Abstract
BackgroundThe rate of contralateral prophylactic mastectomy has been increasing among patients with unilateral breast cancer. There remains a paucity of data regarding the impact of contralateral prophylactic mastectomy on duration of stay and complications requiring reoperation within 90 days of operation. MethodsWe reviewed the medical records of female unilateral breast cancer patients who underwent a mastectomy at a large academic institution between July 2013 and July 2016 to determine the effect of contralateral prophylactic mastectomy on complications and hospital stay. ResultsA total of 471 patients were included in this cohort, 276 (58.6%) of whom had contralateral prophylactic mastectomy. The median patient age was 52 years (range 22–90) and median tumor size was 1.1 cm (range 0–14.6 cm). There were 52 patients (11.0%) who had complications resulting in reoperation within 90 days, including 18 instances of bleeding complications (3.8%), 9 infections (1.9%), 18 thrombosis/necrosis of flaps (3.8%), 17 skin breakdown/wound complications (3.6%), 2 seromas (0.4%), and 2 implant ruptures (0.4%). The reoperation rate did not differ between patients undergoing contralateral prophylactic mastectomy and those who opted for unilateral mastectomy (11.2% vs 10.8%, respectively; P = .99). Median duration of hospital stay for the overall cohort was 2 days. Contralateral prophylactic mastectomy was associated with a greater hospital stay than unilateral mastectomy (median 3 vs 2 days; P < .001) and was a predictor of stays ≥2 days (odds ratio = 2.369; 95% confidence interval: 1.197–4.688; P = .013) independent of reconstruction and other factors associated with contralateral prophylactic mastectomy. ConclusionCompared to unilateral mastectomy, contralateral prophylactic mastectomy was associated with an increased hospital stays but not a greater 90-day reoperation rate for complications.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
