Table 3.
Rates of Major Complications for Unilateral and Bilateral Autologous Breast Reconstructions
| Major Complication | Autologous | |
|---|---|---|
| Unilateral | Bilateral | |
| N=197 (%) | N=122 (%) | |
| Any Major Complication | 60 (30.5) | 48 (39.3) |
| Post-operative bleeding or hematoma requiring needle aspiration or re-operation | 12 (6.1) | 10 (8.2) |
| Wound infection requiring IV antibiotics | 7 (3.6) | 2 (1.6) |
| Wound infection requiring surgical drainage | 2 (1.0) | 3 (2.5) |
| Acute partial flap necrosis within 30 days | 9 (4.6) | 5 (4.1) |
| Flap loss | 0 (0) | 3 (2.5) |
| Chronic flap necrosis | 18 (9.1) | 14 (11.5) |
| Seroma | 4 (2.0) | 1 (0.8) |
| Post-operative bleeding or hematoma requiring needle aspiration or re-operation at donor site | 4 (2.0) | 2 (1.6) |
| Wound infection at donor site requiring IV antibiotics | 0 | 3 (2.5) |
| Wound infection at the donor site requiring surgical or percutaneous drainage of abscess | 0 | 5 (4.1) |
| Donor site necrosis | 5 (2.5) | 10 (8.2) |
| Chronic fat necrosis of the donor site | 3 (1.5) | 2 (1.6) |
| Donor site seroma | 9 (4.6) | 8 (6.6) |
| Abdominal wall bulge, laxity or hernia requiring surgery | 3 (1.5) | 7 (5.7) |
| Deep vein thrombosis | 1 (0.5) | 0 |
| Pulmonary embolus | 0 | 2 (1.6) |
| Other Major Complications | 8 (4.1) | 9 (7.4) |