Breast Cancer, Breast Reconstruction
Conditions
Keywords
Immediate Breast Reconstruction (IBR), Mastectomy, Breast cancer
Brief summary
Mastectomy in breast cancer is still a way of treatment. Nowadays, the goal is to improve reconstruction's technicals. Immediate Breast Reconstruction (IBR) is one of them, largely used in United States but less in France. However, IGR (Insitut Gustave Roussey) in Paris just wrote a new protocole wich allows more IBR by including more patients. This study aims to compare complications in 2 groups: mastectomies followed by IBR and mastectomies without IBR. The second goal will try to estimate the proportion of eligible's patients to IBR, and to analyse their surgicals and oncologicals risk factors
Interventions
Precocious complications (less than 3 months after surgery) are classified with Clavien's classification : hematoma, seroma, stitches, antibiotics, transfusion. Tardive complications (after 3 months until 1 year) are more specifics : hematoma, seroma, tardive infections, asymmetry, removing of implant, breaking up of implant, skin necrosis, capsular contractures, implant loss, chronic pain.
Including patients with differents classic risk factors : T3, T4, tobacco, diabetes, overweight and obesity, hypertension, age over 70, thoracic irradiation in the past
Sponsors
Study design
Eligibility
Inclusion criteria
* Over 18 years * Breast cancer * Mastectomy * Hopital de la Croix-Rousse * January 2016 and January 2020
Exclusion criteria
* Prophylactic mastectomy * Male gender
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Global complications's rates in 2 groups (percentage) | During first year after surgery | Comparison of complications between mastectomies with IBR and mastectomies without IBR |
Countries
France