BACKGROUND: Since complications of postmastectomy breast reconstruction may reduce @entity1 satisfaction, we investigated complications of reconstruction with tissue expanders (TEs), particularly surgical site infections requiring TE/permanent implant (PI) removal. @entity1 AND METHODS: A retrospective review was performed of 234 primary @entity0 @entity1 undergoing 239 postmastectomy breast reconstructions with TEs/PIs from 1997 to 2009. Clinicopathological findings and @entity260 , @entity281 , were analyzed. Data were analyzed by the Chi-square test and a multivariate logistic regression model. @entity281 risk factors considered for model inclusion were excisional biopsy, (neo) adjuvant chemotherapy, lymph node resection, body mass index (BMI), simultaneous bilateral reconstructions, and @entity2080 . RESULTS: Removal of TEs/PIs was observed in 15.5  % (37/239) of reconstructions, and 18/37 underwent re-reconstructions. Of the 19/37 reconstructions that were not achieved completely, the most frequent reason was @entity281 (11 reconstructions). The completion rate was 92  % (220/239 reconstructions) and it was significantly higher in reconstructions without @entity281 than with @entity281 (96 vs. 54  %, p  <  0.0001). @entity1 with BMI  >=   25  kg/m(2) and @entity2080 were more likely to develop @entity281 (p  =  0.0019, p  <  0.001, respectively). By multivariate logistic regression analysis, @entity2080 was a significant independent risk factor for @entity281 (odds ratio 28.75, 95  % confidence interval 5.71-40.03, p  <  0.0001). CONCLUSION: To improve completion rates of breast reconstruction, prevention of @entity281 plays a key role. We should reduce unnecessary @entity2080 aspirations and delay elevation/exercise of the ipsilateral arm.

Identification of complications in mastectomy with immediate reconstruction using tissue expanders and permanent implants for XXXX @entity1 .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'PATIENTS'] @entity0 :: ('MESH:D001943', 'Disease') :: ['breast cancer'] @entity2080 :: ('MESH:D049291', 'Disease') :: ['seroma aspiration', 'seroma'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection', 'particularly infections', 'TE infections', 'TE infection']
@entity0 :: (MESH:D001943,Disease) :: ['breast cancer']
