Risks Greater for Double Versus Single Mastectomy

September 4, 2014 2:13 AM

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Amanda Silva, MD, of the University of Chicago Pritzker School of Medicine, and colleagues analyzed data for 18,229 women who underwent mastectomy with breast reconstruction, typically implant-based, including 6,502 women (35.7%) who underwent bilateral mastectomy. The authors examined differences in perioperative complications for bilateral versus unilateral mastectomy with breast reconstruction.

The researchers found that for implant-based reconstruction, those who underwent bilateral versus unilateral mastectomy had higher rates of implant loss (adjusted odds ratio [aOR], 1.55; P = 0.02), transfusion (aOR, 2.20; P < 0.001), and reoperation (aOR, 1.14; P = 0.05). For autologous reconstructi...

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