Technical approach and clinical outcomes of delayed two-stage tissue expander/implant breast reconstruction: a single-institution experience

Autor: Myeong Jae Kang, Jung Ho Lee, Hyeon Jun Jeon, Jeong Yeop Ryu, Joon Seok Lee, Kang Young Choi, Ho Yun Chung, Byung Chae Cho, Jeeyeon Lee, Ho Yong Park, Jung Dug Yang
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Archives of Aesthetic Plastic Surgery, Vol 29, Iss 2, Pp 89-96 (2023)
Druh dokumentu: article
ISSN: 2234-0831
2288-9337
DOI: 10.14730/aaps.2022.00745
Popis: Background Immediate breast reconstruction after mastectomy can be challenging in some patients for medical or oncological reasons. Delayed two-stage tissue expander/implant breast reconstruction is a reliable option for these patients. However, data regarding surgical techniques, outcomes, and complication rates are limited. This study reports our experience using the two-stage tissue expander/implant procedure for delayed breast reconstruction. Methods This retrospective study included 32 patients (34 breasts) who underwent delayed two-stage tissue expander/implant breast reconstruction at our institution from January 2018 to July 2022. We summarized the techniques used in the procedure and evaluated the 1-year postoperative outcomes and complication rates. Results The mean time from mastectomy to expander insertion was 210±25 days, and 8.2±2.3 additional expansions were required prior to the implant insertion. The mean time of tissue expansion was 187±15 days, and the mean volume of expansion was 495±31 mL. No major complications occurred that required reoperation, and the patients were highly satisfied with the surgical results. Conclusions Although delayed two-stage tissue expander/implant breast reconstruction resulted in satisfactory outcomes, consensus regarding the operative technique is still needed. Two-stage tissue expander/implant breast reconstruction is a safe and effective option for delayed breast reconstruction.
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