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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
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Prepectoral Implant-Based Breast Reconstruction Using Meshed ADM.
Alessandra Fin1, Fabrizio De Biasio1, Sebastiano Mura1
1Clinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, Department of Medical Area, University of Udine, Italy.
Plastic Surgery (Oakville, Ont.)
|May 24, 2021
Summary
This study evaluated prepectoral breast reconstruction using acellular dermal matrix (ADM) in 32 patients. Results show low complication rates and short hospital stays, supporting ADM
Area of Science:
- Oncology
- Plastic Surgery
- Reconstructive Surgery
Background:
- Prepectoral prosthetic breast reconstruction is gaining importance in immediate breast reconstruction.
- Acellular dermal matrix (ADM) is increasingly utilized in these procedures.
Purpose of the Study:
- To report a case series on prepectoral breast reconstruction using ADM following nipple-sparing mastectomy.
- To evaluate the outcomes, complications, and patient experience in this cohort.
Main Methods:
- Retrospective case series of 32 patients undergoing nipple-sparing mastectomy and prepectoral breast reconstruction with ADM.
- Inclusion criteria: BMI < 30, no prior radiotherapy, non-smokers, moderate breast grade, viable mastectomy flaps.
- Indocyanine green (ICG) imaging used to assess flap viability in select cases.
Main Results:
- Mean patient age 56.4 years, mean BMI 27.4 kg/m².
- Major complications (requiring reoperation) occurred in 9% of patients.
- Minor complications in 22%, mean pain score 1.8, mean hospital stay 2.2 days.
Conclusions:
- Prepectoral breast reconstruction with ADM demonstrates favorable outcomes in selected patients.
- The complication rate is comparable to other studies using total ADM coverage.
- This technique offers a viable option for immediate breast reconstruction with acceptable morbidity.
