title: [Results of immediate breast reconstructions at Landspítali-The National University Hospital of Iceland, in 2008-2010].
abstract: In late 2007, the availability of immediate breast reconstructions increased as a result of the establishment of an oncoplastic breast surgical service at Landspítali-The National University Hospital The aim of this study was to look at the rates and early complications of immediate breast reconstructions in our hospital in 2008-2010 and compare with the results from the UK National Mastectomy and Breast Reconstruction Audit (NMBRA).
  
  
  
  This is a retrospective population-based study, including all women who had immediate breast reconstruction at Landspítali in 2008-2010.
  
  
  
  319 mastectomies and 157 breast reconstructions were performed. Of these, 98 (62%) were immediate, (mean age 49, 29-69). The immediate breast reconstruction rate was therefore 31%, with a respective 55% for patients 50 years old or younger. In comparison, the rate was 5% in 2000-2005. Immediate reconstructions with an extended autologous latissimus dorsi flap were performed in 25 (26%) cases and implant based reconstructions in the remaining (n=73, 74%). Inpatient complications occurred in 12 (12%) patients and 5 needed reoperation (3 post-operative bleeding, 1 skin necrosis, 1 imminent LD-flap failure). Readmission due to complications after discharge occurred in 14 (14%), while 37 (38%) developed mild complications not requiring readmission. The results were comparable to NMBRA, although the rates of autologous flap reconstructions were significantly higher than in this study (63% vs. 26%).
  
  
  
  As a result of the establishment of an oncoplastic breast surgical service at Landspítali, the rates of immediate breast reconstruction have increased significantly (from 5% to 31%). The complication rates are low and similar to NMBRA.
authors.affiliation: Department of Surgery, Landspitali-The National University Hospital of Iceland, Iceland.
authors.forename: Katrín
authors.initials: K
authors.lastname: Jónsdóttir
authors.forename: Svanheiđur Loa
authors.initials: SL
authors.lastname: Rafnsdóttir
authors.forename: Thordis
authors.initials: T
authors.lastname: Kjartansdottir
authors.forename: Hoskuldur
authors.initials: H
authors.lastname: Kristvinsson
authors.forename: Thorvaldur
authors.initials: T
authors.lastname: Jónsson
authors.forename: Kristjan Skuli
authors.initials: KS
authors.lastname: Asgeirsson
mesh_terms: D000328:Adult; D000368:Aged; D019928:Breast Implantation / Q000009:adverse effects; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007055:Iceland; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods*; D008408:Mastectomy; D008485:Medical Audit; D008875:Middle Aged; D010359:Patient Readmission; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000009:adverse effects; D013997:Time Factors; D016896:Treatment Outcome; D006113:United Kingdom