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John P Fischer, Ari M Wes, Charles T Tuggle, Jonas A Nelson, Julia C Tchou, Joseph M Serletti, Stephen J Kovach, Liza C Wu
BACKGROUND: Immediate breast reconstruction (IBR) using implants remains a favorable reconstructive option in breast cancer. Understanding the added risk associated with IBR continues to enhance the risk counseling process and management of these patients. METHODS: Women undergoing mastectomy alone and mastectomy with tissue expander (TE) were identified in the ACS-NSQIP datasets. Specific complications examined included any, wound, medical complications, and deep infections...
November 2014: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Akhil K Seth, Hayley R Silver, Elliot M Hirsch, John Y S Kim, Neil A Fine
BACKGROUND: Despite the continued demand for immediate prosthetic breast reconstruction, some suggest that delayed reconstruction may reduce complications. However, with limited comparative data available, the extent of this benefit is unclear, particularly in the setting of postmastectomy radiation therapy (PMRT). This study evaluates outcomes after mastectomy and delayed tissue expander reconstruction (DTER) or immediate tissue expander reconstruction (ITER). METHODS: A retrospective review of 893 consecutive patients (1201 breasts) who underwent mastectomy with DTER or ITER at one institution during a 10-year period was performed...
November 2015: Annals of Plastic Surgery
H Adam, M Bygdeson, J de Boniface
PURPOSE: The oncological safety of nipple-sparing mastectomy in the context of immediate breast reconstruction is debatable. Previous studies report wide variations in local recurrence rates and randomised or matched cohort study designs are lacking. The aim of this study is to compare the local recurrence rate after nipple-sparing mastectomy to that after conventional mastectomy. Further, to compare the disease-free, overall and breast cancer-specific survival rates. METHODS: A retrospective review of all patients undergoing nipple-sparing mastectomy with immediate implant-based breast reconstruction at Karolinska University Hospital, Sweden, in the years 2000-2012 was conducted...
October 2014: European Journal of Surgical Oncology
M D Barber, L Williams, E D C Anderson, G T Neades, C Raine, O Young, D Kulkarni, I Young, J M Dixon
INTRODUCTION: The use of acellular dermal matrix (ADM) has transformed the technique of implant-based breast reconstruction. It offers the option of a one-stage procedure and is felt to have benefits in cosmetic outcome but the medium and long-term outcomes are unknown. METHODS: All cases where ADM was used in a breast reconstructive procedure in the Edinburgh Breast Unit from its initial use on 7/7/2008 to 31/7/2012 were reviewed retrospectively. Follow up was completed to 30/11/2012...
January 2015: European Journal of Surgical Oncology
R Llewellyn-Bennett, R Greenwood, J R Benson, R English, J Turner, Z Rayter, Z E Winters
BACKGROUND: Latissimus dorsi (LD) flap procedures comprise 50 per cent of breast reconstructions in the UK. They are frequently complicated by seroma formation. Fibrin sealants may reduce seroma volumes at the donor site. The aim was to investigate the effect of fibrin sealant (Tisseel(®)) on total seroma volumes from the breast, axilla and back (donor site) after LD breast reconstruction. Secondary outcomes were specific back seroma volumes together with incidence and severity of wound complications...
October 2012: British Journal of Surgery
Tung-Ying Hsieh, Yun-Nan Lin, Sin-Daw Lin, Chung-Sheng Lai, Kao-Ping Chang, Su-Shin Lee, Shu-Hung Huang, Ming-Feng Hou, Fang-Ming Chen, Fu Ou-Yang
BACKGROUND: This study of stage III (locally advanced) breast cancer patients evaluated the survival improvement conferred by immediate breast reconstruction by transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction after modified radical mastectomy (MRM) in comparison with MRM alone. METHODS: This retrospective study analyzed data for all women who had received TRAM immediately after unilateral modified radical mastectomy for locally advanced breast cancer at a single institution from January 2002 to December 2009...
September 2014: Annals of Plastic Surgery
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