Abstract: Immediate Prepectoral Vs Submuscular Prosthetic Reconstruction in Nipple Sparing Mastectomy Patients: A Single Surgeons Experience with 44 Consecutive Cases

نویسندگان

  • Rachel Lentz
  • Monica Harbell
  • Merisa Piper
  • Pedram Aleshi
  • Clara Gomez-Sanchez
  • Hani Sbitany
چکیده

INTRODUCTION: Direct to implant (DTI) breast reconstruction offers the obvious advantages of shortening the reconstructive process and reducing costs. In our practice, DTI has evolved from dual-plane (DP) to prepectoral (PP) implant placement. Prepectoral reconstruction offers additional benefits of elimination of pectoralis muscle animation deformity and potential reduction in postoperative pain and length of stay (LOS). We sought to understand post-operative complications, aesthetic outcomes, postoperative pain and LOS in DTI reconstructions and identify differences in the sub-cohorts (DP,PP).

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Contralateral Breast Symmetrisation in Immediate Prosthetic Breast Reconstruction after Unilateral Nipple-Sparing Mastectomy: The Tailored Reduction/Augmentation Mammaplasty

BACKGROUND In the literature on nipple-sparing mastectomy (NSM) with one-stage immediate implant reconstruction, contralateral symmetrisation has drawn little attention, with many surgeons still performing standard cosmetic mammaplasty procedures. However, standard implant-based mammaplasty usually does not result in proper symmetry with the mastectomy side, especially regarding breast projecti...

متن کامل

Aesthetic and technical refinements in latissimus dorsi implant breast reconstruction: a 15-year experience.

BACKGROUND The latissimus dorsi myocutaneous flap and implant breast reconstruction procedure has undergone many refinements over its lifetime. In fact, the authors have made many aesthetic and technical refinements to their own approach to breast reconstruction. OBJECTIVES The authors review the historical progression of latissimus flap and breast reconstruction techniques and compare these ...

متن کامل

Prepectoral Implant-Based Breast Reconstruction

BACKGROUND The development of acellular dermal matrices (ADMs) has facilitated single-stage implant breast reconstruction (IBR) following skin-sparing mastectomy. The conventional approach of postpectoral implant placement with lower pole ADM confers a good cosmetic result by improving lower pole projection and control, while minimizing issues of implant visibility, palpability, and rippling. T...

متن کامل

Favorable Outcome with Close Margins in Patients Undergoing Nipple/Skin Sparing Mastectomy with Immediate Breast Reconstruction: 5-year Follow-up

BACKGROUND Implant-based breast reconstruction after mastectomy has recently been reported to be the preferred type of surgery among breast-specific surgeons and plastic surgeons. AIMS To explore the significant clinicopathological factors associated with long-term outcome related to local recurrences of the nipple among patients who underwent immediate breast reconstruction with tissue expan...

متن کامل

SPY Elite’s Ability to Predict Nipple Necrosis in Nipple-Sparing Mastectomy and Immediate Tissue Expander Reconstruction

BACKGROUND Nipple-sparing techniques have improved the aesthetics of reconstruction following mastectomy, but nipple necrosis complicates up to 37% of procedures, distressing patients, delaying adjuvant therapy, and compromising outcomes. No method reliably detects nipple necrosis better than clinical assessment of tissue perfusion. We prospectively assessed the accuracy of intraoperative indoc...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 5  شماره 

صفحات  -

تاریخ انتشار 2017