Unplanned reoperations after breast cancer surgery are more frequent after mastectomy with immediate breast reconstruction (IBR) than other breast operations, according to a study of 18,500 patients who underwent surgery for breast cancer. Breast procedures were categorized as mastectomy or lumpectomy, each with or without IBR. Researchers found:
• 4% of patients required an unplanned reoperation within 30 days.
• 73% of ACS-NSQIP coded unplanned reoperations were due to complications.
• Mean time to first reoperation was 13.4 days and varied by procedure.
• Bleeding was the most common complication requiring reoperation.
• Rates of reoperation due to complication were highest in mastectomy with IBR at 7%.
Citation: Al-Hilli A, Thomsen KM, Habermann EB, Jakub JW, Boughey JC. Reoperation for complications after lumpectomy and mastectomy for breast cancer from the 2012 national surgical quality improvement program (ACS-NSQIP). Ann Surg Oncol. [Published online ahead of print, July 25, 2015]. doi: 10.1245/s10434-015-4741-7.