scholarly journals Comparison of the Incidence of Capsular Formation in Two-Stage, Implant-Based Breast Reconstruction Using an Insertion Funnel and Sizer

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Jun Hyeok Kim ◽  
Jung Hyeou Kim ◽  
Ahwon Lee ◽  
Suk-Ho Moon ◽  
Young-Joon Jun ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Chest Wall ◽  
Breast Implant ◽  
Acellular Dermal Matrix ◽  
Large Cell ◽  
Two Stage ◽  
Dermal Matrix ◽  
Group A ◽  
Group B ◽  
Capsular Formation

Purpose. Capsular formation around breast implants can produce various complications, including erythema, tenderness, discomfort, and breast deformation. Moreover, the capsule is thought to be correlated with breast implant-associated anaplastic large cell lymphoma. The proposed technique of capsule reduction can prevent some of these complications. Thus, the authors suggest a no-touch technique in two-stage, implant-based breast reconstruction. Patients and Methods. This single-center retrospective study evaluated the medical records and digitalized pathological slides of patients who underwent two-stage, implant-based breast reconstruction between February 2018 and May 2019. The selected patients were divided into group A and group B. Group A underwent a no-touch technique that included the following two steps: (1) using a sizer as the frame to create the submuscular and acellular dermal matrix (ADM) pocket for expander insertion and (2) inserting the expander through the funnel. After the second stage of implant insertion, the capsule was harvested for biopsy of the ADM, chest wall, and muscle. Results. This study included 33 breasts (31 patients): 18 in group A and 15 in group B. The capsular thicknesses of the ADM, the chest wall, and the muscle of group A were significantly thinner than those in group B. Pearson’s correlation coefficient indicated negative correlations between capsular thickness and age; underlying disease; lesion side; interval of two-stage implant insertion; size of the expander; and radiotherapy, chemotherapy, or hormone therapy. Conclusion. To reduce the incidence of capsular formation following breast reconstruction using prostheses, a no-touch technique that uses a funnel and sizer to avoid implant contact is both efficient and beneficial.

Prosthetic-Based Breast Reconstruction

2020 ◽  
Author(s):  
Jonathan Nguyen ◽  
Justin Williams ◽  
Albert Losken
Keyword(s):  
Breast Reconstruction ◽  
Breast Implant ◽  
Tissue Expander ◽  
Acellular Dermal Matrix ◽  
Large Cell ◽  
Fat Grafting ◽  
Immediate Reconstruction ◽  
Dermal Matrix ◽  
Prosthetic Reconstruction ◽  
Acellular Dermal

Prosthetic reconstruction is the most popular option for breast reconstruction after mastectomy. There are several different techniques, such as prepectoral versus subpectoral placement, and delayed versus immediate reconstruction, each with their own sets of risks and benefits. With the advent of improved implant technology, acellular dermal matrix, and fat grafting, prepectoral direct to implant has become an accepted and increasingly popular method of reconstruction, with similar to improved complication rates and outcomes as traditional staged tissue expander reconstruction. Prosthetic reconstruction has had some recent controversies, including breast implant associated anaplastic large cell lymphoma and breast implant illness, and many future studies are being directed towards these topics. This review contains 5 figures, and 53 references. Keywords: breast reconstruction, breast implant, acellular dermal matrix, prepectoral reconstruction, tissue expander, fat grafting, capsular contracture, immediate reconstruction, breast implant associated anaplastic large cell lymphoma, breast implant illness

scholarly journals Prepectoral Two-Stage Implant-Based Breast Reconstruction with and without Acellular Dermal Matrix

2020 ◽  
Vol 145 (2) ◽  
pp. 263e-272e ◽  
Author(s):  
Oscar J. Manrique ◽  
Tony Chieh-Ting Huang ◽  
Jorys Martinez-Jorge ◽  
Pedro Ciudad ◽  
Antonio J. Forte ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Acellular Dermal Matrix ◽  
Two Stage ◽  
Dermal Matrix ◽  
Acellular Dermal

scholarly journals Muscle-Sparing ADM-Assisted Breast Reconstruction Technique Using Complete Breast Implant Coverage: A Dual-Institute UK-Based Experience

Breast Care ◽  
2017 ◽  
Vol 12 (4) ◽  
pp. 251-254 ◽  
Author(s):  
Raghavan Vidya ◽  
Simon J. Cawthorn
Keyword(s):  
Breast Reconstruction ◽  
Breast Implant ◽  
Wound Dehiscence ◽  
Acellular Dermal Matrix ◽  
Early Experience ◽  
Reconstruction Technique ◽  
The Novel ◽  
Dermal Matrix ◽  
Superficial Wound ◽  
Muscle Sparing

Background: We report our early experience of a novel muscle-sparing breast (prepectoral) reconstruction technique using a pre-shaped Braxon® mesh (acellular dermal matrix) which completely wraps around the breast implant. Methods: All patients who underwent prepectoral implant-based breast reconstruction between April 2014 and September 2015 were included in the analysis. The dermal matrix Braxon® used is a pre-shaped matrix which forms a complete implant mesh wrap. The new breast created is placed over the chest wall without disturbing the pectoralis musculature. Results: A total of 51 (42 unilateral and 9 bilateral) muscle-sparing breast reconstructions were carried out. Complications included implant loss (n = 1; 1.7%) secondary to wound infection, seroma (n = 4; 6.7%), and superficial wound dehiscence (n = 1; 1.7%) which was re-sutured without further complication. The median follow-up period was 16.4 (range 8-25) months. Conclusion: The early experience appears highly satisfactory with good clinical outcome. The novel prepectoral implant-based breast reconstruction using the mesh wrap provides an effective alternative to the more traditional submuscular implant-based technique.

scholarly journals One-stage and two-stage breast reconstruction have no meaningful difference in patient quality of life

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Amer Mansoor
Keyword(s):  
Quality Of Life ◽  
Breast Reconstruction ◽  
Controlled Trial ◽  
Acellular Dermal Matrix ◽  
Clinical Decision ◽  
Two Stage ◽  
Dermal Matrix ◽  
One Stage ◽  
Randomised Controlled

A clinical decision report appraising Negenborn VL, Young-Afat DA, Dikmans REG, et al. Quality of life and patient satisfaction after one-stage implant-based breast reconstruction with an acellular dermal matrix versus two-stage breast reconstruction (BRIOS): primary outcome of a randomised, controlled trial. Lancet Oncology. 2018;19(9):1205-14. https://doi.org/10.1016/s1470-2045(18)30378-4.

scholarly journals Local reaction to FlexHD® acellular dermal matrix in breast reconstruction: A case report and review of the literature

2018 ◽  
Vol 1 (1) ◽  
pp. 142-148
Author(s):  
Robert Phan ◽  
Frank Lin ◽  
Dean White
Keyword(s):  
Breast Reconstruction ◽  
Medical Literature ◽  
Local Reaction ◽  
Breast Implant ◽  
Acellular Dermal Matrix ◽  
Abdominal Wall Defects ◽  
Review Of The Literature ◽  
Dermal Matrix ◽  
Thoracic And Abdominal ◽  
Acellular Dermal

Since its first reported use for the treatment of burns victims, acellular dermal matrix (ADM) use has expanded to surgeries including repairing thoracic and abdominal wall defects, and breast reconstruction. FlexHD® is a brand of ADM prepared from human cadaveric dermis that has been processed to remove antigenic components and is used to reinforce the subpectoral pocket created during submuscular breast implant surgery. Recent documentation of a phenomenon termed ‘red breast syndrome’ (RBS) has emerged in the medical literature, with little known about its aetiology and treatment. This paper presents a case of blistering cutaneous erythema from FlexHD® ADM.

Unilateral Preoperative Chest Wall Irradiation in Bilateral Tissue Expander/Implant Breast Reconstruction with Acellular Dermal Matrix

2012 ◽  
Vol 130 ◽  
pp. 36
Author(s):  
Yeliz Cemal ◽  
Katie Weichman ◽  
Claudia R Albornoz ◽  
Colleen M. McCarthy ◽  
Andrea L. Pusic ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Chest Wall ◽  
Tissue Expander ◽  
Acellular Dermal Matrix ◽  
Dermal Matrix ◽  
Acellular Dermal ◽  
Implant Breast Reconstruction ◽  
Preoperative Chest

Impact and Outcome of Human Acellular Dermal Matrix Size for Immediate and Two-Stage Breast Reconstruction

2013 ◽  
Vol 132 (1) ◽  
pp. 11-18 ◽  
Author(s):  
Cenk Cayci ◽  
Florian Santner ◽  
Steven R. Jacobson
Keyword(s):  
Breast Reconstruction ◽  
Acellular Dermal Matrix ◽  
Two Stage ◽  
Dermal Matrix ◽  
Matrix Size ◽  
Acellular Dermal ◽  
Human Acellular Dermal Matrix

scholarly journals Local reaction to FlexHD® acellular dermal matrix in breast reconstruction: A case report and review of the literature

2018 ◽  
Vol 1 (1) ◽  
pp. 140-146
Author(s):  
Robert Phan ◽  
Frank Lin ◽  
Dean White
Keyword(s):  
Breast Reconstruction ◽  
Medical Literature ◽  
Local Reaction ◽  
Breast Implant ◽  
Acellular Dermal Matrix ◽  
Abdominal Wall Defects ◽  
Review Of The Literature ◽  
Dermal Matrix ◽  
Thoracic And Abdominal ◽  
Acellular Dermal

Since its first reported use for the treatment of burns victims, acellular dermal matrix (ADM) use has expanded to surgeries including repairing thoracic and abdominal wall defects, and breast reconstruction. FlexHD® is a brand of ADM prepared from human cadaveric dermis that has been processed to remove antigenic components and is used to reinforce the subpectoral pocket created during submuscular breast implant surgery. Recent documentation of a phenomenon termed ‘red breast syndrome’ (RBS) has emerged in the medical literature, with little known about its aetiology and treatment. This paper presents a case of blistering cutaneous erythema from FlexHD® ADM.

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