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. 2017 Jul 19;152(9):e172338. doi: 10.1001/jamasurg.2017.2338

Table 1. Incidence of Complications Within 90 Days After Immediate, Delayed, and Secondary Breast Reconstruction Procedures.

Reconstruction Type No. of Patients Complication
SSI NIWC SSI or NIWC
No. (%) P Valuea No. (%) P Valuea No. (%) P Valuea
Implant IR 7655 685 (8.9) NA 717 (9.4) NA 1180 (15.4) NA
Subsequent implant
Implant SR after implant IR 5150 167 (3.2) <.001b 134 (2.6) <.001b 268 (5.2) <.001b
Implant DR 369 21 (5.7) .04 15 (4.1) .001 31 (8.4) <.001
Implant SR after autologous IR 175 3 (1.7) .003 8 (4.6) .03 11 (6.3) .001
Implant SR after autologous tissue flap plus implant IR 340 6 (1.8) <.001 9 (2.6) <.001 15 (4.4) <.001
Autologous tissue flap
Autologous IR 1799 177 (9.8) NA 250 (13.9) NA 342 (19.0) NA
Autologous tissue flap plus implant IR 593 52 (8.8) .44 63 (10.6) .04 98 (16.5) .18
Subsequent autologous flapc
Autologous DR 137 19 (13.9) .13 23 (16.8) .35 32 (23.4) .22
Autologous tissue flap plus implant DR 68 4 (5.9) .29 4 (5.9) .07 7 (10.3) .08
Autologous SR after implant IR 95 11 (11.6) .58 11 (11.6) .52 18 (18.9) .99
Autologous tissue flap plus implant SR after implant IR 72 8 (11.1) .72 6 (8.3) .18 11 (15.3) .43

Abbreviations: DR, delayed reconstruction; IR, immediate reconstruction; NA, not applicable; NIWC, noninfectious wound complication; SR, secondary reconstruction; SSI, surgical site infection.

a

Calculated using logistic regression, unless otherwise noted. For implant procedures, all P values refer to comparison with the results of implant IR. For autologous procedures, all P values refer to comparison with the results of autologous tissue flap IR.

b

Calculated using the McNemar test. For the matched comparisons, the population was restricted to women who had implant IR followed by implant SR (nā€‰=ā€‰5150).

c

The following SR procedures were not included owing to small numbers: 8 autologous tissue SR procedures after autologous IR, 4 autologous tissue SR procedures with implant after autologous IR, 3 autologous tissue SR procedures after autologous tissue flap plus implant IR, and 4 flap with implant SR procedures after autologous tissue flap plus implant IR.