Immediate Breast Reconstruction with Direct, Anatomic, Gel-Cohesive, Extra-Projection Prosthesis: 400 Cases

Delgado, Jorge Fdez; García-Guilarte, R. Fernández; Palazuelo, Manuela Rodríguez; Sánchez-Méndez, José Ignacio; Pérez, C. Casado

doi:10.1097/prs.0b013e3181cb63c2

Cited by 34 publications

(18 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…20 As well, we cannot agree with plastic surgeons who plan to harvest the pectoral muscle destroying all fascial relationships at the submammary fold and rebuild a subcutaneous pocket using the lower mastectomy skin flap. 21 This maneuver involves progressive retraction of muscle fibres over time and potential complication risks in case of post-op breast irradiation.…”

Section: Discussionmentioning

confidence: 99%

Breast Operative Technique for Single-Stage Reconstruction after Conservative Skin Sparing and Nipple Sparing Mastectomies: A Preliminary Study

Riggio

Ottolenghi

Nava

2012

Surgical Techniques Development

View full text Add to dashboard Cite

The Authors present a novel technique of immediate breast reconstruction with definite implants after mastectomy conserving the nipple-areola complex and, less frequently, in skin-sparing mastectomy. The increase of indications for both oncologic and prophylactic nipple-sparing mastectomy has induced the research for a single-stage technique that could replace the two-stage reconstruction with expanders and/or autogenous reconstructions with flaps. The new techniques introduce modifications of the pocket coverage for the implants occurring in two ways: i) autologous adaptation of muscle-fascia-fat-skin layers, ii) application of alloplastic materials as the meshes. A series of 124 immediate reconstructions were performed from 2008 to 2011 using a continuous composite pocket made of pectoralis maior and serratus anterior muscle above, and skin-fat flap below. The innovation is represented by an extended electrosurgical scoring of the lower pole of the mammary pocket at two levels. The first is the deep-fascia and muscle layer; the second is the superfiacial fascial system. This operative technique represents an advancement of a prior procedure described by the Authors in 1998. This preliminary study would primarily describe the technique step by step. Discussion debates about alternative techniques in terms of either surgical details of technique or cosmetic results are still to be reached.

show abstract

Section: Discussionmentioning

confidence: 99%

Breast Operative Technique for Single-Stage Reconstruction after Conservative Skin Sparing and Nipple Sparing Mastectomies: A Preliminary Study

Riggio

Ottolenghi

Nava

2012

Surgical Techniques Development

View full text Add to dashboard Cite

show abstract

“…Immediate reconstruction with placement of a permanent implant at the outset has many advantages over the employment of a staged tissue expansion techniques, including lower cost, and lower anaesthetic risk. 33 However Delgado et al 34 suggest that a staged procedure may be associated with lower complication rates and lower reoperation rates.…”

Section: Breast Reconstruction and Radiotherapymentioning

confidence: 98%

Postmastectomy radiotherapy: Indications and implications

et al. 2014

View full text Add to dashboard Cite

“…The replacement of the mammary gland itself can either be performed using autologous tissue, eventually in combination with an implant (SSM/NSM) or solely with implants (SCM) [14,[47][48][49].…”

Section: Primary Breast Reconstructionmentioning

confidence: 99%

Patient Selection and Technical Considerations in Nipple-Sparing and Areola-Sparing Mastectomy

Dieterich

Gerber

2011

Curr Breast Cancer Rep

View full text Add to dashboard Cite

Skin-sparing (SSM) and nipple-sparing mastectomy (NSM) have gained widespread popularity over the past few years. Breast reconstruction is facilitated and the aesthetic result is improved in comparison to patients undergoing mastectomy alone. The oncologic safety has been demonstrated in various publications. However, discussions still arise regarding correct patient selection and the role of histologic assessment of the subareolar tissue of the nipple areola complex (NAC) to exclude possible tumor infiltration, as this is the main limiting factor of NSM. This review focuses on oncologic consideration, correct patient selection, and surgical management for patients eligible for SSM/NSM. The most recent literature was reviewed to provide evidenced-based recommendations for daily clinical routine.

show abstract

Immediate Breast Reconstruction with Direct, Anatomic, Gel-Cohesive, Extra-Projection Prosthesis: 400 Cases

Cited by 34 publications

References 33 publications

Breast Operative Technique for Single-Stage Reconstruction after Conservative Skin Sparing and Nipple Sparing Mastectomies: A Preliminary Study

Breast Operative Technique for Single-Stage Reconstruction after Conservative Skin Sparing and Nipple Sparing Mastectomies: A Preliminary Study

Postmastectomy radiotherapy: Indications and implications

Patient Selection and Technical Considerations in Nipple-Sparing and Areola-Sparing Mastectomy

Contact Info

Product

Resources

About