Læknablaðið - 15.09.2012, Page 23

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ENGLISH SUMMARY
Results of Immediate Breast Reconstructions at Landspítali - The National University Hospital
of lceland, in 2008-2010
Jonsdottir K, Rafnsdottir SL, Kjartansdottir Th, Kristvinsson H, Jonsson Th, Asgeirsson KS
Introduction: In late 2007, the availability of immediate breast
reconstructions increased as a result of the establishment of an
oncoplastic breast surgical service at Landspítali - The National
University Hospital The aim of this study was to look at the rates and
early complications of immediate breast reconstructions in our hospital
in 2008-2010 and compare with the results from the UK National
Mastectomy and Breast Reconstruction Audit (NMBRA).
Material and methods: This is a retrospective population-based
study, including all women who had immediate breast reconstruction at
Landspítali in 2008-2010.
Results: 319 mastectomies and 157 breast reconstructions were
performed. Of these, 98 (62%) were immediate, (mean age 49, 29-69).
The immediate breast reconstruction rate was therefore 31%, with a
respective 55% for patients 50 years old or younger. In comparison, the
rate was 5% in 2000-2005. Immediate reconstructions with an extended
autologous latissimus dorsi flap were performed in 25 (26%) cases and
implant based reconstructions in the remaining (n=73, 74%). Inpatient
complications occurred in 12 (12%) patients and 5 needed reoperation
(3 post-operative bleeding, 1 skin necrosis, 1 imminent LD-flap failure).
Readmission due to complications after discharge occurred in 14
(14%), while 37 (38%) developed mild complications not requiring
readmission. The results were comparable to NMBRA, although the
rates of autologous flap reconstructions were significantly higher than in
this study (63% vs. 26%).
Conclusion: As a result of the establishment of an oncoplastic
breast surgical service at Landspítali, the rates of immediate breast
reconstruction have increased significantly (from 5% to 31%). The
complication rates are low and similarto NMBRA.
Key words; Breast surgery, breast cancer, immediate breast reconstruction, oncoplastic breast surgery, national mastectomy and breast reconstruction audit (NMBRA).
Correspondence: Kristján Skúli Ásgeirsson, kriskuli@landspitali.is
Department of Surgery, Landspitali - The National University Hospital of lceland.
LÆKNAblaðið 2012/98 463