Objective. To assess the incidence of early and long-term postoperative complications after the first and the second stages of simultaneous and delayed breast reconstruction.

Material and methods. The study included 212 patients after mastectomy for breast cancer with simultaneous or delayed mammoplasty. The main group included patients (n=133) who underwent total mastectomy with simultaneous breast reconstruction. The control group (n=79) included women who underwent total mastectomy with delayed breast reconstruction. Postoperative follow-up period was 5 years.

Results. Incidence of postoperative complications after mastectomy with simultaneous breast reconstruction was 10.5%, in the control group — 10.1%. In our study, total mastectomy with simultaneous breast reconstruction was followed by excellent results in 68.4% of cases, good results in 25.6% of cases, satisfactory results in 4.5% of cases. There were unsatisfactory outcomes in 2 cases (1.5%). Similar results were obtained in the control group (64.6%, 25.3%, 6.3% and 3.8%, respectively).

Conclusion. Simultaneous reconstructive surgery after total mastectomy does not increase the incidence of postoperative complications compared to reconstruction and can be recommended for patients with breast cancer.

Keywords. breast cancer, reconstructive operations, mammoplasty, postoperative complications