Should breast reconstruction be done at the time of mastectomy or should it be delayed?
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Should breast reconstruction be done at the time of mastectomy or should it be delayed? Evidence-Based Answer: The answer is unclear. Patients who choose immediate breast reconstruction (IBR) have reduced psychiatric morbidity at 3 months postoperatively, but report no difference in sychosocial function at 1 year postoperatively, compared with women who choose delayed breast reconstruction (DBR) (SOR: B, small RCT). However, if postoperative chemotherapy and/or radiation are necessary, IBR carries a higher risk of surgical site infections and capsular contracture (SOR: B, cohort studies).
Evidence Based Practice 17(3): 12