1. Pre-pectoral Immediate Breast Reconstruction Following Conservative Mastectomy Using Acellular Dermal Matrix and Semi-smooth Implants.
- Author
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Wazir U, Patani N, Heeney J, Mokbel K, and Mokbel K
- Subjects
- Adult, Aged, Aged, 80 and over, Breast Neoplasms pathology, Breast Neoplasms surgery, Combined Modality Therapy, Conservative Treatment methods, Equipment Design, Female, Follow-Up Studies, Humans, Lymphoma, Large-Cell, Anaplastic epidemiology, Lymphoma, Large-Cell, Anaplastic etiology, Lymphoma, Large-Cell, Anaplastic prevention & control, Middle Aged, Patient Satisfaction statistics & numerical data, Pectoralis Muscles pathology, Pectoralis Muscles surgery, Postoperative Complications epidemiology, Postoperative Complications etiology, Postoperative Complications prevention & control, Risk Factors, Tissue Expansion instrumentation, Tissue Expansion methods, Tissue Scaffolds, Treatment Outcome, United Kingdom epidemiology, Acellular Dermis, Breast Implantation instrumentation, Breast Implantation methods, Breast Implants adverse effects, Mammaplasty instrumentation, Mammaplasty methods, Mastectomy methods
- Abstract
Background/aim: Improvements in acellular dermal matrix (ADM) and surgical techniques have facilitated pre-pectoral immediate breast reconstruction (IBR). Outer shell texturing is a key risk factor for anaplastic large cell lymphoma, prompting this evaluation of reconstruction with nano-textured rounded implants., Patients and Methods: Fifty-one consecutive patients underwent 72 pre-pectoral ADM-assisted (fenestrated SurgiMend™) IBRs using nano-textured implants (Sebbin™). Patients were invited to complete a satisfaction questionnaire, including aesthetic outcome (linear scale 0-10) during follow-up., Results: Average mastectomy weight was 300 g (range=83-1,018 g). After a mean follow-up of 18.3 month, 2 patients (2.8%) had minor wound complications. One patient suffered nipple necrosis. Capsular contracture occurred in 5 cases (6.9%) and significant rippling in one case. No implants were lost. Patient-reported aesthetic outcomes had a mean score of 9.3 (range=3-10; N=71)., Conclusion: Pre-pectoral ADM-assisted IBR using semi-smooth implants following NSM is reliable and safe, with a low incidence of complications and high patient satisfaction., (Copyright © 2022 International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.)
- Published
- 2022
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