Invited Discussion on: Biological Matrix-Assisted One-Stage Implant-Based Breast Reconstruction Versus Two-Stage Implant-Based Breast Reconstruction–Patient-Reported Outcomes and Complications

2021 ◽  
Author(s):  
Maurice Y. Nahabedian
Keyword(s):  
Breast Reconstruction ◽  
Patient Reported Outcomes ◽  
Two Stage ◽  
Biological Matrix ◽  
One Stage ◽  
Patient Reported

scholarly journals Patient-reported outcomes of immediate implant-based breast reconstruction with and without biological or synthetic mesh

BJS Open ◽  
2021 ◽  
Vol 5 (1) ◽  
Author(s):  
E Sewart ◽  
N L Turner ◽  
E J Conroy ◽  
R I Cutress ◽  
J Skillman ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Patient Reported Outcomes ◽  
Random Effect ◽  
Synthetic Mesh ◽  
Supporting Evidence ◽  
Two Stage ◽  
Patient Reported ◽  
Immediate Implant ◽  
The Impact ◽  
Dermal Sling

Abstract Background Biological and synthetic meshes may improve the outcomes of immediate implant-based breast reconstruction (IBBR) by facilitating single-stage procedures and improving cosmesis. Supporting evidence is, however, limited. The aim of this study was to explore the impact of biological and synthetic mesh on patient-reported outcomes (PROs) of IBBR 18 months after surgery. Methods Consecutive women undergoing immediate IBBR between February 2014 and June 2016 were recruited to the study. Demographic, operative, oncological and 3-month complication data were collected, and patients received validated BREAST-Q questionnaires at 18 months. The impact of different IBBR techniques on PROs were explored using mixed-effects regression models adjusted for clinically relevant confounders, and including a random effect to account for clustering by centre. Results A total of 1470 participants consented to receive the questionnaire and 891 completed it. Of these, 67 women underwent two-stage submuscular reconstructions. Some 764 patients had a submuscular reconstruction with biological mesh (495 women), synthetic mesh (95) or dermal sling (174). Fourteen patients had a prepectoral reconstruction. Compared with two-stage submuscular reconstructions, no significant differences in PROs were seen in biological or synthetic mesh-assisted or dermal sling procedures. However, patients undergoing prepectoral IBBR reported better satisfaction with breasts (adjusted mean difference +6.63, 95 per cent c.i. 1.65 to11.61; P = 0.009). PROs were similar to those in the National Mastectomy and Breast Reconstruction Audit 2008–2009 cohort, which included two-stage submuscular procedures only. Conclusion This study found no difference in PROs of subpectoral IBBR with or without biological or synthetic mesh, but provides early data to suggest improved satisfaction with breasts following prepectoral reconstruction. Robust evaluation is required before this approach can be adopted as standard practice.

Smooth versus Textured Implant Breast Reconstruction: Patient-Reported Outcomes and Complications

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Joshua Vorstenbosch ◽  
Colleen M. McCarthy ◽  
Meghana G. Shamsunder ◽  
Thais O. Polanco ◽  
Stefan Dabic ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Patient Reported Outcomes ◽  
Patient Reported ◽  
Implant Breast Reconstruction

scholarly journals Update in Direct-to-Implant Breast Reconstruction

2019 ◽  
Vol 33 (04) ◽  
pp. 264-269 ◽  
Author(s):  
Aurelia Trisliana Perdanasari ◽  
Amjed Abu-Ghname ◽  
Sarth Raj ◽  
Sebastian J. Winocour ◽  
Rene D. Largo
Keyword(s):  
Postoperative Complications ◽  
Breast Reconstruction ◽  
Two Stage ◽  
Surgical Technology ◽  
One Stage ◽  
One Stage Reconstruction ◽  
Reconstruction Option ◽  
Implant Breast Reconstruction

AbstractImplant-based reconstruction (IBR) remains the most commonly utilized breast reconstruction option for post-mastectomy patients. IBR can be approached as either a one-stage reconstruction or a two-stage reconstruction. Facilitated by improvements in surgical technology and advanced techniques, one-stage reconstruction, also known as direct-to-implant (DTI) reconstruction, involves the insertion of an implant at the time of mastectomy. The decision to pursue either a DTI or a two-stage reconstruction is based on several factors, including the patient's overall health, expected risk of postoperative complications, and associated costs to both the patient and hospital.

scholarly journals A Comparison of Patient-Reported Outcomes After Breast-Conserving Surgery and Mastectomy with Implant Breast Reconstruction

2019 ◽  
Vol 26 (10) ◽  
pp. 3133-3140 ◽  
Author(s):  
Meghan R. Flanagan ◽  
Emily C. Zabor ◽  
Anya Romanoff ◽  
Sarah Fuzesi ◽  
Michelle Stempel ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Patient Reported Outcomes ◽  
Breast Conserving Surgery ◽  
Patient Reported ◽  
Implant Breast Reconstruction

Autologous versus implant-based breast reconstruction: A systematic review and meta-analysis of Breast-Q patient-reported outcomes

2020 ◽  
Vol 73 (2) ◽  
pp. 278-285 ◽  
Author(s):  
Navid Mohamadpour Toyserkani ◽  
Mads Gustaf Jørgensen ◽  
Siavosh Tabatabaeifar ◽  
Tine Damsgaard ◽  
Jens Ahm Sørensen
Keyword(s):  
Systematic Review ◽  
Breast Reconstruction ◽  
Patient Reported Outcomes ◽  
Meta Analysis ◽  
Patient Reported

scholarly journals Complications and Patient-Reported Outcomes after Abdominally Based Breast Reconstruction

2018 ◽  
Vol 141 (2) ◽  
pp. 271-281 ◽  
Author(s):  
Jessica Erdmann-Sager ◽  
Edwin G. Wilkins ◽  
Andrea L. Pusic ◽  
Ji Qi ◽  
Jennifer B. Hamill ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Patient Reported Outcomes ◽  
Patient Reported
Sign in / Sign up

Export Citation Format

Share Document