4.3 Article

Pre-pectoral Immediate Breast Reconstruction Following Conservative Mastectomy Using Acellular Dermal Matrix and Semi-smooth Implants

Journal

ANTICANCER RESEARCH
Volume 42, Issue 2, Pages 1013-1018

Publisher

INT INST ANTICANCER RESEARCH
DOI: 10.21873/anticanres.15562

Keywords

Breast reconstruction; pre-pectoral; semi-smooth implant; nano-textured; acellular dermal matrix

Categories

Funding

  1. Breast Cancer Hope Foundation (London, UK)

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The study evaluated breast reconstruction with nano-textured rounded implants and found it to be reliable and safe, with a low incidence of complications and high patient satisfaction.
Background/Aim: Improvements in acellular dermal matrix (ADM) and surgical techniques have facilitated pre-pectoral immediate breast reconstruction (IBR). Outer shell texturing is a key risk factor for anaplastic large cell lymphoma, prompting this evaluation of reconstruction with nano-textured rounded implants. Patients and Methods: Fifty-one consecutive patients underwent 72 pre-pectoral ADM-assisted (fenestrated SurgiMendTM) IBRs using nano-textured implants (SebbinTM). Patients were invited to complete a satisfaction questionnaire, including aesthetic outcome (linear scale 0-10) during follow-up. Results: Average mastectomy weight was 300 g (range=83-1,018 g). After a mean follow-up of 18.3 month, 2 patients (2.8%) had minor wound complications. One patient suffered nipple necrosis. Capsular contracture occurred in 5 cases (6.9%) and significant rippling in one case. No implants were lost. Patient-reported aesthetic outcomes had a mean score of 9.3 (range=3-10; N=71). Conclusion: Pre-pectoral ADM-assisted IBR using semi-smooth implants following NSM is reliable and safe, with a low incidence of complications and high patient satisfaction.

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