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Local complications common with postmastectomy implants.(Gynecology)
Local complications are common after post-mastectomy reconstructive breast implantation, with an adverse event rate of 31% in one large prospective study, reported Dr. Trine F. Henriksen of the Danish Registry for Plastic Surgery of the Breast, Copenhagen, and associates.
In what they described as "the first prospective epidemiological study to provide quantitative data on short-term local complications among women receiving implants for breast reconstruction," the investigators found that unplanned surgical or medical intervention is often required during the course of reconstruction. Some 20% of women needed surgical procedures to treat complications within the first 2 years of mastectomy, a rate that is nearly four times higher than that with cosmetic implantation.
"When evaluating benefits and risks associated with breast reconstruction, the surgeon and patient should consider that the reconstructive process often requires additional surgical intervention to treat local complications or to achieve the desired cosmetic result. Detailed information on the likelihood of local complications ... should be an essential part of adequate informed consent" for mastectomy patients seeking breast implantation, Dr. Henriksen and associates said (Arch. Surg. 2005;140:1152-9).
They studied the issue using data from the Danish Registry for Plastic Surgery of the Breast, which provided the world's "first systematic collection of preoperative, perioperative, and postoperative data in relation to mammoplasty procedures."
The study included all 574 women who underwent 901 postmastectomy breast implantations in Denmark between June 1999 and July 2003.
There were 484 initial implant procedures and 417 reimplant procedures--implant exchanges or implant reinsertion ...
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Source: HighBeam Research, Local complications common with postmastectomy implants.(Gynecology)