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Sientra AlloX2 Short-Term Case Study, Surgical Pearls, and Roundtable Discussion
- Source :
- Plastic and reconstructive surgery. 141(4S Sientra Shaped and Round Cohesive Gel)
- Publication Year :
- 2018
-
Abstract
- BACKGROUND The AlloX2 Breast Tissue Expander (Sientra, Santa Barbara, Calif.) is a unique device that contains a second port to allow for transdermal communication with the pocket around the implant. The injection dome of this expander contains two ports; one is used for traditional saline injection, and a new second port facilitates fluid drainage from the periprosthetic space through an integral drain. The AlloX2 allows for the treatment of seromas and diagnostic fluid sampling to identify bacteria and hone antibiotic treatment in the setting of periprosthetic infection. This device has a significant advantage over traditional expanders, given that seromas and infections are the most common complications in implant-based breast reconstruction, with or without the use of soft-tissue support matrix. METHODS This article provides short-term case studies and surgical pearls from 3 surgeons who utilize the AlloX2 in primary breast reconstruction patients. Three surgeons implanted 40 primary reconstruction patients with AlloX2. Follow-up was approximately 6 months, per the standard of care. All patients implanted with AlloX2 underwent immediate reconstruction, with the exception of 1 delayed reconstruction. RESULTS The most common complications the patients experienced were seromas. In most cases, the surgeons successfully used the second port to drain periprosthetic fluid. CONCLUSIONS The AlloX2 has been successful in treating seromas and should be considered a tool for noninvasive treatment of common complications of implant-based breast reconstruction. Three surgeons with varied backgrounds and techniques provide their surgical and postoperative management experiences and recommendations.
- Subjects :
- medicine.medical_specialty
Standard of care
Breast Implants
Periprosthetic
Breast Neoplasms
030230 surgery
Prosthesis Design
Postoperative management
03 medical and health sciences
0302 clinical medicine
Breast tissue expander
Postoperative Complications
Medicine
Humans
Sampling (medicine)
Breast Implantation
Mastectomy
Retrospective Studies
business.industry
Incidence
Tissue Expansion Devices
Surgery
Seroma
Patient Satisfaction
030220 oncology & carcinogenesis
Drainage
Female
Implant
business
Breast reconstruction
Support matrix
Follow-Up Studies
Subjects
Details
- ISSN :
- 15294242
- Volume :
- 141
- Issue :
- 4S Sientra Shaped and Round Cohesive Gel
- Database :
- OpenAIRE
- Journal :
- Plastic and reconstructive surgery
- Accession number :
- edsair.doi.dedup.....aa47b9aa681bd67b0b6b186e879ff2a7