2020
DOI: 10.1016/j.surge.2019.09.007
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Single stage immediate breast reconstruction with acellular dermal matrix and implant: Defining the risks and outcomes of post-mastectomy radiotherapy

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Cited by 14 publications
(8 citation statements)
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“…They found no significant risk of implant loss 1.1% vs 3.6%, rippling of 0.6% vs 0, seroma 8% vs 7.1%, and infection 5.2% vs 0 between the two groups. However, the capsular contracture rate was higher in the PMRT group, 10.7% compared to non-PMRT group 0.6%, which was statistically significant 37,38 . In comparison, the effect of PMRT in patients who had subpectoral implant-based breast reconstruction versus prepectoral one, contracture rate was significantly higher for the subpectoral patients with PMRT than for the prepectoral patients with PMRT (52.2 vs 16.1%; P=0.0018) 24 .…”
Section: Breast Reconstruction and Radiotherapymentioning
confidence: 74%
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“…They found no significant risk of implant loss 1.1% vs 3.6%, rippling of 0.6% vs 0, seroma 8% vs 7.1%, and infection 5.2% vs 0 between the two groups. However, the capsular contracture rate was higher in the PMRT group, 10.7% compared to non-PMRT group 0.6%, which was statistically significant 37,38 . In comparison, the effect of PMRT in patients who had subpectoral implant-based breast reconstruction versus prepectoral one, contracture rate was significantly higher for the subpectoral patients with PMRT than for the prepectoral patients with PMRT (52.2 vs 16.1%; P=0.0018) 24 .…”
Section: Breast Reconstruction and Radiotherapymentioning
confidence: 74%
“…The study looked at IBR with ADM with and without radiotherapy in n=91 patients; this showed no significant difference in the revision surgeries in the 2 group. Still, the rate of capsular contracture was higher in the RT group 37 . 2020…”
Section: Chandersekarans Apte Amentioning
confidence: 76%
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“…The pre-pectoral breast reconstruction is burdened by the following patient complaints: rippling (up to 4.5%) and visible implants (4.3%). The submuscular breast reconstruction is burdened by postoperative pain with significant impact on daily activities (5%), implant deformity and less-natural cosmetic outcomes (until 7%) [ 6 , 93 , 108 , 117 , 118 , 119 , 120 , 121 , 122 , 123 , 124 ]. Onesti et al suggested a modified technique in obesity patients with large breasts, using a dermal flap to cover the ADM-implant in the pre-pectoral plane, in order to improve the outcomes.…”
Section: Resultsmentioning
confidence: 99%
“…The following data were extracted from each article: author, publication year, type of cohort, age, number of breasts in each group (PMRT/non-PMRT), RT protocol and timing, and length of follow-up. The surgical outcomes were classified, as Apte et al 9 proposed, in early or late complications according to the timing of each event, less than 6 weeks postsurgery, or more than 6 weeks postoperative. Early complications included surgical site infection, mastectomy flap necrosis, seroma/hematoma, and implant extrusion.…”
Section: Methodsmentioning
confidence: 99%