Immediate Bilateral Breast Reconstruction With Implants and Inferolateral AlloDerm Slings

Breuing, Karl H.; Warren, Stephen M.

doi:10.1097/01.sap.0000168527.52472.3c

Cited by 488 publications

(323 citation statements)

References 44 publications

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“…Complex patient selection and the requirement for preoperative CT (in DIEP flap surgery) also make autologous reconstructions a less attractive reconstructive technique35, 36, 37. ADMs were first reported in 200538. Increasing utilization of ADMs may have contributed to the increase in implant‐based reconstructions as their use obviates the need for total muscle coverage, which frequently requires the use of a tissue expander in a two‐stage procedure.…”

Section: Discussionmentioning

confidence: 99%

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

et al. 2017

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BackgroundBreast reconstruction is an important component of multidisciplinary breast cancer management. The practice of breast reconstruction after mastectomy has evolved significantly in the past decade as a result of both increasing mastectomy rates and advances in reconstructive strategy. These changes have significantly influenced the contemporary surgical management of breast cancer. The aim of this study was to examine trends in breast reconstruction after mastectomy in an Irish population.MethodsData were reviewed from a database of all patients who had mastectomy with or without breast reconstruction at Galway University Hospital, a tertiary breast cancer referral centre, between 2004 and 2014. Trends in breast reconstruction after mastectomy were explored with respect to patient demographics, clinicopathological features, and neoadjuvant and adjuvant therapy.ResultsOf 1303 patients who underwent mastectomy during interval studied, 706 (54.2 per cent) had breast reconstruction after mastectomy. In 629 patients (89·1 per cent), breast reconstruction was performed in the immediate setting. Reconstruction rates increased over time from 20·5 per cent in 2004 to 44·7 per cent in 2014. Reconstruction was more commonly performed in younger patients and those with benign, in situ and early‐stage disease. A negative relationship between radiotherapy and reconstruction was observed. A pedicled flap with or without an implant was the most commonly used reconstructive approach in patients receiving radiotherapy.ConclusionBreast reconstruction after mastectomy has become the standard of care in the surgical treatment of breast cancer. Recent trends show a transition favouring implant‐based approaches.

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Section: Discussionmentioning

confidence: 99%

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

et al. 2017

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“…Biological matrices have been used in breast reconstruction since 2005 [10] and are now used by the majority of plastic For categorical variables, n (%) is presented. For comparison between the groups, Fisher's exact test (lowest one-sided p value multiplied by 2) was used for dichotomous variables.…”

Section: Discussionmentioning

confidence: 99%

“…The usage of matrices was first reported in secondary aesthetic breast surgery in 2001 [9] and in breast reconstruction in 2005 [10]. Reports have stated that the majority of plastic surgeons in the USA now use a matrix in implant-based breast reconstruction [1].…”

Section: Introductionmentioning

confidence: 99%

Complications, long-term outcome and quality of life following Surgisis® and muscle-covered implants in immediate breast reconstruction: a case-control study with a 6-year follow-up

et al. 2018

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Background Matrices are now commonly used in breast reconstruction, but the scientific evidence is still scares. The main aim was to compare complications and the need for corrections in immediate breast reconstruction with the porcine-derived Surgisis ® with the traditional muscle-covered technique. The secondary aim was to compare long-term quality of life and satisfaction. Methods All consecutive patients who had their breast reconstructed with a Surgisis ® or muscle-covered tissue expander/implant were included. Patients were followed clinically and with BREAST-Q. Results During the study period, 116 reconstructions (71 patients) were operated in the Surgisis ® group and 132 reconstructions (90 patients) in the control group. The median follow-up time was 74 months (min 43-max 162). The total early complication rate was 37% in the Surgisis ® group and 27% in the control group. There were no differences in implant loss (p = 0.68) or total number of complications (p = 0.24) between the two groups. Risk factors for complications were mainly patient characteristics and the use of a tissue expander. There was a slightly higher capsular contracture frequency in the Surgisis ® patients (4.2% vs. 2.5%). The need for corrections and patient satisfaction and quality of life were similar in the two groups. Conclusions The use of Surgisis ® in implant-based reconstruction seems to result in an acceptable total early complication rate. The rate might be higher in tissue expander-based reconstruction. Risk factors are mainly patient characteristics. The capsular contracture rate and need for corrections, as well as patient satisfaction and quality of life, are similar in the Surgisis ® patients and muscle-covered controls. Level of evidence: III

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“…In the original report of Breuing as well as in five subsequent randomized studies the effectiveness and success of immediate reconstruction when using ADM were proven [38,41,42,[47][48][49]. In these retrospective studies, the overall incidence of complications was between 6,9% and 25%.…”

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confidence: 99%

Biological and Synthetic Mesh Use in Reconstructive Surgery in Patients With Breast Cancer

Ермощенкова¹,

Чиссов²,

Usov³

et al. 2017

Issled. prakt. med. (Print)

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Introduction. In recent years, considerable success has been achieved in complex and combined treatment of breast cancer (BC). Reconstructive plastic surgery plays an important role in the rehabilitation of patients with breast cancer and it is currently considered as the causal treatment of mental disorders caused by loss of femininity and integrity of one's own body. One-step breast reconstruction for cancer treatment makes it possible to use supplementary materials -synthetic and biological implants that can replace muscle autografts and thereby reduce trauma, blood loss, operation time, and thereby help to avoid the defect of donor areas. The authors describe the state of the art at present and demonstrate the results of their own research.

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Immediate Bilateral Breast Reconstruction With Implants and Inferolateral AlloDerm Slings

Cited by 488 publications

References 44 publications

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

Complications, long-term outcome and quality of life following Surgisis® and muscle-covered implants in immediate breast reconstruction: a case-control study with a 6-year follow-up

Biological and Synthetic Mesh Use in Reconstructive Surgery in Patients With Breast Cancer

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