The Use of Laparoscopic Camera Sleeve in Implant-Based Breast Reconstruction: An Innovative "No-Touch" Technique

Implant-based breast reconstruction (IBBR) is the predominant reconstructive modality following mastectomy, accounting for more than 80% of all breast reconstruction procedures. Preventing subclinical infection at the time of implant insertion is critical for reducing the incidence of capsular contracture. This study evaluated a simple, cost-effective, flexible, and disposable laparoscopic camera sleeve designed to facilitate the no-touch technique in breast implant insertion.

A prospective study was conducted between November 2021 and September 2025, including all patients undergoing IBBR with the laparoscopic camera sleeve technique. The narrow end of the sleeve was removed and employed as an additional cover for the implant. The prepared sleeve was partially introduced into the pocket, allowing the implant to be inserted without contact with the skin.

A total of 42 patients underwent IBBR using smooth round implants, with a mean implant size of 432.85 ± 69.68 ml. Postoperative seroma occurred in seven patients (16.7%), and wound dehiscence in two patients (4.8%). No implant rupture, postoperative infection, or capsular contracture was observed during the follow-up period. Ten patients (23.8%) received adjuvant radiation therapy, with a mean follow-up of 18.87 ± 8.86 months.

The use of the laparoscopic camera sleeve provides a simple, cost-effective, and reproducible technique for no-touch insertion of breast implants. The technique substantially reduces skin contact and potential contamination, thereby lowering the risk of postoperative infection and capsular contracture.

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