Complications in Smokers After Postmastectomy Tissue Expander/Implant Breast Reconstruction
- 1 July 2005
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Plastic Surgery
- Vol. 55 (1), 16-20
- https://doi.org/10.1097/01.sap.0000168282.81348.b3
Abstract
Smoking is universally considered to be a risk factor for surgical complications. The incidence of complications following tissue expander/implant breast reconstruction in patients who smoke has not been previously evaluated. A review of complications following tissue expander/implant reconstruction in 515 patients was performed. Patients who had 2-stage, tissue expander/implant reconstruction at Memorial Sloan-Kettering Cancer Center between May 2002 and December 2003 were included. Complications in smokers (n = 132) and nonsmokers (n = 383) were compared. The rate of overall complications, reconstructive failure, mastectomy flap necrosis, and infectious complications was significantly higher in smokers compared with nonsmokers. The rate of complications in ex-smokers was also higher than in nonsmokers. Using multivariate statistical analysis to adjust for confounding variables, smoking was identified as independent predictor of postoperative complications. A significant association between smoking status and postoperative complications exists. Thus, smokers who undergo postmastectomy expander/implant reconstruction should be informed of the increased risk of surgical complications and should be counseled on smoking cessation.Keywords
This publication has 13 references indexed in Scilit:
- Quality of Life, Patients’ Satisfaction, and Aesthetic Outcome after Pedicled or Free TRAM Flap Breast SurgeryPlastic and Reconstructive Surgery, 2001
- Complications of Postmastectomy Breast Reconstructions in Smokers, Ex-smokers, and NonsmokersPlastic and Reconstructive Surgery, 2001
- Clinical Determinants of Patient Satisfaction with Breast ReconstructionPlastic and Reconstructive Surgery, 2001
- Breast Reconstruction with Implants and ExpandersPlastic and Reconstructive Surgery, 2001
- Effect of Smoking on Complications in Patients Undergoing Free TRAM Flap Breast ReconstructionPlastic & Reconstructive Surgery, 2000
- Cigarette Smoking, Plastic Surgery, and MicrosurgeryJournal of Reconstructive Microsurgery, 1996
- ABC of Breast Diseases: BREAST RECONSTRUCTION AFTER SURGERYBMJ, 1995
- Necrosis of Abdominoplasty and Other Secondary Flaps after TRAM Flap Breast ReconstructionPlastic and Reconstructive Surgery, 1994
- Association Between Cutaneous Occlusive Vascular Disease, Cigarette Smoking, and Skin Slough after RhytidectomyPlastic and Reconstructive Surgery, 1986
- The Acute Effects of Cigarette Smoke Exposure on Experimental Skin FlapsPlastic and Reconstructive Surgery, 1985