‘Reverse expansion’: A new technique of breast reconstruction with autologous tissue

Fabiocchi, Luca; Semprini, Gloria; Cattin, Federico; Dellachiesa, Laura; Fogacci, Tommaso; Frisoni, Giovanni B.; Samorani, Domenico

doi:10.1016/j.bjps.2017.07.001

Cited by 25 publications

(17 citation statements)

References 18 publications

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“…The latter study included the removal of the expander at the end of the programmed reconstruction, without any implant positioning, in order to guarantee a total autologous reconstruction. The same conclusion was reached by the study by Fabiocchi et al [44].…”

Section: Discussionsupporting

confidence: 84%

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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Section: Discussionsupporting

confidence: 84%

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

et al. 2019

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“…13 Other authors bring back quantities less important in the same conditions. 5,14,18 Of our part, 68.57% patients had one session only with a medium number of 1.34 sessions (1-3) and 6 women (17.14%) have already had 2 sessions before study. We decide on a new session according to the result of the previous session and the wish of the patient.…”

Section: Discussionmentioning

confidence: 71%

Mammary lipofiling seen to the hospital complex of Dax

Aimé¹,

Martial

Kamary

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: Taken care therapeutics of breast cancer is in constant evolution. She links, according to the stadium of illness, a specific treatment of the cancer and mammary reconstruction which makes integral part of the treatment of breast cancer today. The lipofilling or lipostructure is one of the techniques used in mammary reconstruction.Methods: A descriptive retrospective study on lipofilling accomplished in Hospital complex of Dax, France from January 1st, 2016 till October 31st, 2017 was accomplished, to assess the rate of aesthetic and psychological satisfaction of the patients on the basis of breast Q, then to assess its effectiveness and its security. The statistical analysis was made with the software Excel of Microsoft Office 2007.Results: Authors could record 52 lipofillings at 40 patients among 1212 gynecological surgical operations is 4.29% surgical activities. 47 cases (90.38%) of lipofilling were accomplished at 35 patients after a surgery for breast cancer accomplishing a frequency of 3.87% of surgical activity. The women from 49 to 54 years old are the most concerned the median age of which was of 52 years (37 and 73 years) and the patients are still sexually active in 26 cases (74.29%). The mastectomy was practiced in 32 cases (91.45%). An immediate reconstruction was accomplished at 29 (82.86%) patients. The back big rag autologous was used in 22 cases (62.85%). In 33 cases (94.27%), the lipofilling was accomplished to supplement the reconstruction among which by the back big rag at 22 patients (62.5%) and by mammary prosthesis at 11 patients (31.42%). One took a sample in 32 cases of a volume from 400 to 700 ml of grease average of which was 456.38 ml (200-800 ml). A volume from 200 to 300 ml was injected at 17 patients (36.17%) with an average of 264.14 ml (100-600 ml). No repetition of the cancer was recorded during this study. A score of more than 60 was recorded in every domain for the valuation of satisfaction in more than 90% cases.Conclusions: With the evolution of the taking care of the cancers of breast, mammary reconstruction by lipofilling is a technology which goes know a big development. It is a new way of natural reconstruction at the mastectomy patients who wish, more and more a less aggressive surgical gesture with good result.

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“…Deflation-LF sessions are conducted to prevent complications during reconstruction and reduce the frequency of postoperative complications. The positive effect of the deflation-LF procedure was demonstrated even with the removal of the expander at the end of the planned reconstruction, without any implant placement, in order to guarantee a totally autologous reconstruction [ 39 , 40 , 41 ]. A reconstructive system that includes prostheses and FG as integrated tools to improve the final reconstructive result with a volume consisting of fat and prosthesis in a variable percentage depending on the patient’s body profile and breast morphology did not show any complication rates higher than conventional two-stage reconstructions, achieving excellent esthetic results and high patient satisfaction levels [ 42 ].…”

Section: Lipofilling Of the Breastmentioning

confidence: 99%

Lipofilling in Breast Oncological Surgery: A Safe Opportunity or Risk for Cancer Recurrence?

Piccotti

Rybińska

Scoccia

et al. 2021

IJMS

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Lipofilling (LF) is a largely employed technique in reconstructive and esthetic breast surgery. Over the years, it has demonstrated to be extremely useful for treatment of soft tissue defects after demolitive or conservative breast cancer surgery and different procedures have been developed to improve the survival of transplanted fat graft. The regenerative potential of LF is attributed to the multipotent stem cells found in large quantity in adipose tissue. However, a growing body of pre-clinical evidence shows that adipocytes and adipose-derived stromal cells may have pro-tumorigenic potential. Despite no clear indication from clinical studies has demonstrated an increased risk of cancer recurrence upon LF, these observations challenge the oncologic safety of the procedure. This review aims to provide an updated overview of both the clinical and the pre-clinical indications to the suitability and safety of LF in breast oncological surgery. Cellular and molecular players in the crosstalk between adipose tissue and cancer are described, and heterogeneous contradictory results are discussed, highlighting that important issues still remain to be solved to get a clear understanding of LF safety in breast cancer patients.

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‘Reverse expansion’: A new technique of breast reconstruction with autologous tissue

Cited by 25 publications

References 18 publications

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

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

Mammary lipofiling seen to the hospital complex of Dax

Lipofilling in Breast Oncological Surgery: A Safe Opportunity or Risk for Cancer Recurrence?

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