Unexpected Returns to the Operating Room after Microsurgical Breast Reconstruction – A qualitative Study of Patients’ Experiences

Purpose Unplanned takebacks after microsurgical breast reconstruction are rare but potentially distressing events. This study aimed to describe women's experiences of unplanned takebacks after microsurgical breast reconstruction, with a particular focus on how the event was experienced during the acute phase and how it was understood over time. Methods A qualitative study was conducted at a Swedish university hospital. Women who had undergone an unplanned takeback within the first postoperative week after microsurgical breast reconstruction between 2018 and 2025 were invited to participate. Seven women were interviewed 1.8–6.6 years after their primary reconstruction. Data were collected through semi-structured interviews and analysed using inductive qualitative content analysis. Results The analysis resulted in one main category, Navigating Threatened Security During the Unplanned Takeback, and four generic categories: Experiences of safety, Experiences of vulnerability, Experiences in the emergency phase, and Moving forward after the takeback. The women described the takeback as an acute and largely uncontrollable event that threatened their sense of bodily security and control. Feelings of vulnerability, fear, memory gaps, and powerlessness were prominent. At the same time, safety was supported by clear information, trust in surgical competence, professional care, and staff presence. Over time, the women integrated the takeback into their recovery, often without regretting reconstruction, but with a changed understanding of surgical risk, bodily consequences, and future treatment decisions. Conclusion Unplanned takebacks after microsurgical breast reconstruction may remain significant many years later. Patient safety and security can be strengthened through repeated information, competent and reassuring care, and attention to patients' own perceptions of symptoms.