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https://www.readbyqxmd.com/read/29876185/technique-refinement-in-prepectoral-implant-breast-reconstruction-with-vicryl-mesh-pocket-and-acellular-dermal-matrix-support
#1
Lisa Gfrerer, Eric C Liao
Direct-to-implant reconstruction after mastectomy is routinely performed with excellent oncologic and aesthetic outcomes. Several different techniques for placement of the prosthesis including total and partial subpectoral coverage have been described. Prepectoral implant placement is increasingly reported as a safe method, while patient selection and techniques are areas of further work. Most prepectoral prosthesis placement techniques describe complete acellular dermal matrix (ADM) coverage of the implant, often requiring multiple or larger ADM sheets than a comparable subpectoral implant procedure, resulting in high cost per reconstructed breast...
April 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29874385/bacterial-biofilm-associated-with-a-case-of-capsular-contracture
#2
Maria Pia Conte, Fabiana Superti, Mariagrazia Moio, Maria Grazia Ammendolia, Catia Longhi, Marta Aleandri, Massimiliano Marazzato, Paola Goldoni, Paola Parisi, Zachary Borab, Anna Teresa Palamara, Bruno Carlesimo
Capsular contracture is one of the most common complications of implant-based breast augmentation. Despite its prevalence, the etiology of capsular contracture remains controversial although the surface texture of the breast implant, the anatomical position of the prosthesis and the presence of bacterial biofilm could be considered trigger factors. In fact, all medical implants are susceptible to bacterial colonization and biofilm formation. The present study demonstrated the presence of microbial biofilm constituted by cocci in a breast implant obtained from a patient with Baker grade II capsular contracture...
June 6, 2018: New Microbiologica
https://www.readbyqxmd.com/read/29788687/trends-in-breast-reconstruction-implications-for-the-national-health-insurance-service
#3
Ki Yong Hong, Yoosung Son, Hak Chang, Ung Sik Jin
BACKGROUND: Breast reconstruction has become more common as mastectomy has become more frequent. In Korea, the National Health Insurance Service (NHIS) began covering breast reconstruction in April 2015. This study aimed to investigate trends in mastectomy and breast reconstruction over the past 10 years and to evaluate the impact of NHIS coverage on breast reconstruction. METHODS: Nationwide data regarding mastectomy and breast reconstruction were collected from the Korean Breast Cancer Society registry database...
May 2018: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29781852/the-effect-of-postmastectomy-radiation-therapy-on-breast-implants-material-analysis-on-silicone-and-polyurethane-prosthesis
#4
Federico Lo Torto, Michela Relucenti, Giuseppe Familiari, Nicola Vaia, Donato Casella, Roberto Matassa, Selenia Miglietta, Franco Marinozzi, Fabiano Bini, Ilaria Fratoddi, Fabio Sciubba, Raffaele Cassese, Vincenzo Tombolini, Diego Ribuffo
INTRODUCTION: The pathogenic mechanism underlying capsular contracture is still unknown. It is certainly a multifactorial process, resulting from human body reaction, biofilm activation, bacteremic seeding, or silicone exposure. The scope of the present article is to investigate the effect of hypofractionated radiotherapy protocol (2.66 Gy × 16 sessions) both on silicone and polyurethane breast implants. METHODS: Silicone implants and polyurethane underwent irradiation according to a hypofractionated radiotherapy protocol for the treatment of breast cancer...
May 17, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29750759/immediate-two-stage-prosthetic-breast-reconstruction-failure-radiation-is-not-the-only-culprit
#5
Thomas C Lam, Robert Borotkanics, Frank Hsieh, James Salinas, John Boyages
BACKGROUND: Immediate prosthetic breast reconstruction produces a satisfactory aesthetic result with high levels of patient satisfaction. However, with the broader indication for post-mastectomy adjuvant radiation, many patients are advised against immediate breast reconstruction because of concerns of implant loss and infection particularly as most patients also require chemotherapy. This retrospective cohort study examines outcomes for patients who underwent immediate two-stage prosthetic breast reconstruction after mastectomy with or without adjuvant chemotherapy or radiotherapy (RT)...
March 15, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29693969/quality-of-life-of-nepalese-women-post-mastectomy
#6
Muna Maharjan, Niresh Thapa, Raj Devi Adhikari, Marcia A Petrini, Kapendra Shekhar Amatya
Introduction: Worldwide breast cancer is the common invasive cancer among the females. The quality of life of women after treatment, which is often a mastectomy, is frequently decreased. Objective: To determine the life quality of Nepalese women post mastectomy. Materials and Methods: One hundred seven women after a mastectomy were selected and interviewed by using the European Organization for Research and Treatment of Cancer-Quality of Life Questionnaire and its Breast Specific Module to assess women’s quality of life...
April 25, 2018: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/29663320/predictors-of-complications-after-direct-to-implant-breast-reconstruction-with-an-acellular-dermal-matrix-from-a-multicentre-randomized-clinical-trial
#7
V L Negenborn, R E G Dikmans, M B Bouman, H A H Winters, J W R Twisk, P Q Ruhé, M A M Mureau, J M Smit, S Tuinder, J Hommes, Y Eltahir, N A S Posch, J M van Steveninck-Barends, M A Meesters-Caberg, R R W J van der Hulst, M J P F Ritt, M G Mullender
BACKGROUND: In the multicentre randomized trial BRIOS (Breast Reconstruction In One Stage), direct-to-implant (DTI) breast reconstruction with an acellular dermal matrix (ADM) was associated with a markedly higher postoperative complication rate compared with two-stage tissue expander/implant breast reconstruction. This study aimed to identify factors that contribute to the occurrence of complications after DTI ADM-assisted breast reconstruction. METHODS: Data were obtained from the BRIOS study, including all patients treated with DTI ADM-assisted breast reconstruction...
April 16, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29660396/analysis-of-clinical-management-of-infected-breast-implants-and-of-factors-associated-to-successful-breast-pocket-salvage-in-infections-occurring-after-breast-reconstruction
#8
Simonetta Franchell, Marianna Pesce, Ilaria Baldelli, Anna Marchese, Pierluigi Santi, Andrea De Maria
OBJECTIVES: Considerable efforts have been devoted so far to improve salvage procedures of infected breast implants in absence of defined guidelines or validated clinical protocols. Within a cohort of prospectively recruited patients who underwent breast reconstruction, we performed a retrospective review of proven implant infections in order to describe factors contributing to management success. METHODS: We collected data in 1293 consecutive patients who underwent two stage (expander+prosthesis) breast reconstruction with at least 12 months of follow-up...
June 2018: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/29622364/lung-siliconoma-a-rare-complication-of-breast-prosthesis-rupture
#9
Francisco Muñiz González, Fátima Hermoso Alarza, María Del Puerto Cano Aguirre
No abstract text is available yet for this article.
April 2, 2018: Archivos de Bronconeumología
https://www.readbyqxmd.com/read/29556273/short-term-outcomes-of-reconstruction-subsequent-to-intercalary-resection-of-femoral-diaphyseal-metastatic-tumor-with-pathological-fracture-comparison-between-segmental-allograft-and-intercalary-prosthesis
#10
Deng-Xing Lun, Yong-Cheng Hu, Xiong-Gang Yang, Feng Wang, Zhao-Wan Xu
Reconstruction of bone defects following femoral diaphyseal tumor resection is challenging. Segmental allograft (SA) and intercalary prosthesis (IP) are the most common reconstruction methods for femoral diaphyseal metastatic tumors with pathological fracture. However, whether the complications and functional outcomes differ between SA and IP remains unclear. To compare the clinical outcomes and complications for patients treated with SA reconstruction or IP replacement for femoral shaft tumors, 34 patients who had undergone intercalary resection for metastatic tumor with pathological fracture in the femoral diaphysis were evaluated...
March 2018: Oncology Letters
https://www.readbyqxmd.com/read/29553409/awareness-and-factors-influencing-breast-reconstruction-in-the-gaza-strip-a-cross-sectional-study
#11
Enas Alaloul, MohammedRaed Elshami, Khamis Elessi, Israa Awad, Huda Abu Nemer, Esraa Khader, Heba Baraka, Alaa Alhelu
BACKGROUND: Women are usually given two options after a mastectomy. They can either wear a prosthesis or have a breast reconstruction. Unfortunately, many women in the Gaza Strip are unaware of these options. The aim of this study was to shed light on the awareness and sociocultural factors in women who underwent mastectomy before choosing between options. METHODS: In this cross-sectional study, we recruited patients who underwent mastectomy in the Gaza Strip. All participants completed a face-to-face questionnaire between Aug 1, 2015, and April 30, 2016...
February 21, 2018: Lancet
https://www.readbyqxmd.com/read/29506328/endoscopic-transaxillary-prepectoral-conversion-for-submuscular-breast-implants
#12
Si-Hyun Park, Hyung-Bo Sim
BACKGROUND: During breast augmentation, the transaxillary approach provides the advantage of allowing the mammary prosthesis to be placed through incisions that are remote from the breast itself, thereby reducing the visibility of postoperative scars. For patients experiencing capsular contracture who do not want additional scars, the previous transaxillary scar can be used for site change and implant exchange. METHODS: This study analyzed 17 patients (34 breasts) with submuscular breast implants with grade III-IV capsular contracture who received treatment from 2010 to 2015...
March 2018: Archives of Plastic Surgery
https://www.readbyqxmd.com/read/29481480/in-search-of-a-murine-model-of-radiation-induced-periprosthetic-capsular-fibrosis
#13
Alexandra J Lin, Sarah J Karinja, Jaime L Bernstein, Julia Jin, Yoshiko Toyoda, Andrew J Miller, Pat B Zanzonico, Jason A Spector
INTRODUCTION: Capsular contracture after breast reconstruction is a morbid complication, occurring in 30.0% to 47.5% of patients undergoing postoperative radiotherapy. Although it is well known that radiation increases rate of capsular contracture, there are few well-established animal models that faithfully replicate standard-of-care clinical practice, that is, prosthesis placement at the time of mastectomy followed by delayed radiotherapy. To better recapitulate current clinical practice, we developed a murine model in which the implant sites were irradiated 10 days postoperatively, rather than at time of surgery...
April 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29481386/evaluation-of-acellular-dermal-matrix-efficacy-in-prosthesis-based-breast-reconstruction
#14
Nikhil Sobti, Emily Ji, Rebecca L Brown, Curtis L Cetrulo, Amy S Colwell, Jonathan M Winograd, William G Austen, Eric C Liao
BACKGROUND: Although many studies have examined the safety of acellular dermal matrix in immediate prosthetic breast reconstruction, few studies have evaluated efficacy. This study examined initial tissue expander fill volume as a marker of efficacy, comparing patients after staged prosthetic breast reconstruction assisted with acellular dermal matrix versus breast reconstruction not assisted with acellular dermal matrix. Number of fill visits and time interval to implant exchange were examined as secondary endpoints...
March 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29422254/the-assisi-think-tank-meeting-and-survey-of-post-mastectomy-radiation-therapy-after-breast-reconstruction-the-attm-smart-report
#15
Cynthia Aristei, Orit Kaidar-Person, Luca Tagliaferri, Meritxell Arenas, Charlotte E Coles, Birgitte V Offersen, Giovanni Frezza, Maria Cristina Leonardi, Vincenzo Valentini, Céline Bourgier, Philip M P Poortmans
PURPOSE: To describe the current European practise on post-mastectomy radiation therapy (PMRT) in relation to breast reconstruction. METHODS: A 21-item questionnaire was distributed online via Survey Monkey. Items referred to 1. general topics (country, centre, years of experience in breast cancer); 2. clinical decision making; 3. RT techniques and dosimetry; 4. dose fractionation. RESULTS: 283 responses were received from 19 countries. Most responders worked in public health services and in academic institutions and had 5-20 years experience...
April 2018: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29369903/does-prosthesis-based-breast-reconstruction-affect-the-clinical-outcome-of-postmastectomy-radiotherapy
#16
Cheng-Feng Chen, Chen-Fang Hung, Shou-Fong Lin, Yih-Lin Chung
BACKGROUND: In the last 5 decades, there has been significant advancement of breast reconstruction and postmastectomy radiotherapy for breast cancer care. There has been concern that breast reconstruction may adversely affect the efficacy of postmastectomy radiotherapy. This, however, has not been proven by clear clinical evidence. METHODS: By comparing the locoregional recurrence rates and overall survival after postmastectomy radiotherapy between those with and without prosthesis-based breast reconstruction, a retrospective cohort study of the breast cancer patients was done...
February 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29360922/salvage-of-implant-based-breast-reconstruction-in-nipple-sparing-mastectomies-with-autologous-flaps
#17
Ali A Qureshi, Jeremie D Oliver, Rajiv P Parikh, Marissa M Tenenbaum, Terence M Myckatyn
Background: Implant-based breast reconstruction (IBR) after nipple-sparing mastectomies (NSM) can have complications that require explantation of a tissue expander or permanent prosthesis. When complications occur, preservation of the nipple-areola complex (NAC) remains critical to ensure aesthetic breast reconstruction. To date, there are minimal data on outcomes for patients experiencing unplanned explantations in IBR after NSM. Objectives: To evaluate final reconstructive outcomes for NSM patients who undergo IBR and have an unplanned explanation and to separately analyze the outcome of the NAC aesthetic subunit...
January 18, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29280857/microbial-evaluation-in-capsular-contracture-of-breast-implants
#18
Marilena Galdiero, Fabio Larocca, Maria Rosaria Iovene, Francesca Martora, Gorizio Pieretti, Virginia D'Oriano, Gianluigi Franci, Giuseppe Ferraro, Francesco d'Andrea, Giovanni Francesco Nicoletti
BACKGROUND: Capsular contracture around breast implants is a severe and unpredictable complication experienced by up to 50 percent of patients after breast augmentation and reconstruction, and represents a major cause leading to reoperation. Several lines of evidence point to the involvement of subclinical infections and of bacterial biofilm formation. METHODS: To reduce the incidence of capsular contracture following mammaplasty, the authors studied the correlation between contamination by exogenous and endogenous bacterial flora and the capacity to develop bacterial biofilm in mammary implants...
January 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29240638/antibiotic-prophylaxis-after-immediate-breast-reconstruction-the-reality-of-its-efficacy
#19
Kavitha Ranganathan, Erika D Sears, Lin Zhong, Ting-Ting Chung, Kevin C Chung, Jeffrey H Kozlow, Adeyiza O Momoh, Jennifer F Waljee
BACKGROUND: Numerous techniques are used to prevent infection after immediate implant-based breast reconstruction. Postoperative antibiotic prophylaxis is commonly prescribed to decrease the risk of reconstructive failure, despite conflicting evidence regarding its effectiveness. The authors studied whether postoperative antibiotic prophylaxis decreases the risk of infection-related explantation in the setting of immediate prosthesis-based breast reconstruction. METHODS: Using Truven MarketScan databases, the authors identified all patients who underwent immediate implant reconstruction between January of 2010 and June of 2014 with at least 6 months of follow-up...
April 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29184742/a-breast-reconstruction-using-a-breast-prosthesis-and-capsular-flap-for-a-lymphocele-patient
#20
Tomoyuki Yano, Daisuke Shimizu, Yoshitaka Ishii, Osamu Ito, Masayuki Sawaizumi
We encountered a very rare condition where the patient had a lymphocele under the skin envelope of the breast following mastectomy during the course of breast reconstruction with a tissue expander. The incidence rate of axillary lymphoceles is reported as 2.2-50% in breast cancer patients, but there have been no reports mentioning lymphoceles under the breast skin during the course of breast reconstruction with a prosthesis. The patient had a lymphocele in the lower lateral part of the breast following mastectomy and had multiple cellulitis-like inflammations...
October 2017: Plastic and Reconstructive Surgery. Global Open
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