Table 4.
Rates of Major Complications for Unilateral and Bilateral Implant-Based Breast Reconstructions
| Major Complication | Implant | |
|---|---|---|
| Unilateral | Bilateral | |
| N=343 (%) | N=482 (%) | |
| Any Major Complication | 40 (11.7) | 83 (17.2) |
| Post-operative bleeding or hematoma requiring needle aspiration or re-operation | 9 (2.6) | 19 (3.9) |
| Wound infection requiring IV antibiotics | 11 (3.2) | 25 (5.2) |
| Wound infection requiring surgical drainage | 3 (0.9) | 6 (1.2) |
| Capsular contracture (Baker Class III or IV) | 1 (0.3) | 8 (1.7) |
| Implant malposition | 1 (0.3) | 3 (0.6) |
| Seroma | 12 (3.5) | 18 (3.5) |
| Implant leakage | 3 (0.9) | 2 (0.4) |
| Abdominal wall bulge, laxity or hernia requiring surgery | 0 | 1 (0.2) |
| Tissue expander removal | 20 (5.8) | 47 (9.8) |
| Implant removal | 7 (2.0) | 24 (5.0) |
| Deep vein thrombosis | 3 (0.9) | 0 |
| Pulmonary embolus | 0 | 2 (0.4) |
| Other Major Complications** | 2 (0.6) | 2 (0.4) |
Other major complications include: negative exploration & washout for suspected hematoma, (n=1); nipple flap necrosis (n=2); pneumothorax (n=1).