PR42P RISK FACTORS AND SAFETY OF IMMEDIATE BREAST RECONSTRUCTION

Purpose  Indications for immediate breast reconstruction (IBR) vary depending on many factors, including clinical stage of carcinoma, age, diabetes, hypertension, obesity and smoking. This paper seeks to assess the risk factors and complications in patients undergoing immediate breast reconstruction and define selection criteria for IBR based on the local population. Methodology  A retrospective review of 94 immediate breast reconstructions over a 5-year period was carried out. Patients were divided into subgroups based on the type of reconstruction: TRAM (n = 36), latissimus dorsi myocutaneous flap with implant (n = 28), autologus latissimus dorsi myocutaneous flap (n = 3), subpectoral saline implant (n = 8) and tissue expander (n = 19). Review of risk factors and complications in all groups was performed and our findings compared with results from other centres. Results  Results including complications and outcomes will be presented and the conclusions used to provide recommendations for patient selection for immediate breast reconstruction. Statistical analysis will be performed to compare the rate of complications with respect to the surgical procedure and risk factors.