Table 5.

Complication Rates by Reconstruction Type

Complications	Implant N=442	Flap N=548	P value
Overall Complications	159 (35.9%)	232 (42.3%)	0.04
Loss of Reconstruction	70 (15.8%)	8 (1.5%)	<0.001
Breast Wound–Related Complications
Infection	50 (11.3%)	21 (3.8%)	<0.001
Delayed Healing	19 (4.3%)	41 (7.5%)	0.01
Skin Dehiscence	28 (6.3%)	25 (4.6%)	0.25
Hematoma/Seroma	61 (13.8%)	27 (4.9%)	<0.001
Mastectomy Skin Necrosis	58 (13.1%)	90 (16.4%)	0.15
Perfusion-related Complications
Fat Necrosis	--	38 (6.9%)	--
Partial Flap Necrosis	--	21 (3.8%)	--
Implant-related Complications
Implant Malposition	8 (1.8%)	--	--
Implant Rippling	4 (0.9%)	--	--
Microvascular Complications
Arterial Thrombosis	--	6 (1.1%)	--
Venous Thrombosis	--	4 (0.7%)	--
Donor Site Complications
Bulge	--	19 (3.5%)	--
Hernia	--	10 (1.8%)	--
Umbilical Necrosis	--	25 (4.6%)	--
Donor Site Wound-related Complications
Delayed Wound Healing	--	34 (6.2%)	--
Skin Dehiscence	--	31 (5.7%)	--
Skin Necrosis	--	6 (1.1%)	--
Hematoma/Seroma	--	23 (4.2%)	--