Simplified skin excision pattern for skin-sparing/reducing mastectomy and direct-to-implant single-stage immediate (DISSI) breast reconstruction

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• 作者：N. Papazian ; B. Atiyeh ; H. Becker ; S. Dibo…
• 关键词：One ; stage breast reconstruction ; Immediate breast reconstruction ; Implant ; based breast reconstruction ; Skin ; sparing mastectomy ; Becker tissue expander
• 刊名：European Journal of Plastic Surgery
• 出版年：2015
• 出版时间：August 2015
• 年：2015
• 卷：38
• 期：4
• 页码：291-298
• 全文大小：1,249 KB
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• 作者单位：N. Papazian (1)
  B. Atiyeh (1)
  H. Becker (2)
  S. Dibo (1)
  A. Ibrahim (1)
  
  1. Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon
  2. Plastic and Reconstructive Surgery, 670 Glades Road, Suite 220, Boca Raton, FL, 33431, USA
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Plastic Surgery
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1435-0130

文摘

Background One-stage implant-based breast reconstruction with minimal scarring is a highly appealing option to most patients. In fact, expander/implant reconstruction accounts for nearly 70?% of all breast reconstructions. We present our experience with a simplified skin-preserving/reducing excision pattern in association with immediate breast reconstruction using permanent expander or prosthesis. Methods Thirty-two patients with 45 reconstructed breasts (unilateral or bilateral) between February 2010 and March 2014 are included in this study. All implants, except for two reconstructed breasts, were placed in a dual plane. Implants used were either a permanent expander or permanent silicone prosthesis. Results Two patients developed postoperative infections requiring removal of the implants. Minor wound dehiscence without implant extrusion occurred in one breast. One breast had a late deflation of the permanent expander secondary to trauma. Another patient required postoperative revision with fat grafting to improve breast contour. Conclusions One-stage prosthetic-based immediate breast reconstruction is a safe option with gratifying outcomes provided adequate patients-selection and enough surgeons-expertise to perform it. Level of Evidence: Level IV, therapeutic study.