Prosthetic Breast Reconstruction and Red Breast Syndrome: Demystification and a Review of the Literature

Nahabedian, Maurice Y.

doi:10.1097/gox.0000000000002108

Cited by 25 publications

(19 citation statements)

References 32 publications

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“…However, this phenomenon can occasionally be witnessed in sterile, normally-healing wound environments such as breast reconstruction in the form of red breast syndrome (RBS). Although the etiology of RBS is speculative, it is limited in nature—resolving without treatment and theorized to clear as a consequence of ADM neovascularization [ 104 ]. RBS and other ADM-related adverse effects, although very rare, are likely related to the presence of endotoxin or wound contamination with microbes [ 105 ].…”

Section: Acellular Dermal Matricesmentioning

confidence: 99%

Chronic Diabetic Wounds and Their Treatment with Skin Substitutes

Holl

Kowaléwski

Zimek

et al. 2021

Cells

166

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With the global prevalence of type 2 diabetes mellitus steeply rising, instances of chronic, hard-healing, or non-healing diabetic wounds and ulcers are predicted to increase. The growing understanding of healing and regenerative mechanisms has elucidated critical regulators of this process, including key cellular and humoral components. Despite this, the management and successful treatment of diabetic wounds represents a significant therapeutic challenge. To this end, the development of novel therapies and biological dressings has gained increased interest. Here we review key differences between normal and chronic non-healing diabetic wounds, and elaborate on recent advances in wound healing treatments with a particular focus on biological dressings and their effect on key wound healing pathways.

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Section: Acellular Dermal Matricesmentioning

confidence: 99%

Chronic Diabetic Wounds and Their Treatment with Skin Substitutes

Holl

Kowaléwski

Zimek

et al. 2021

Cells

166

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“…По нашему мнению, важным критерием отбора для выполнения данной методики является pinch-тест. При толщине покровных тканей <1 см предпочтение стоит отдавать реконструкции с установкой эндопротеза в субпекторальной плоскости с дополнительным укрытием нижнего склона синтетическим либо биологическим материалом [35].…”

Section: опухоли женской репродуктивной системы Tumors Of Female Reprunclassified

“…M. Y. Nahabedian и соавт. приводят данные частоты встречаемости этого явления на фоне применения ADM -от 0 до 27 % [35].…”

Section: виды осложнений после одномоментной препекторальной реконстрunclassified

Complications after simultaneous prepectoral breast reconstruction using polyurethane-coated implants in patients with breast cancer

Власова

Зикиряходжаев

Reshetov

et al. 2021

Opuholi ženskoj reproduktivnoj sistemy

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Background. The development and improvement of reconstructive breast surgery provides medical, psychological and social rehabilitation of cancer patients, allowing them to achieve the best cosmetic and functional results. The trend towards the return of prepectoral reconstruction is associated not only with the improvement of mastectomy techniques, but also with implant coating and the emergence of highly cohesive silicone gel filling of implants. The use of polyurethane-coated endoprostheses in prepectoral reconstruction provides more reliable fixation to the surrounding tissues and allows reconstruction of the mammary glands without additional covering of the endoprosthesis.Objective: to improve the results of surgical treatment when performing a one-stage reconstruction by pre-rectal placement of polyurethanecoated implants in breast cancer. Materials and methods. In the period from April 2017 to September 2020 at the Department of Oncology and Reconstructive Plastic Surgery of the Breast and Skin of P.A. Herzen Moscow Oncology Research Institute performed 340 prepectoral breast reconstructions (direct-toimplant) using polyurethane-coated implants in breast cancer patients. A group of patients was analyzed (n = 208).Results. We noted the following complications: prolonged seroma (more than 30 days) in 39 (18.6 %) patients, red breast syndrome in 31 (14.8 %) patients, capsular contracture III–IV degree by J.L. Baker in 43 (20.57 %) patients, protrusion/extrusion of the endoprosthesis in 23 (11 %) patients, suture divergence in 8 (3.8 %) patients, necrosis in 8 (3.8 %) patients, infectious complications in 14 (6.7 %) patients, ripping in 10 (4.8 %) patients. Also, 2 (0.95 %) patients had a violation of the integrity of the endoprosthesis, and 2 (0.95 %) patients had rotation of the endoprosthesis. Conclusions. Prepectoral breast reconstruction can be used as an alternative to subpectoral reconstruction in primary operable forms of breast cancer with sufficient thickness of integumentary tissues.

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“…15 ADM is also associated with red breast syndrome with an incidence of 6.4%. 16 This entity is characterized by erythema directly overlying the ADM and is thought to be secondary to lymphedema and lymphatic obstruction postoperatively. All cases of breast erythema are empirically treated with antibiotics, but discontinued after 1 week if no change, and redbreast syndrome is presumed.…”

Section: Complicationsmentioning

confidence: 99%

“…Most cases are self-limiting, but prolonged red breast syndrome is occasionally treated with explantation of ADM and implant and conversion to autologous breast reconstruction. 16 Other important complications to consider are infection, seroma, hematoma, implant loss, mastectomy flap necrosis, and NAC necrosis (Tables 1 and 2). It should be noted that long-term comparative studies between prepectoral and subpectoral implant placement complications are not yet available.…”

Section: Complicationsmentioning

confidence: 99%

<p>Prepectoral Breast Reconstruction: An Overview of the History, Technique, and Reported Complications</p>

Bloom¹,

Patel²,

Cohen³

et al. 2020

OAS

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Prepectoral breast reconstruction is an increasingly prevalent form of breast reconstruction. Prepectoral breast reconstruction was abandoned in the past due to various complications but has recently made a resurgence due to the development of acellular dermal matrices and innovative techniques. The purpose of this review article is to discuss the history, techniques, benefits, and potential complications of prepectoral breast reconstruction. The article also reviews current literature to evaluate published complication rates. Complications evaluated include infection (3.67%), wound dehiscence (2.10%), skin necrosis (3.67%), seroma (2.89%), hematoma (1.34%), implant loss (3.28%), return to the OR (6.15%), contracture (3.61%), and rippling (7.38%). In conclusion, prepectoral breast reconstruction is a reliable, safe, and aesthetically feasible method of breast reconstruction. With increasing interest in this technique, it is important that surgeons and patients are familiar with prepectoral reconstruction and this article aims at providing this information.

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Prosthetic Breast Reconstruction and Red Breast Syndrome: Demystification and a Review of the Literature

Abstract: Supplemental Digital Content is available in the text.

Cited by 25 publications

References 32 publications

Chronic Diabetic Wounds and Their Treatment with Skin Substitutes

Chronic Diabetic Wounds and Their Treatment with Skin Substitutes

Complications after simultaneous prepectoral breast reconstruction using polyurethane-coated implants in patients with breast cancer

<p>Prepectoral Breast Reconstruction: An Overview of the History, Technique, and Reported Complications</p>

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