Abstract
IntroductionWe sought to determine rates of complications, reoperation, and length of stay (LOS) between nipple-sparing (NSM) and skin-sparing (SSM) mastectomy patients, hypothesizing that rates would be higher in the former. MethodsPatients undergoing NSM or SSM at our institution between January 1, 2010 and December 31, 2017 were compared. Results217 patients underwent NSM; 581 underwent SSM. NSM patients were more likely to be younger, with private insurance, lower BMI, lighter breasts, have bilateral mastectomy, with implant-based reconstruction, for BRCA, and/or lower stage disease and were less likely to have diabetes, axillary dissection, and/or neoadjuvant therapy. Controlling for these factors, NSM patients had a higher complication rate than SSM patients (OR: 1.822; 95% CI: 1.163–2.853, p = 0.009). Length of stay and reoperation rates were not significantly different between the two groups. ConclusionNSM and SSM patients have similar reoperation rates and LOS; however, complication rate is higher in NSM patients.
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