Weight Measurement and Volumetric Displacement of Breast Implants and Tissue Expanders

Wenzel, Chad G.; Wacholtz, William F.; Janssen, David A.; Bengtson, Bradley P.

doi:10.1016/j.cps.2015.06.010

Cited by 2 publications

(1 citation statement)

References 27 publications

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“…Breast reconstruction methods, including tissue expanders and implants, [ 1 , 2 ] may lead to adverse consequences. For instance, implants may require removal due to infection or other complication such as rupture or problematic capsular formation and, in addition, implants do not have an infinite lifespan and, therefore, require replacement at various stages throughout a patients life.…”

Section: Introductionmentioning

confidence: 99%

A comparative study for the rate of adverse outcomes in unilateral and bilateral abdominal flap breast reconstruction

Cao

Pang

et al. 2020

Medicine

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Background: Adverse outcomes after unilateral vs bilateral breast reconstruction involve an unknown level of risk that warrants thorough investigation. Methods: To address this research need, PubMed, Ovid, Medline, EMBASE, and Scopus databases were searched through systematically from January 1, 1990, to January 1, 2019 to retrieve the relevant studies on the risk of postoperative complications after unilateral vs bilateral abdominal flap breast reconstruction. According to the pre-designed inclusion criteria, available data were extracted from the relevant studies, and then analyzed comparatively in order to identify the relative risk (RR) and 95% confidence intervals (CI) applying either a random or a fixed effects model. Results: Eventually, 20 studies involving 8122 female subjects met the inclusion criteria. It was found that unilateral reconstruction involved a significantly higher risk of flap loss (RR: 1.56, 95% CI: 1.21–2.00; P < .05) and fat necrosis (RR: 1.60, 95% CI: 1.23–2.09; P < .05) compared to bilateral reconstruction, while bilateral reconstruction involved a greater risk of abdominal hernia/bulge (RR: 1.67, 95% CI: 1.25–2.24; P < .05). The risk was found to be higher following bilateral free transverse rectus abdominis myocutaneous (fTRAM) flaps in comparison with deep inferior epigastric perforator (DIEP) flaps (RR: 2.62, 95% CI: 1.33–5.15; P < .05). Conclusion: The risk of postoperative flap complications in unilateral breast reconstruction is significantly higher than that in bilateral reconstruction. Contrarily, the abdominal complications were significantly higher in the bilateral group vs the unilateral group. Meanwhile, the risk of abdominal hernia/bulge complication after bilateral breast reconstruction was significantly higher with fTRAM vs DIEP. Therefore, DIEP flaps are recommended in priority for bilateral breast reconstruction, unless specifically contraindicated.

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Section: Introductionmentioning

confidence: 99%

A comparative study for the rate of adverse outcomes in unilateral and bilateral abdominal flap breast reconstruction

Cao

Pang

et al. 2020

Medicine

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Estimating Implant Volume and Mastectomy-Specimen Volume by Measuring Breast Volume With a 3-Dimensional Scanner

Utsunomiya

Kusano²,

Sato³

et al. 2017

Annals of Plastic Surgery

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A strong correlation existed between preoperative breast volume, mastectomy-specimen volume, and implant volume. The following formulae were calculated:Mastectomy-specimen volume (mL) = 1.01 × preoperative breast volume (mL) + 9.91Implant volume (mL) = 0.90 × preoperative breast volume (mL) + 65.42Implant volume (mL) = 0.68 × mastectomy-specimen volume (mL) + 68.26This study shows that preoperative breast volume, as measured by a 3D Kinect scanner, can provide useful assistance in the preoperative choice of implant size.

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Weight Measurement and Volumetric Displacement of Breast Implants and Tissue Expanders

Cited by 2 publications

References 27 publications

A comparative study for the rate of adverse outcomes in unilateral and bilateral abdominal flap breast reconstruction

A comparative study for the rate of adverse outcomes in unilateral and bilateral abdominal flap breast reconstruction

Estimating Implant Volume and Mastectomy-Specimen Volume by Measuring Breast Volume With a 3-Dimensional Scanner

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