PP 39. Analysis Of Breast Reconstruction Using Prostheses After Irradiation
M. Okishiro, C. Egawa, K. Nitta, H. Kusama, Y. Takastuka, Y. Asada
18:58 - 0:00h
at Margrit Room
Categories: Abdominal Wall and Hernia, Plastic and Reconstructive Surgery, Poster Session
Session: Poster (P3) - Abdominal Wall & Hernia / Plastic & Reconstructive Surgery
Background
In recent years, breast reconstructions have come to be widely performed. However, there is a lack of evidence for breast reconstruction on patients with a history of chest wall irradiation, and given the post-reconstruction risk of complications, it is essentially not recommended. In this study, we examined breast reconstruction using prostheses following chest wall irradiation.
Material and Methods
We examined the complications, reconstruction success rate, and post-reconstructive capsular contracture in 9 patients at our hospital between January 2009 and November 2013 who had undergone reconstructive procedures using prostheses following chest wall irradiation.
Result
The median age of the patients was 55 years (range 44–67 years). 7 patients who underwent mastectomy following recurrence within the breast after undergoing breast conservation surgery, 1 patient following a mastectomy with radiotherapy, and 1 patient following breast conservation surgery. Complications included infections observed in 2 patients, and removal of an expander in 1
patient. The reconstruction success rate was 88.9%. For post-reconstructive capsular contracture, 2 patients were Baker grade I, 6 patients were Baker grade II, and no Baker grade III or IV were observed.
Conclusion
Breast reconstruction using expander and implant following chest wall irradiation was relatively safe and was within tolerable ranges for capsular contracture. We consider it an option once the risks have been explained should the patient strongly desire to undergo breast reconstruction.
