title: THE EPIDEMIOLOGY AND OUTCOMES OF BREAST CANCER SURGERY.
abstract: We studied women after breast-conserving surgery and mastectomy with immediate (IR) and delayed reconstruction to determine the risk of surgical site infections (SSIs). The SSI rate was 1.3% for BCS, 5.2% for mastectomy, and 10.3% for mastectomy plus IR with flap. SSI risk was higher for mastectomy and IR with implantation versus delayed reconstruction with implantation (8.8% versus 5.9%,P= 0.039) or staged reconstruction with implantation (3.3%,P<0.001). Women with SSI had more SSIs after second-staged reconstruction and implantation compared to those without SSI (10.9% versus 2.7%,P<0.001). SSI was first coded 2 to 30 days postoperatively in 50.3%, and 23% between 31 and 60 days postoperatively. The noninfectious wound complication rate was 10.8%. The noninfectious wound complication rate was 5.8% after mastectomy, 13.4% after mastectomy with implantation, 18.7% after mastectomy with flap, and 15.2% with mastectomy flap and implantation (P<0.001). Implants were removed within 60 days in 6% of mastectomies with implantation.
authors.affiliation: ST. LOUIS, MISSOURI.
authors.forename: Victoria J
authors.initials: VJ
authors.lastname: Fraser
authors.affiliation: ST. LOUIS, MISSOURI.
authors.forename: Katelin B
authors.initials: KB
authors.lastname: Nickel
authors.affiliation: ST. LOUIS, MISSOURI.
authors.forename: Ida K
authors.initials: IK
authors.lastname: Fox
authors.affiliation: ST. LOUIS, MISSOURI.
authors.forename: Julie A
authors.initials: JA
authors.lastname: Margenthaler
authors.affiliation: ST. LOUIS, MISSOURI.
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Olsen
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty; D008408:Mastectomy / Q000379:methods; D059351:Organ Sparing Treatments; D012189:Retrospective Studies; D012307:Risk Factors; D013524:Surgical Flaps / Q000637:transplantation; D013530:Surgical Wound Infection / Q000453:epidemiology*; D016896:Treatment Outcome