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Tissue expansion for breast reconstruction: Methods and techniques.

Nicolò Bertozzi1,2, Marianna Pesce3, PierLuigi Santi3

  • 1Department of Medicine and Surgery, Plastic Surgery Division, University of Parma, Cutaneous, Mini-invasive, Regenerative and Plastic Surgery Unit, Parma University Hospital, Parma, Italy.

Annals of Medicine and Surgery (2012)
|August 3, 2017
PubMed
Summary
This summary is machine-generated.

Tissue expander (TE)/implant-based breast reconstruction is a common, safe, and effective method offering aesthetic and psychosocial benefits. This review details its techniques, complications, and advantages over autologous reconstruction.

Keywords:
Breast cancerBreast implantsBreast surgeryReconstructive surgeryTissue expansion

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Area of Science:

  • Plastic Surgery
  • Oncology
  • Reconstructive Surgery

Background:

  • Breast cancer surgery often necessitates mastectomy, impacting patients' quality of life.
  • Breast reconstruction aims to mitigate the psychological and aesthetic distress following mastectomy.
  • Tissue expander (TE)/implant-based reconstruction is the predominant method, accounting for 65% of US reconstructions.

Purpose of the Study:

  • To review current data on TE/implant-based breast reconstruction techniques.
  • To analyze complication profiles, advantages, and disadvantages of various methods.
  • To provide valuable insights for surgeons performing breast reconstructions.

Main Methods:

  • A comprehensive literature review was performed.
  • Focused on current strategies in TE/implant-based breast reconstruction post-mastectomy.
  • Examined data regarding alloplastic reconstruction approaches.

Main Results:

  • TE/implant-based reconstruction offers significant psychosocial and aesthetic benefits.
  • Conventional TE/implant-based reconstruction can be a two-stage procedure (immediate or delayed).
  • Acellular dermal matrix enhances outcomes and broadens reconstruction indications.

Conclusions:

  • TE/implant-based reconstruction is a safe, cost-effective, and reliable option, even for patients with comorbidities.
  • Advantages include short operative time, rapid recovery, and no donor site morbidity compared to autologous methods.