Different types of implants for reconstructive breast surgery

Abstract

* The basis f or the assumed risk (e.g. the m edian control group risk across studies) is provided in f ootnotes. The corresponding risk (and its 95% conf idence interval) is based on the assum ed risk in the com parison group and the relative effect of the intervention (and its 95% CI). CI: conf idence interval; RR: risk ratio GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our conf idence in the estim ate of ef f ect. M oderate quality: Further research is likely to have an im portant im pact on our conf idence in the estim ate of ef f ect and m ay change the estim ate. Low quality: Further research is very likely to have an im portant im pact on our conf idence in the estim ate of ef f ect and is likely to change the estim ate. Very low quality: We are very uncertain about the estim ate. 1 We downgraded twice based on unclear risk of selection, perf orm ance and detection bias. 2 We downgraded once because the result was based on only one study with 20 participants.

Guidance and Standards for Breast Cancer Care in Europe

“…Furthermore, according to the NICE guidelines as of July 2018, if invasive cancer/DCIS is found within the 2 mm limit, an individual approach should be taken into consideration and the benefits and risks of further surgery should be discussed individually with the patient [6]. Both NICE and ESMO guidelines recommend offering immediate reconstructive surgery postmastectomy, the use of silicone gel implants being a safe and acceptable method of choice (IIIA) [1,16]. Oncoplastic BCS should be taken into consideration, in order to improve the aesthetic outcomes, especially in women with large breasts [17].…”

Managing psychosocial issues faced by young women with breast cancer at the time of diagnosis and during active treatment

“…Young women should, thus, be aware of the esthetic and psychosocial compromises when delayed reconstruction is necessary, particularly for tissue expansion and radiotherapy [26,27]. They also have to live with their reconstruction for a longer period, making the long-term failure of implant reconstruction, including rupture, migration, and capsular contracture, important concerns [28]. Young women in particular must, therefore, be educated about the long-term failure rates (and associated costs of reoperation) of different types of reconstruction when making decisions about their appearance.…”

Ultrastructural features of the double capsulated connective tissue around silicone prostheses

“…Implant surfaces represent an important feature influencing implant selection (Carr, Roberts, & Potochny, 2019; Hillard, Fowler, Barta, & Cunningham, 2017; Magnusson, Connell, et al, 2019; Magnusson, Cooter, et al, 2019; Rocco, Rispoli, Moja, et al, 2016). Textured surfaces have been long considered less prone to dislocations of the prosthesis than smooth ones but to the former is associated the formation of the capsule.…”