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Related Experiment Video

Updated: May 31, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

An alternative technique for immediate breast reconstruction.

Ian K Komenaka1, Terry R Maffi, Karole M Davis

  • 1Maricopa Medical Center, Department of Surgery, Phoenix, Arizona, USA. Komenaka@hotmail.com

The American Surgeon
|June 18, 2011
PubMed
Summary

This study presents a novel immediate breast reconstruction technique. It allows for delayed reconstruction if needed after final pathology, preserving breast appearance and offering scheduling flexibility.

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Breast Surgery

Background:

  • Immediate breast reconstruction offers better cosmetic outcomes than delayed reconstruction.
  • Unexpected final pathology may require post-mastectomy radiation, complicating immediate reconstruction.
  • A new technique for immediate breast reconstruction is presented to address these challenges.

Purpose of the Study:

  • To describe an alternative technique for immediate breast reconstruction.
  • To evaluate the feasibility and outcomes of this technique in patients undergoing skin-sparing mastectomy.
  • To assess the impact of final pathology on the need for post-mastectomy radiation in patients undergoing this reconstruction method.

Main Methods:

  • A total of 14 skin-sparing mastectomies were performed on 12 patients between July 2006 and December 2009.

Related Experiment Videos

Last Updated: May 31, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

  • Procedures were conducted via a periareolar incision, followed by transverse closure without simultaneous reconstruction or drains.
  • Seroma formation after 3 days was utilized to maintain the skin envelope's integrity and breast appearance.

    • Main Results:

    • Nine patients (75%) had contraindications to breast conservation.
    • The majority (75%) experienced an adverse change from clinical to final pathologic stage, with 33% requiring post-mastectomy radiation.
    • The mean time to initial reconstruction was 14 days, with 17% experiencing postoperative infections.

    Conclusions:

    • This technique facilitates immediate breast reconstruction while accommodating potential post-mastectomy radiation needs based on final pathology.
    • It offers surgical scheduling flexibility and allows patients to maintain breast appearance.
    • The method provides a viable alternative for immediate breast reconstruction, particularly when final pathology is uncertain.