Low complication rate for nipple-sparing mastectomy

February 4, 2013
Low complication rate for nipple-sparing mastectomy
Nipple-sparing mastectomy with microsurgical breast reconstruction can be safely performed for select patients, according to a study published in the February issue of Plastic and Reconstructive Surgery.

(HealthDay)—Nipple-sparing mastectomy with microsurgical breast reconstruction can be safely performed for select patients, according to a study published in the February issue of Plastic and Reconstructive Surgery.

Neil Tanna, M.D., M.B.A., from the Institute of Reconstructive Plastic Surgery in New York City, and colleagues examined patient demographics, history, intraoperative details, complications, and revision operations among 51 patients who underwent nipple-sparing mastectomy with microsurgical treated at the New York University Medical Center from 2007 to 2011.

The researchers identified 85 free flap breast reconstructions, performed in 51 patients; 64.7 percent of which were performed for prophylactic indications and mainly through vertical incisions (47 percent). The donor sites were mainly abdominally based (77.6 percent); alternative flaps included the profunda artery perforator, transverse upper gracilis, and superior gluteal artery perforator. Mastectomy skin flap necrosis and nipple necrosis were the most common complications. No correlation was seen for mastectomy skin flap or nipple necrosis with the choice of incision, mastectomy specimen weight, , or age; however, there was a correlation between smoking history and nipple necrosis.

"Nipple-sparing mastectomy followed by microsurgical reconstruction, for carefully selected patients, can be safely performed with low complication rates," the authors write.

More information: Abstract
Full Text

Related Stories

Recommended for you

A recipe for long-lasting livers

April 22, 2015

People waiting for organ transplants may soon have higher hopes of getting the help that they need in time. Researchers at the RIKEN Center for Developmental Biology have developed a new technique that extends the time that ...

Surgeon to offer ideas on a way to do human head transplants

February 26, 2015

Sergio Canavero of the Turin Advanced Neuromodulation Group has made it known that he intends to announce at this summer's American Academy of Neurological and Orthopedic Surgeons meeting, that he believes he has put together ...

New tool helps guide brain cancer surgery

July 3, 2014

A tool to help brain surgeons test and more precisely remove cancerous tissue was successfully used during surgery, according to a Purdue University and Brigham and Women's Hospital study.

New imaging technique sharpens surgeons' vision

February 11, 2014

Which superhuman power would you choose for help on the job? For Dr. Julie Margenthaler, it's a technology that brings to mind X-ray vision, used for the first time Monday during an operation to remove a patient's lymph node.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.