Complications, patient-reported outcomes, and aesthetic results in immediate breast reconstruction with a dermal sling: A systematic review and meta-analysis

Jepsen, Christian; Hallberg, Håkan; Pivodic, Aldina; Elander, Anna; Hansson, Emma

doi:10.1016/j.bjps.2018.12.046

Cited by 5 publications

(5 citation statements)

References 47 publications

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“…13 Consequently, even if the skin necrosis and the IDF becomes exposed, it is still capable of surviving and protecting the implant with meager rates of reconstructive failure. 11,17 If the ADM were used in this context (Wise-pattern mastectomies for large breasts), wound breakdown would lead to ADM exposure and consequently to infection and implant extrusion. 12 This study has several limitations.…”

Section: Discussionmentioning

confidence: 99%

“… 3 5 8 14 15 16 Concerning IDF reconstruction we had a 23.5% rate of major complications which is also in accordance to most published results (7.5–32.2%). 2 8 11 13 17 …”

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).…”

mentioning

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 …”

mentioning

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%

“… 3 5 8 14 15 16 Concerning IDF reconstruction we had a 23.5% rate of major complications which is also in accordance to most published results (7.5–32.2%). 2 8 11 13 17 …”

Section: Discussionmentioning

confidence: 99%

mentioning

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 …”

mentioning

confidence: 99%

See 2 more Smart Citations

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

et al. 2022

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“…En esta té cnica se extrae el CAP y se afina para despué s injertarlo en el nuevo montículo mamario creado. A pesar de que el autor no describe complicaciones en su experiencia inicial, a excepció n de contractura capsular 1 , estudios recientes encuentran tasas generales de complicació n en torno al 20%, especialmente necrosis del CAP con posible pé rdida del injerto 2 .…”

Section: Introducció Nunclassified

Mastectomía preservadora de piel con colgajo dermograso desepitelizado (técnica de Spira modificada) y reconstrucción mediante implante directo

et al. 2021

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Dermal Flap Based Breast Reconstruction

Verma,

Parmeshwar

2023

Breast Oncoplasty and Reconstruction

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Complications, patient-reported outcomes, and aesthetic results in immediate breast reconstruction with a dermal sling: A systematic review and meta-analysis

Cited by 5 publications

References 47 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

Mastectomía preservadora de piel con colgajo dermograso desepitelizado (técnica de Spira modificada) y reconstrucción mediante implante directo

Dermal Flap Based Breast Reconstruction

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