Audit of early complications after implant only reconstructions in a single unit over 8 years demonstrating no difference whether the nipple is conserved or not.
Association of Breast Surgery ePoster Library. Chand N. 05/13/19; 257112; P068
Nathalie Chand
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P068
Topic: Breast surgery
An audit was performed from a prospectively collected database of all implant based reconstructions over 8 years. The three month complication rate was collected per PATIENT and compared with the results at 3 months from the NMBRA and iBRA audits. The data from this audit includes the learning curve of 2 established oncoplastic consultants and two newly appointed consultants.99 women underwent 49 skin sparing (SSM)or 50 skin and nipple sparing mastectomy (NSM) with immediate implant based reconstruction (predominantly Becker 25s) with a variety of slings (predominantly ADM). There are a mixture of subpectoral and prepectoral reconstructions and bilateral risk reducing cases. Most patients had a unilateral procedure for breast cancer. Complication rates have improved with time as expected with experience, better techniques and improved case selection.The data shows no difference in complication rates between SSM and NSM.TotalImplant loss at 3 monthsUnplanned return to theatreUnplanned readmissionImplant loss Since 2015SSM497 (14%)11 (22%)14 (28%)13% (2/15)NSM506 (12%)11 (22%)11 (22%)4% (1/22)NMBRA9%5%16%iBRA8.9%17.8%17.8%Fisher's exactNS 0.48NS 0.57NS 0.3This data shows that NSM is safe in implant only reconstruction. Other papers have demonstrated oncological safety of NSM with appropriate patient selection.Surgeons should continue to strive to improve outcomes of implant only reconstructions but can be reassured that sparing the nipple will not affect failure rates.This audit was registered with the trust audit office.
Topic: Breast surgery
An audit was performed from a prospectively collected database of all implant based reconstructions over 8 years. The three month complication rate was collected per PATIENT and compared with the results at 3 months from the NMBRA and iBRA audits. The data from this audit includes the learning curve of 2 established oncoplastic consultants and two newly appointed consultants.99 women underwent 49 skin sparing (SSM)or 50 skin and nipple sparing mastectomy (NSM) with immediate implant based reconstruction (predominantly Becker 25s) with a variety of slings (predominantly ADM). There are a mixture of subpectoral and prepectoral reconstructions and bilateral risk reducing cases. Most patients had a unilateral procedure for breast cancer. Complication rates have improved with time as expected with experience, better techniques and improved case selection.The data shows no difference in complication rates between SSM and NSM.TotalImplant loss at 3 monthsUnplanned return to theatreUnplanned readmissionImplant loss Since 2015SSM497 (14%)11 (22%)14 (28%)13% (2/15)NSM506 (12%)11 (22%)11 (22%)4% (1/22)NMBRA9%5%16%iBRA8.9%17.8%17.8%Fisher's exactNS 0.48NS 0.57NS 0.3This data shows that NSM is safe in implant only reconstruction. Other papers have demonstrated oncological safety of NSM with appropriate patient selection.Surgeons should continue to strive to improve outcomes of implant only reconstructions but can be reassured that sparing the nipple will not affect failure rates.This audit was registered with the trust audit office.
P068
Topic: Breast surgery
An audit was performed from a prospectively collected database of all implant based reconstructions over 8 years. The three month complication rate was collected per PATIENT and compared with the results at 3 months from the NMBRA and iBRA audits. The data from this audit includes the learning curve of 2 established oncoplastic consultants and two newly appointed consultants.99 women underwent 49 skin sparing (SSM)or 50 skin and nipple sparing mastectomy (NSM) with immediate implant based reconstruction (predominantly Becker 25s) with a variety of slings (predominantly ADM). There are a mixture of subpectoral and prepectoral reconstructions and bilateral risk reducing cases. Most patients had a unilateral procedure for breast cancer. Complication rates have improved with time as expected with experience, better techniques and improved case selection.The data shows no difference in complication rates between SSM and NSM.TotalImplant loss at 3 monthsUnplanned return to theatreUnplanned readmissionImplant loss Since 2015SSM497 (14%)11 (22%)14 (28%)13% (2/15)NSM506 (12%)11 (22%)11 (22%)4% (1/22)NMBRA9%5%16%iBRA8.9%17.8%17.8%Fisher's exactNS 0.48NS 0.57NS 0.3This data shows that NSM is safe in implant only reconstruction. Other papers have demonstrated oncological safety of NSM with appropriate patient selection.Surgeons should continue to strive to improve outcomes of implant only reconstructions but can be reassured that sparing the nipple will not affect failure rates.This audit was registered with the trust audit office.
Topic: Breast surgery
An audit was performed from a prospectively collected database of all implant based reconstructions over 8 years. The three month complication rate was collected per PATIENT and compared with the results at 3 months from the NMBRA and iBRA audits. The data from this audit includes the learning curve of 2 established oncoplastic consultants and two newly appointed consultants.99 women underwent 49 skin sparing (SSM)or 50 skin and nipple sparing mastectomy (NSM) with immediate implant based reconstruction (predominantly Becker 25s) with a variety of slings (predominantly ADM). There are a mixture of subpectoral and prepectoral reconstructions and bilateral risk reducing cases. Most patients had a unilateral procedure for breast cancer. Complication rates have improved with time as expected with experience, better techniques and improved case selection.The data shows no difference in complication rates between SSM and NSM.TotalImplant loss at 3 monthsUnplanned return to theatreUnplanned readmissionImplant loss Since 2015SSM497 (14%)11 (22%)14 (28%)13% (2/15)NSM506 (12%)11 (22%)11 (22%)4% (1/22)NMBRA9%5%16%iBRA8.9%17.8%17.8%Fisher's exactNS 0.48NS 0.57NS 0.3This data shows that NSM is safe in implant only reconstruction. Other papers have demonstrated oncological safety of NSM with appropriate patient selection.Surgeons should continue to strive to improve outcomes of implant only reconstructions but can be reassured that sparing the nipple will not affect failure rates.This audit was registered with the trust audit office.
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