乳腺癌的诊断对患者的身体和情绪健康有重大影响。乳房重建可提高乳房切除术后的生活质量和自尊。然而，许多患者在重建后接受额外的选择性翻修手术。本研究旨在评估乳房重建中围手术期情绪健康与选择性翻修之间的关系。对自 2007 年 1 月起由一位外科医生接受乳房再造的患者进行回顾性分析- 2017 年 12 月。修订程序被定义为索引重建计划之外的额外操作。检查医疗记录以了解广泛性焦虑症（GAD）和/或重度抑郁症（MDD）病史。进行多变量分析以确定与翻修相关的因素。总共纳入了 775 名接受乳房再造的患者，其中 121 名（15.6%）接受了选择性翻修。总体而言，任何精神病史（p<0.001）、单独抑郁症（p=0.001%）以及GAD和抑郁症一起（p=0.003）与翻修手术显着相关。在控制合并症和重建方式的多变量逻辑回归中，单独抑郁症以及 GAD 和抑郁症一起与翻修手术可能性增加显着相关（OR 3.20，p<0.001；OR 2.63，p<0.001）。 围手术期情绪健康和重建方式影响二次翻修手术率。了解手术和患者相关翻修风险因素可以为患者提供更明智的决策并改善手术计划。© 作者 2024。由牛津大学出版社代表美学协会出版。版权所有。如需商业重复使用，请联系 reprints@oup.com 获取转载和转载的翻译权。所有其他权限都可以通过我们网站文章页面上的权限链接通过我们的 RightsLink 服务获得 - 如需了解更多信息，请联系journals.permissions@oup.com。

A diagnosis of breast cancer has a significant impact on a patient's physical and emotional health. Breast reconstruction improves quality of life and self-esteem following mastectomy. However, many patients undergo additional elective revision procedures after reconstruction.This study aims to assess the relationship between perioperative emotional well-being and elective revisions in breast reconstruction.A retrospective review was performed of patients who underwent breast reconstruction with a single surgeon from January 2007- December 2017. Revision procedures were defined as additional operations that fall outside the index reconstructive plan. Medical records were reviewed for a history of generalized anxiety disorder (GAD) and/or major depressive disorder (MDD). Multivariate analysis was performed to identify factors associated with revision.A total of 775 patients undergoing breast reconstruction were included, of which 121 (15.6%) underwent elective revision. Overall, a history of any psychiatric history (p<0.001), depression alone (p=0.001%), and GAD and depression together (p=0.003) were significantly associated with revision surgery. On multivariate logistic regression controlling for comorbidities and reconstruction modality, depression alone and GAD and depression together were significantly associated with increased likelihood of revision surgery (OR 3.20, p<0.001; OR 2.63, p<0.001).Peri-operative emotional well-being and reconstruction modality impact the rate of secondary revision surgery. An understanding of the surgical and patient-related risk factors for revision can provide more informed patient-decision making and improve surgical planning.© The Author(s) 2024. Published by Oxford University Press on behalf of The Aesthetic Society. All rights reserved. For commercial re-use, please contact reprints@oup.com for reprints and translation rights for reprints. All other permissions can be obtained through our RightsLink service via the Permissions link on the article page on our site—for further information please contact journals.permissions@oup.com.