scholarly journals Synthetic Mesh in Immediate Breast Reconstruction

2020 ◽  
Author(s):  
Susana Gómez-Modet ◽  
Luis Tejedor
Keyword(s):  
Breast Reconstruction ◽  
Synthetic Mesh ◽  
Immediate Breast Reconstruction

scholarly journals One-Stage Immediate Breast Reconstruction: A Concise Review

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
Nicolò Bertozzi ◽  
Marianna Pesce ◽  
Pierluigi Santi ◽  
Edoardo Raposio
Keyword(s):  
Breast Reconstruction ◽  
Acellular Dermal Matrix ◽  
Synthetic Mesh ◽  
Immediate Breast Reconstruction ◽  
Fat Grafting ◽  
Dermal Matrix ◽  
One Stage ◽  
Care Outcomes ◽  
Ptotic Breasts ◽  
Staged Reconstruction

Background. One-stage direct-to-implant immediate breast reconstruction (IBR) is performed simultaneously with breast cancer resection. We explored indications, techniques, and outcomes of IBR to determine its feasibility, safety, and effectiveness.Material and Methods. We reviewed the available literature on one-stage direct-to-implant IBR, with or without acellular dermal matrix (ADM), synthetic mesh, or autologous fat grafting. We analyzed the indications, preoperative work-up, surgical technique, postoperative care, outcomes, and complications.Results. IBR is indicated for small-to-medium nonptotic breasts and contraindicated in patients who require or have undergone radiotherapy, due to unacceptably high complications rates. Only patients with thick, well-vascularized mastectomy flaps are IBR candidates. Expandable implants should be used for ptotic breasts, while anatomical shaped implants should be used to reconstruct small-to-medium nonptotic breasts. ADMs can be used to cover the implant during IBR and avoid muscle elevation, thereby minimizing postoperative pain. Flap necrosis, reoperation, and implant loss are more common with IBR than conventional two-staged reconstruction, but IBR has advantages such as lack of secondary surgery, faster recovery, and better quality of life.Conclusions. IBR has good outcomes and patient-satisfaction rates. With ADM use, a shift from conventional reconstruction to IBR has occurred. Drawbacks of IBR can be overcome by careful patient selection.

Immediate Breast Reconstruction with Stacked Diep Flap

2014 ◽  
Vol 30 (S 01) ◽  
Author(s):  
Carmen Suñé ◽  
David Carrillo ◽  
Cristian Lopez ◽  
Marco Serena Signes ◽  
Alejandra Sainz ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Immediate Breast Reconstruction ◽  
Diep Flap
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