scholarly journals One-Stage Immediate Breast Reconstruction with Implants in Conservative Mastectomies

Author(s):  
Marzia Salgarello ◽  
Giuseppe Visconti ◽  
Liliana Barone-Adesi
2015 ◽  
Vol 135 (3) ◽  
pp. 498e-507e ◽  
Author(s):  
Oanna Meyer Ganz ◽  
Mickaël Tobalem ◽  
Thomas Perneger ◽  
Thanh Lam ◽  
Ali Modarressi ◽  
...  

2008 ◽  
Vol 60 (4) ◽  
pp. 362-366 ◽  
Author(s):  
Hsiang-Ya Wang ◽  
Rozina S. Ali ◽  
Shin-Cheh Chen ◽  
Tzu-Chieh Chao ◽  
Ming-Huei Cheng

2012 ◽  
Vol 69 (2) ◽  
pp. 134-138 ◽  
Author(s):  
Lisa Cassileth ◽  
Som Kohanzadeh ◽  
Farin Amersi

2021 ◽  
Author(s):  
Chaitanyanand Koppiker ◽  
Aijaz Ul Noor ◽  
Santosh Dixit ◽  
Laleh Busheri ◽  
Gautam Sharan ◽  
...  

Background: Breast reconstruction with an autologous lower dermal sling (ALDS) is an established one-stage procedure in patients with moderate to large ptotic breasts. However, this technique is difficult to perform in small and non/minimally ptotic breasts. We describe our experiences from a single institution about a novel Advanced Autologous Lower Dermal Sling (A-ALDS) technique for reconstruction in small breasts. Methods: We performed one stage nipple/skin sparing mastectomies in 61 patients with immediate reconstruction either by conventional immediate breast reconstruction surgery or A-ALDS technique. Results: Mean age of study patients was 46.9 years. We observed significantly better cosmetic score and lower immediate complication rate vis-a-vis skin necrosis, implant loss with the A-ALDS technique (i.e., nil versus 3 in Conventional Immediate Breast Reconstruction Surgery -IBRS). 40 patients completed 12 months follow-up. The PROMs- Patient Reported Outcomes Measures (Breast-Q) revealed good to excellent scores for satisfaction with breast, cosmetic outcome and psychosocial well-being in patients operated with both these techniques. However, sexual well-being was significantly better in the A-ALDS group. Conclusion: The A-ALDS is a novel, cost-effective and safe technique for immediate one stage implant-based reconstruction for small breasts. It provides a dermal barrier flap and hence, ensures less complications, excellent cosmetic results and patient satisfaction.


The Breast ◽  
2011 ◽  
Vol 20 (1) ◽  
pp. 7-14 ◽  
Author(s):  
Marzia Salgarello ◽  
Liliana Barone-Adesi ◽  
Daniela Terribile ◽  
Riccardo Masetti

2013 ◽  
Vol 3 (1) ◽  
pp. 1 ◽  
Author(s):  
Egidio Riggio ◽  
Joseph Ottolenghi ◽  
Veronica Grassi ◽  
Maurizio Nava

Acellular dermal matrix and similar meshes are used in breast reconstruction to cover the inferior implant pocket. We considered whether using a modified dual-plane technique in immediate breast reconstruction could improve the outcome when compared with mesh reconstruction. The paper presents a case of a patient who underwent one-stage bilateral immediate breast reconstruction (IBR) with 470 g implants, using alloplastic mesh in one side and the composed dual-plane pocket in the other. In the case described, the composed dual plane technique gave a better result in terms of absence of rippling and smoother surface at the palpation; the mesh coverage gave a better inframammary contour. Our case suggests that the modified dual-plane technique gives a satisfactory cosmetic outcome. It also reduces costs and avoids mesh-related complications. This technique should therefore be considered as an option to the mesh in implant-based breast reconstruction.


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