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Two-Stage Prosthetic Breast Reconstruction With Integrated Versus Remote Port Expanders: A Comparison of Complication

Joshua H Choo1, Mitchell J Buller2, Michelle O'Brien3

  • 1Department of Plastic Surgery, University of Louisville School of Medicine, Louisville, Ky.

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|May 10, 2019
PubMed
Summary
This summary is machine-generated.

Remote port tissue expanders for breast reconstruction show higher overall and mechanical complication rates compared to integrated port expanders. Infectious complication rates were similar between the two types.

Keywords:
breast reconstructionintegrated tissue expandersprosthetic breast reconstructionremote port complicationsremote tissue expanders

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Area of Science:

  • Plastic Surgery
  • Breast Reconstruction
  • Medical Devices

Background:

  • Tissue expanders have evolved from remote to integrated ports for breast reconstruction.
  • Integrated port expanders offer convenience, but direct complication comparisons are lacking.
  • This study compares complication rates between remote and integrated port tissue expanders.

Purpose of the Study:

  • To compare the complication rates of remote versus integrated port tissue expanders in breast reconstruction.
  • To analyze differences in mechanical and infectious complications between the two expander types.

Main Methods:

  • Retrospective review of 107 patients undergoing breast reconstruction with tissue expanders.
  • Comparison of complication rates between remote (n=42) and integrated (n=128) port expanders.
  • Exclusion of patients with prior or concurrent breast irradiation.

Main Results:

  • Remote port expanders had a significantly higher overall complication rate (19% vs. 7%, P=.024).
  • Mechanical complications were significantly higher with remote port expanders (7% vs. 0.8%, P=.047).
  • Infectious complication rates did not differ significantly between remote and integrated port expanders (12% vs. 6%, P=.312).

Conclusions:

  • Remote port tissue expanders are associated with increased overall and mechanical complications in breast reconstruction.
  • The higher rate of infection in the remote port group was not statistically significant.
  • Integrated port expanders demonstrate a lower complication profile compared to remote port expanders.