Surgical outcomes of breast reconstruction: comparison of autogenous tissue and expander/implant techniques

Abstract

Breast reconstruction following mastectomy is an important aspect of cancer care. Surgical outcomes data help patients navigate the complex decision-making process of choosing an implant or an autogenous tissue reconstructive technique. In general, complications rates are similar across procedure types. However, both pedicle and free transverse rectus abdominis musculocutaneous (TRAM) procedures are associated with an 11–18% decrease in flexion peak torque. However, no significant difference in flexion peak torque has been found between patients with pedicle and free TRAM reconstructions. In addition, patients with TRAM compared with expander/implant procedures appear to be more aesthetically satisfied and have greater gains in body image. In summary, with a variety of reconstructive procedures available, choosing the ‘right’ operation can be a daunting task. Outcomes data can provide patients with objective, reliable information to assist in surgical decision making.

Keywords::

• breast reconstruction
• implants
• surgical outcomes
• transverse rectus abdominis musculocutaneous

Financial disclosure

The authors have no relevant financial interests, including employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties related to this manuscript.