Background and objective.

Surgical treatment of breast cancer causes deforming sequelae that have a negative impact on patients. Breast reconstruction constitutes the culminating stage of this treatment. At the National Institute of Oncology and Radiobiology (INOR) of La Habana, Cuba, this procedure has been performed more frequently; therefore, we proposed to characterize breast reconstruction in this institution.

Methods.

An ambispective study was carried out in the Reconstructive Surgery Service of the National Institute of Oncology and Radiobiology of Cuba from 2013 to 2017, with the aim of characterizing breast reconstruction. The research included 192 patients. Demographic and onco-reconstructive variables were collected.

Results.

An average of 38.4 surgeries were performed annually with an average age of 45.3 years. A Madden mastectomy was performed in 56.6% and 34.4% were reconstructed with tissue-sparing techniques. Infiltrating ductal carcinoma was diagnosed in 183 women, 38% presented stage II cancer. Immediate reconstruction predominated in 55.5% of the surgeries, tissue expansion was used in 48.4% and in 77.6% there were no complications. Stage III cancer presented a statistically significant odds ratio (OR) of 3.04 for postoperative complications.

Conclusions.

Breast reconstruction behaved similarly to previous studies at INOR, however, there was an increase in immediate reconstruction with breast-conserving and skin-sparing techniques, and an increase in reconstructed patients over 50 years of age. There were few complications and no risk factors for recurrence and death were identified.

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