[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 (=96, 82%), different flaps (=3, 2.5%), combination of auto- and allogenic materials (=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 (=58). Of these, there were 40 (68.9%) redo surgeries for Backer grade III/IV capsular contracture, implant protrusion (=7, 12%) and rupture (=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.