Breast reconstruction with a dermal sling: a systematic review of surgical modifications

Hansson, Emma; Jepsen, Christian; Hallberg, Håkan

doi:10.1080/2000656x.2018.1533840

Cited by 10 publications

(10 citation statements)

References 64 publications

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“…8 Not only the measurements required to perform this technique are dependent on the breast dimensions they are also dependent on what size the patient wants because the permanent implant will always have to be smaller than the native breast in immediate one-stage reconstructions. 12 We offered a contralateral mastopexy/breast reduction to all patients who underwent unilateral reconstruction with IDF since the conversion of a ptotic breast into a young breast shape produced a significant asymmetry. 16 In our study, we found a difference between both techniques concerning reconstructive failure that even tough is not statistically significant might be clinically relevant.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap

et al. 2022

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Background Implant-based breast reconstruction has evolved tremendously in the last decades, mainly due to the development of new products and techniques that make the procedure safer and more reliable. The purpose of this study was to compare the outcomes in immediate one-stage breast reconstruction between acellular dermal matrix (ADM) and inferior dermal flap (IDF). Methods We conducted a retrospective comparative study of patients submitted to immediate breast reconstructions with an anatomical implant and ADM or IDF in a single center between 2016 and 2018. Outcomes evaluated included major complications, early complications, reinterventions, readmissions, and reconstruction failure. Simple descriptive statistics and univariate analysis were performed. Results A total of 118 breast reconstructions (85 patients) were included in the analysis. Patients in the IDF group had a higher body mass index (median = 27.0) than patients in the ADM group (median = 24). There were no statistically significant differences among both groups regarding immediate major complication, early complications, readmissions, and reinterventions. Conclusion There are no significant differences in complications between the ADM and IDF approach to immediate implant breast reconstruction. In patients with higher body mass index and large, ptotic breasts, we recommend an immediate implant reconstruction with IDF.

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Section: Discussionmentioning

confidence: 99%

“…The IDF serves the same purpose of a matrix, providing better coverage and better control of the implant pocket and limiting muscle dissection. 11,12 This study aimed to compare the outcomes and the incidence of postoperative complications between immediate single-stage breast reconstruction using ADM or an inferior dermal sling (IDF).…”

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confidence: 99%

Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap

et al. 2022

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“…Hansson et al [3] published a systematic review on the number of techniques used and synthesized it down to nine categories (Table 1). An ADF (termed a DS in this paper) can be used in the technique above ('classic' DS) or with a non-Wise pattern mastectomy.…”

Section: Reviewmentioning

confidence: 99%

The Benefits and Pitfalls of Using an Autologous Dermal Flap in Immediate Implant-Based Reconstruction

Garibotto¹

2021

Cureus

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One of the challenges of implant breast reconstruction post-subcutaneous mastectomy is coverage of the inferior pole of the implant to provide a barrier between the implant and skin. Numerous biological and synthetic meshes are available on the market for this purpose; however, they are often very costly and carry all the risks of using a foreign body. In patients with large ptotic breast, the skin of the inferior mastectomy flap can be used instead. A number of techniques and variations have been developed over the last 40 years driven by the increasing cost of healthcare and acceptance of breast reconstruction as vital part of breast cancer care and survivorship. This review outline the benefits and pitfalls of using an autologous dermal flap in breast construction and the variations in published use.

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“…The patient's own tissue is more elastic and moldable than the artificial products, and stretches naturally over time, and the double layer of dermis and subcutaneous fat provides good coverage and support of the implant. In cases of wound dehiscence at or around the T-junction, the flap underneath provides extra implant cover and reduces the risk of implant exposure (8). The risk of T-junction breakdown in Wise pattern mastectomies may be as high as 25% (12).…”

Section: Commentsmentioning

confidence: 99%

“…Two-stage procedures are commonly used, either by removing skin and nipple with expander to implant reconstruction, or breast reduction prior to directto-implant reconstruction (7). Bostwick described the use of a dermal sling and implant for Wise pattern mastectomy and immediate expander prosthesis reconstruction in 1990, and a few modifications have been reported (6,8), however, this method is not yet widely used.…”

Section: Introductionmentioning

confidence: 99%

Visualized immediate breast reconstruction with dermal flap and implant

Carstensen¹

2019

Gland Surg.

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show abstract

Breast reconstruction with a dermal sling: a systematic review of surgical modifications

Cited by 10 publications

References 64 publications

Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap

Comparison of Outcomes in Immediate Implant-Based Breast Reconstruction: Acellular Dermal Matrix versus Inferior Dermal Flap

The Benefits and Pitfalls of Using an Autologous Dermal Flap in Immediate Implant-Based Reconstruction

Visualized immediate breast reconstruction with dermal flap and implant

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