwent immediate reconstruction (n=61) and those who underwent reconstruction with expanders (n=37). ResultsThere were no differences in the type of patients included in the two groups, except the greater weight of the breast removed in the expanders group (277.64 g/462.75 g, P=.011). This group had a higher number of admissions (1.46 1.92, P=.029), but there was no significant difference in overall days of hospital stay, complications, secondary asymmetries, capsulitis, or reoperations.There were no oncological complications. Thirty-seven patients received radiotherapy and 29.7% had capsulitis compared with 16.3% of patients not receiving radiotherapy (P=.089). ConclusionsImmediate breast reconstruction with direct prosthesis is safe and does not increase complication rates or length of hospital stay. Radiotherapy increases the risk of capsulitis, but does not contraindicate the technique.