Implant-Based Immediate Breast Reconstruction: Pre-pectoral vs. Sub-pectoral—An Outcome Analysis
| Autor: | Maurizio Brucchi, Emanuele Garreffa, Antonella Sozio, Guido Torresini |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Surgery Cardiac surgery 03 medical and health sciences Plastic surgery 0302 clinical medicine Cardiothoracic surgery 030220 oncology & carcinogenesis Pediatric surgery medicine 030211 gastroenterology & hepatology Neurosurgery Implant business Breast reconstruction Mastectomy |
| Zdroj: | Indian Journal of Surgery. 83:491-497 |
| ISSN: | 0973-9793 0972-2068 |
| DOI: | 10.1007/s12262-021-02810-5 |
| Popis: | Implant-based breast reconstruction (IBR) is the most common reconstructive procedure after mastectomy. In the last years pre-pectoral IBR gained popularity over the sub-pectoral technique but long-term outcomes are still unavailable. The aim is to compare the clinical outcomes of different approaches to IBR (direct-to-implant (DTI) and expander-to-implant (ETI), pre-pectoral and sub-pectoral techniques). A retrospective review of all patients undergoing immediate IBR from April 2011 to April 2019 under the care of a single plastic surgeon was performed. A total of 106 patients (138 breasts) underwent mastectomy and IBR. Although no significant statistical differences were identified, the incidence of skin necrosis was lower in ETI reconstructions. Pre-pectoral reconstructions had a shorter length of hospital stay. ETI sub-pectoral IBR confirms to be the safest option albeit requiring two surgical procedures. DTI pre-pectoral IBR seems to be related with a higher rate of implant loss if a complication happens. Conversely, in DTI sub-pectoral IBR complications can be more often managed conservatively. |
| Databáze: | OpenAIRE |
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