European Journal of Plastic Surgery, June 2017, Volume 40, Issue 3, pp 203-212
Preoperative implant planning for breast reconstruction is often at risk of being changed perioperatively. This study examined which factors are associated with a change of implant selection.
Women who had unilateral two-stage breast reconstruction between 2002 and 2007 were studied. Inclusion criteria were photographic evidence of preoperative skin markings indicating breast dimensions and a selected implant model. Multivariable logistic regression was used to identify variables associated with a changed selection.
El cáncer de mama es el cáncer más frecuente en las mujeres en todo el mundo y es la principal causa de muerte por cáncer entre las mujeres. La mastectomía profiláctica o curativa a menudo está seguida por la reconstrucción de la mama, por lo que existen varios enfoques quirúrgicos que utilizan implantes de mama con los que los cirujanos pueden restaurar la apariencia, el tamaño y la forma natural de la mama. El objetivo de este trabajo fue evaluar los efectos de diferentes tipos de implantes de mama sobre la contractura capsular, las complicaciones quirúrgicas a corto y a largo plazo, el nivel de satisfacción posoperatoria y la calidad de vida en las pacientes sometidas al proceder.
Autologous fat grafting (AFG) or lipofilling is nowadays a popular technique for breast reconstruction after breast cancer surgery. There is debate regarding the oncological safety and risks of this procedure in breast cancer patients. A systematic review of the literature published between January first 1995 and October first 2016 was conducted regarding the efficacy, safety and complications of this technique in breast cancer patients after their cancer treatment.
In March of 2013, the Executive Committee of the American Society of Plastic Surgeons approved an evidence-based guideline on breast reconstruction with expanders and implants, as developed by a guideline-specific work group commissioned by the society’s Health Policy Committee. The guideline addresses ten clinical questions: patient education, immediate versus delayed reconstruction, risk factors, radiation therapy, chemotherapy, hormonal therapy, antibiotic prophylaxis, acellular dermal matrix, monitoring for cancer recurrence, and oncologic outcomes associated with implant-based reconstruction.
Mastectomy and breast reconstruction are essential parts of the treatment of breast cancer. Acellular dermal matrices (ADMs) have been used for the reconstruction of the lower pole due to many advantages; however, its cost is seen as a major drawback in this era of concern for the allocation of health-care funds. Recently, polyglactin 910 (Vicryl; Ethicon, Somerville, NJ, USA) mesh has been published as an alternative. We assessed the published literature, in particular investigating for studies that compare Vicryl mesh with ADM.
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