The Impact of Adjuvant Radiotherapy on Immediate Prepectoral Implant-Based Breast Reconstruction

Ostapenko, Edvin; Nixdorf, Larissa; Devyatko, Yelena; Exner, Ruth; Wimmer, Kerstin; Fitzal, Florian

doi:10.1007/s00266-023-03661-z

Cited by 4 publications

(1 citation statement)

References 28 publications

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“…Nevertheless, the recent retrospective study revealed that patients in the radiotherapy cohort exhibited a greater incidence of capsular contracture and implant loss compared to those in the non-radiation group. Nonetheless, the frequency of complications remained within an acceptable spectrum, and by providing patients with comprehensive preoperative information, they can experience enhanced advantages from immediate reconstruction, thereby displaying an exceptional overall quality of life, regardless of radiation [ 62 ].…”

Section: Prepectoral Breast Reconstruction and Impact Of Radiotherapymentioning

confidence: 99%

Current Global Trends in Prepectoral Breast Reconstruction

Taj,

Chandavarkar,

Vidya

2024

Medicina

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Implant-based breast reconstruction (IBBR) is the most frequently performed procedure for breast reconstruction following mastectomy, which involves the surgical placement of breast implants. The approach to breast reconstruction can be divided into two main categories, namely prepectoral breast reconstruction (PPBR) and subpectoral breast reconstruction (SPBR), based on the implant plan and placement technique. In recent years, there has been a significant surge in the popularity of prepectoral implant-based breast reconstruction, where the implants are positioned above the chest muscle, as opposed to beneath it in the subpectoral approach. However, despite this growing preference, there is a lack of comprehensive data regarding the national trends in the utilization of this technique, thus necessitating further investigation. This narrative review aims to ascertain the current global patterns linked to prepectoral breast reconstruction and elucidate the considerations surrounding patient and implant selection, reconstructive techniques, the utilization of meshes in prepectoral reconstruction, the ensuing outcomes and complications, the ramifications of radiotherapy, and the potential advantages of integrating fat infiltration into the implementation of this technique in breast reconstruction with a focus on published papers in last five years. Conclusion: Prepectoral breast reconstruction has emerged as an appropriate surgical option for individuals seeking breast reconstruction. This development can be attributed to the recent progress made in implant technology, which has significantly enhanced the outcomes of this procedure. Additionally, advancements in mastectomy techniques, autologous fat grafting, and the use of acellular dermal matrices (ADMs) have also played a vital role in improving the aesthetic results of prepectoral breast reconstruction. As a result, the significance and effectiveness of this technique in the field of breast reconstruction have been firmly established, making it an essential component of the overall armamentarium available to plastic surgeons for breast reconstruction purposes.

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Section: Prepectoral Breast Reconstruction and Impact Of Radiotherapymentioning

confidence: 99%

Current Global Trends in Prepectoral Breast Reconstruction

Taj,

Chandavarkar,

Vidya

2024

Medicina

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The Challenges of Lobular Carcinomas from a Surgeon’s Point of View

Riis

2024

Clinical Breast Cancer

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Prepectoral Breast Reconstruction

Seth,

Sisco

2024

Plastic &Amp; Reconstructive Surgery

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Learning Objectives: After studying this article, the participant should be able to: 1. Describe indications and patient factors relevant to performing prepectoral breast reconstruction. 2. Understand the effects of different types of implants and implant support in prepectoral breast reconstruction. 3. Describe techniques for surgical revision to improve outcomes in prepectoral breast reconstruction. 4. Understand the current literature surrounding clinical and quality-of-life outcomes in prepectoral breast reconstruction. Summary: This article goes beyond a general review of prepectoral breast reconstruction, providing a working framework and important considerations for any surgeon utilizing prepectoral breast reconstruction techniques. This article also addresses current controversies, provides practice tips and technical pearls, and addresses gaps in knowledge with both opinion and a review of the most current literature.

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The Impact of Adjuvant Radiotherapy on Immediate Prepectoral Implant-Based Breast Reconstruction

Cited by 4 publications

References 28 publications

Current Global Trends in Prepectoral Breast Reconstruction

Current Global Trends in Prepectoral Breast Reconstruction

The Challenges of Lobular Carcinomas from a Surgeon’s Point of View

Prepectoral Breast Reconstruction

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