CURRENT TRENDS IN REVISION SURGERY AFTER BREAST RECONSTRUCTION IN CHINA: INSIGHTS FROM A NATIONWIDE CROSS-SECTIONAL SURVEY yizhang23@m.fudan.edu.cn

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CURRENT TRENDS IN REVISION SURGERY AFTER BREAST RECONSTRUCTION IN CHINA: INSIGHTS FROM A NATIONWIDE CROSS-SECTIONAL SURVEY

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Han Zhu hanzhu23@m.fudan.edu.cn Shanghai Medical College Department of Oncology Shanghai China

Bingqiu Xiu bingqiu_xiu@fudan.edu.cn Fudan University Shanghai Cancer Center Department of Breast Surgery Shanghai China

Jiong Wu wujiong@fudan.edu.cn Fudan University Shanghai Cancer Center Department of Breast Surgery Shanghai China

 

China

Poster Exhibition only

Revision surgery is an integral component of post-mastectomy breast reconstruction, aimed at enhancing breast aesthetics and improving patient satisfaction. While developed countries have established high rates of revision surgery, its implementation in China remains limited. We aimed to evaluate the current practices and challenges of revision surgery in Mainland China using a nationwide cross-sectional survey.

A nationwide questionnaire authorized by the Chinese Anti-Cancer Association and related committees was distributed to 198 hospitals in China performing over 200 annual breast cancer surgeries. Data on nipple-areola complex reconstruction (NAR), autologous fat grafting (AFG), and contralateral breast symmetry surgery were collected and analyzed.

Of the 198 surveyed hospitals, 23.2% performed NAR, 17.2% conducted AFG, and 26.8% carried out contralateral breast symmetry surgery, with only 6.6% providing all three. The implementation of revision surgery in China was unevenly distributed. Regarding NAR, both the time interval between primary breast reconstruction and NAR, and the diverse techniques of NAR were to note. The use of autologous or allogenic grafts has proven to improve long-term nipple projection (r=-0.339, P=0.021), but its usage was still limited. AFG has wide application in breast reconstruction, with the most common use remaining the correction of deformities after lumpectomy or breast reconstruction after mastectomy. Contralateral breast symmetry surgery was widely accepted by patients, and a simultaneous procedure was more favored (P<0.001).

The implementation of revision surgery in China remains insufficient. Targeted efforts to expand specialized training, improve resource allocation, and adopt advanced techniques are essential.