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Outcome of complete acellular dermal matrix wrap with polyurethane implant in immediate prepectoral breast reconstruction 원문보기

Archives of plastic surgery : APS, v.47 no.6, 2020년, pp.567 - 573  

Naemonitou, Foteini (Oncoplastic Breast, Department of General Surgery, The Royal of Wolverhampton NHS Trust) ,  Mylvaganam, Senthurun (Oncoplastic Breast, Department of General Surgery, The Royal of Wolverhampton NHS Trust) ,  Salem, Fathi (Oncoplastic Breast, Department of General Surgery, The Royal of Wolverhampton NHS Trust) ,  Vidya, Raghavan (Oncoplastic Breast, Department of General Surgery, The Royal of Wolverhampton NHS Trust)

Abstract ▼ AI-Helper 아이콘AI-Helper

Background Polyurethane implants have been used on and off in breast reconstruction since 1991 while prepectoral breast reconstruction has gained popularity in recent times. In this study, we present our outcomes from the use of acellular dermal matrix (ADM) complete wrap with polyurethane implants ...

주제어

#Polyurethane   #Implant capsular contracture   #Breast implants   #Acellular dermal matrix  

AI 본문요약
AI-Helper 아이콘 AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

제안 방법

  • Literature is scant on the use of complete ADM wrap using polyurethane implant and we present our initial experience using this technique.
  • Patient demographics, operative data, surgical early (less than 6 months) and late complications (more than 6 months) along with outcomes were collected and analyzed.
  • The mastectomy flaps were raised after carrying out dissection in the normal oncoplastic plane [10]. The dissection was carried out using diathermy at low settings. It was ensured that the mastectomy flaps had good viability and care was taken to preserve the perforators [11].
  • The patient underwent left skin-sparing mastectomy and left immediate prepectoral polyurethane implant reconstruction with Braxon matrix technique. (A) A preoperative photograph.

대상 데이터

  • 1. A 31-year-old lady with body mass index (BMI) of 28 kg/m2, had triple negative, medullary-like carcinoma on her left breast. She received neoadjuvant chemotherapy and underwent nipple sparing mastectomy weighing 495 g.
  • 0 kg/m2). Four patients were smokers (9%), one insulin-dependent diabetes mellitus (IDDM; 2%), and two non-IDDM (5%). The mean volume of the mastectomies was 576.
  • Patient demographics, postoperative complications and cosmetic outcome were also recorded. Part of the study consisted of 166 patients and looked at two cohorts, patients who were given radiotherapy after breast reconstruction with implant expander and patients who did not receive radiotherapy. Braxon preshaped mesh ex vivo was not used in this study.
  • The mesh is placed over the chest wall and the unit is secured using three cardinal sutures at 12, 3, 9 o’clock position with 2-0 Vicryl suture.
본문요약 정보가 도움이 되었나요?

참고문헌 (25)

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    상세보기

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