Hybrid Breast Reconstruction: Preliminary Report

Calabrese, Sarah; Zingaretti, Nicola; Zanin, Chiara; Fin, Alessandra; Mura, Sebastiano; Parodi, PierCamillo

doi:10.1097/gox.0000000000001660

Cited by 3 publications

(3 citation statements)

References 9 publications

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“…Hammond et al reported an overall capsular contracture incidence of 9.8%; the rate after postmastectomy radiation therapy (PMRT) was 18.7%, and 7.5% for patients without PMRT. The recent evidence suggests that periprosthetic fat grafting may decrease the capsular contracture rate [49][50][51][52][53].…”

Section: Discussionmentioning

confidence: 99%

Outcomes in Hybrid Breast Reconstruction: A Systematic Review

et al. 2022

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Background and Objectives: Lipofilling is a commonly performed procedure worldwide for breast augmentation and correction of breast contour deformities. In breast reconstruction, fat grafting has been used as a single reconstructive technique, as well as in combination with other procedures. The aim of the present study is to systematically review available studies in the literature describing the combination of implant-based breast reconstruction and fat grafting, focusing on safety, complications rate, surgical sessions needed to reach a satisfying reconstruction, and patient-reported outcomes. Materials and Methods: We adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) throughout the whole review protocol. A systematic review of the literature up to April 2022 was performed using Medline, Embase, and Cochrane Library databases. Only studies dealing with implant-based breast reconstruction combined with fat grafting were included. Results: We screened 292 articles by title and abstract. Only 48 articles were assessed for full-text eligibility, and among those, 12 studies were eventually selected. We included a total of 753 breast reconstructions in 585 patients undergoing mastectomy or demolitive breast surgeries other than mastectomy (quadrantectomy, segmentectomy, or lumpectomy) due to breast cancer or genetic predisposition to breast cancer. Overall, the number of complications was 60 (7.9%). The mean volume of fat grafting per breast per session ranged from 59 to 313 mL. The mean number of lipofilling sessions per breast ranged from 1.3 to 3.2. Conclusions: Hybrid breast reconstruction shows similar short-term complications to standard implant-based reconstruction but with the potential to significantly decrease the risk of long-term complications. Moreover, patient satisfaction was achieved with a reasonably low number of lipofilling sessions (1.7 on average).

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Section: Discussionmentioning

confidence: 99%

Outcomes in Hybrid Breast Reconstruction: A Systematic Review

et al. 2022

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“…), adding volume, changing the form and avoiding submuscular implant placement [3][4][5][6][7][8][9][10][11][12][13]. Simultaneous combination of BA with implants and FG is called hybrid or composite BA [6,11,12,14,15]. FG to the breast with implants inside carries the risk of the implant puncture.…”

Section: Introductionmentioning

confidence: 99%

Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

Batiukov¹,

Podgaiski

Mikulich

et al. 2020

BMC Surg

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Background Breast augmentation with implants continues to be the most popular aesthetic surgical procedure performed worldwide. Fat grafting may improve the results of breast augmentation and breast reconstruction with implants. However, fat grafting to the breast with implants carries the risk of implant puncture. To our best knowledge this is the first case in which polyurethane implant puncture during fat grafting is described. Case presentation We report multiple bilateral implant punctures with the cannula during fat grafting in a patient who previously underwent breast reconstruction with polyurethane implants. Conclusions Implants that promote tissue ingrowth may be more prone to puncture with the cannula during fat grafting. Specific planning and surgical maneuvers decrease the risk of implant puncture. Level of evidence Level V, case report.

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“…The aim of our study is to evaluate long-term results of a "hybrid breast reconstruction" (HBR) protocol [26], wherein fat grafting is performed during the course of the expander/ implant reconstruction. The main object of the study is to determine the rate of capsular contracture.…”

Section: Introductionmentioning

confidence: 99%

Long-term impact of lipofilling in hybrid breast reconstruction: retrospective analysis of two cohorts

et al. 2019

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Lipofilling has recently gained popularity as a tool in primary treatment of breast cancer, and its association with two-stage implant breast reconstruction is considered as standard treatment in many centers. However, no data are available about the longterm results of the association of lipofilling in combination with expander-implant reconstruction. A retrospective analysis was conducted on patients treated between January 2010 and December 2014. Two groups were compared. Group 1 had a standard expander-implant two-stage reconstruction. Group 2 underwent hybrid breast reconstruction (HBR). Patient characteristics, hospitalization, outcomes, reoperation details, outpatient visits, and evaluation questionnaires were taken into consideration. Intergroup comparison was performed using Wilcoxon Mann-Whitney U test and Pearson's chi-square test or Fisher's exact test for categorical variables. Two hundred fourteen patients were evaluated: 130 patients in group 1 and 84 patients in group 2. Group 2 showed significant benefits over group 1 in terms of capsular contracture rate, breast pain, and displacement/rotation of the implant (p = 0.005). The HBR protocol is associated with lower rate of capsular contracture, less breast pain at long follow-up times, and lower overall rates of revision surgery compared to standard expander-implant reconstruction. A specific cost analysis will help further clarify the advantages of this protocol over a standard procedure. Level of Evidence: Level III, risk/prognostic, therapeutic study.

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Hybrid Breast Reconstruction: Preliminary Report

Cited by 3 publications

References 9 publications

Outcomes in Hybrid Breast Reconstruction: A Systematic Review

Outcomes in Hybrid Breast Reconstruction: A Systematic Review

Multiple polyurethane implant punctures during fat grafting: case report and review of the literature

Long-term impact of lipofilling in hybrid breast reconstruction: retrospective analysis of two cohorts

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