[Repeated breast reconstruction after previous complications].

Objective: To evaluate the effectiveness of repeated breast reconstruction in cancer patients depending on complications after primary reconstruction.

Material and methods: There were 117 patients who underwent primary one-stage breast reconstruction with endoprosthesis, autograft and/or their combination.

Results: A retrospective analysis included 117 patients who underwent complex treatment in 2017-2021. Surgical treatment (subcutaneous/skin-sparing mastectomy with one-stage reconstruction) was realized at the department of oncology and reconstructive surgery of the breast and skin. Analysis included patients after one-stage reconstruction with silicone endoprosthesis (n=96, 82%), different flaps (n=3, 2.5%), combination of auto- and allogenic materials (n=18, 15.3%). The most common complications were Backer grade III/IV capsular contracture, implant rupture, endoprosthesis protrusion and flap necrosis. The most preferable redo surgery was implant-to-implant replacement (n=58). Of these, there were 40 (68.9%) redo surgeries for Backer grade III/IV capsular contracture, implant protrusion (n=7, 12%) and rupture (n=5, 8.6%). Flap necrosis required flap replacement with implant, flap reduction and implant placement under the flap.

Conclusion: Each technique has certain advantages and disadvantages, and the choice of method depends on individual characteristics of each patient.