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[Breast reconstruction: correlation between different procedures, reconstruction timing and complications].

INTRODUCTION
Improved psychophysical condition after breast reconstruction in women has been well documented.


OBJECTIVE
To determine the most optimal technique with minimal morbidity, the authors examined their results and complications based on reconstruction timing (immediate and delayed reconstruction) and three reconstruction methods: TRAM flap, latissimus dorsi flap and reconstruction with tissue expanders and implants.


METHODS
Reconstruction was performed in 60 women of mean age 51.1 years. We analyzed risk factors: age, body mass index (BMI), smoking history and radiation therapy in correlation with timing and method of reconstruction. Complications of all three methods of reconstruction were under 1.5-2-year follow-up after the reconstruction. All data were statistically analyzed.


RESULTS
Only radiation had significant influence on the occurrence of complications both before and after the reconstruction, while age, smoking and BMI had no considerable influence of the development of complications. There were no statistically significant correlation between the incidence of complications, time and method of reconstruction.


CONCLUSION
Any of the aforementioned breast reconstruction techniques can yield good results and a low rate of re-operations. To choose the best method, the patient needs to be as well informed as possible about the options including the risks and benefits of each method.