Summary: Skin-reduction mastectomy with prepectoral implant reconstruction is a novel technique for immediate breast reconstruction, with subcutaneous implant placement in patients eligible for skin-reducing mastectomy. Implants were placed above the pectoralis muscles in a compound pocket made by a dermal flap and acellular dermal matrix. The procedure was performed on 33 breasts in 27 selected patients. In three cases, there was skin ischemia; in one case, it healed spontaneously; and in two patients, a surgical necrosectomy and primary closure were needed. No implant loss occurred. This new technique proved to be a useful alternative, with good cosmetic results, in selected patients requiring mastectomy. These preliminary results need to be confirmed by long-term and comparative studies. © Copyright 2016 by the American Society of Plastic Surgeons.
Skin-reduction breast reconstructions with prepectoral implant / Caputo, Gg; Marchetti, A; Dalla Pozza, E; Vigato, E; Domenici, L; Cigna, E; Governa, M.. - In: PLASTIC AND RECONSTRUCTIVE SURGERY. - ISSN 0032-1052. - STAMPA. - 137:6(2016), pp. 1702-1705. [10.1097/PRS.0000000000002227]
Skin-reduction breast reconstructions with prepectoral implant
Domenici L;Cigna E;
2016
Abstract
Summary: Skin-reduction mastectomy with prepectoral implant reconstruction is a novel technique for immediate breast reconstruction, with subcutaneous implant placement in patients eligible for skin-reducing mastectomy. Implants were placed above the pectoralis muscles in a compound pocket made by a dermal flap and acellular dermal matrix. The procedure was performed on 33 breasts in 27 selected patients. In three cases, there was skin ischemia; in one case, it healed spontaneously; and in two patients, a surgical necrosectomy and primary closure were needed. No implant loss occurred. This new technique proved to be a useful alternative, with good cosmetic results, in selected patients requiring mastectomy. These preliminary results need to be confirmed by long-term and comparative studies. © Copyright 2016 by the American Society of Plastic Surgeons.File | Dimensione | Formato | |
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