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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Autogenous breast reconstruction for total mastectomies: a narrative review
Romain Laurent1, Alexandru Trifan2, Arthur David Danino3
1Division of Plastic and Reconstructive Surgery, University of Montreal Hospital Center (CHUM), Montreal, Canada.
Annals of Translational Medicine
|February 2, 2024
Summary
Autologous breast reconstruction offers a natural alternative to implants, addressing safety concerns. Techniques like DIEP flaps and fat grafting provide satisfactory, durable results with fewer complications after mastectomy.
Area of Science:
- Plastic Surgery
- Oncology
- Regenerative Medicine
Background:
- Mastectomies significantly impact patients psychologically, driving demand for breast reconstruction.
- Breast implants have faced issues like rupture, capsular contracture, and BIA-ALCL, leading to recalls and patient distrust.
- Growing patient desire for natural results fuels the development of autogenous reconstruction methods.
Purpose of the Study:
- To provide a comprehensive, evidence-based overview of current autologous breast reconstruction techniques.
- To review the latest advancements and outcomes in autologous breast reconstruction post-mastectomy.
- To discuss autogenous solutions as an alternative to breast implants.
Main Methods:
- A narrative review of scientific literature published between January 2010 and December 2022.
- Systematic search using MeSH terms and combinations to identify relevant studies.
- Independent screening of titles and abstracts by three authors, with 66 papers included.
Main Results:
- Autologous breast reconstruction techniques are described and discussed.
- Common methods include Deep Inferior Epigastric Perforator (DIEP) flaps, latissimus dorsi flaps, and autologous fat grafting.
- These techniques offer a more natural feel and texture compared to implants.
Conclusions:
- Autologous reconstructions yield highly satisfactory, durable, and reliable outcomes.
- Complication rates associated with autologous reconstruction are relatively low.
- Autologous breast reconstruction is an effective and increasingly favored option after mastectomy.
