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A single-centre, retrospective proof-of-concept review of salvage of infected or exposed implant breast reconstructions with explantation and one-stage free flap replacement.
- Source :
- Journal of Plastic, Reconstructive & Aesthetic Surgery; Feb2018, Vol. 71 Issue 2, p194-200, 7p
- Publication Year :
- 2018
-
Abstract
- Summary Introduction Implant-based breast reconstruction has relatively high complication rates. Removal of infected implants and immediate autologous reconstruction is a safe single-stage procedure that preserves the native breast skin envelope. Methods A single-centre, retrospective proof-of-concept review of all salvage procedures performed for acute/chronic infected or exposed implant-based reconstructions by a single surgeon over a 6-year period. Results We present 13 cases of a particularly difficult subgroup of acute/chronic infection/extrusion over a 6-year period. All were successfully salvaged in a single procedure by implant removal and immediate free flap reconstruction with no significant complications. All patients had a change of pocket from subpectoral to subcutaneous and partial capsulectomies. Four patients had unilateral DIEP flaps for unilateral reconstruction, 3 bi-pedicle DIEP flaps for unilateral reconstruction, 2 bilateral TUG flaps for unilateral reconstruction, 3 bilateral DIEP flaps for bilateral reconstruction and 1 unilateral DIEP and implant for unilateral reconstruction. Conclusions These patients are often slim with limited donor sites and pose technical challenges, often requiring double free flap reconstructions. Single-stage implant removal and autologous reconstruction preserves the breast skin envelope to maximise cosmesis in a single procedure. The introduction of healthy, well-vascularised tissue may also help treat the infection. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 17486815
- Volume :
- 71
- Issue :
- 2
- Database :
- Supplemental Index
- Journal :
- Journal of Plastic, Reconstructive & Aesthetic Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 127639860
- Full Text :
- https://doi.org/10.1016/j.bjps.2017.10.009