Autologous Dermal Graft in Breast Reconstruction and Treatment of Breast Implant Malposition

Maguina, Pirko; Hoffman, Ryan; Szczerba, Stefan M.

doi:10.1097/prs.0b013e3181d45ac7

Cited by 13 publications

(4 citation statements)

References 3 publications

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“…A few authors have also proposed dermal autografts as an alternative to ADM [124] , [125] , [126] . The autologous dermal graft can be harvested during the time of the mastectomy as a horizontally-oriented ellipse in the lower abdomen if a preexisting scar is present (mainly resulting from a Pfannenstiel incision) or from the contralateral breast if a reductive mastoplasty is planned.…”

Section: Surgical Techniquementioning

confidence: 99%

“…The autologous dermal graft can be harvested during the time of the mastectomy as a horizontally-oriented ellipse in the lower abdomen if a preexisting scar is present (mainly resulting from a Pfannenstiel incision) or from the contralateral breast if a reductive mastoplasty is planned. Lynch at al [126] conducted a prospective study to compare the outcomes of TE-breast reconstruction by means of dermal autografts and ADM. They reported that the dermal autograft group had a higher intraoperative final TE volume, but no difference was seen in the number of postoperative in-office expansions or the time to TE/implant exchange.…”

Section: Surgical Techniquementioning

confidence: 99%

“…The use of ADM provides numerous advantages over the conventional technique, but there are also potential disadvantages, including higher cost [24] . More recently, autologous dermal grafts have been proposed as an alternative to ADM [25] , [26] .…”

Section: Introductionmentioning

confidence: 99%

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Tissue expansion for breast reconstruction: Methods and techniques

Bertozzi

Pesce

Santi

et al. 2017

Annals of Medicine &Amp; Surgery

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ObjectiveIn this work, the authors review recent data on the different methods and techniques of TE/implant-based reconstruction to determine the complication profiles and the advantages and disadvantages of the different techniques. This information will be valuable for surgeons performing breast reconstructions.Materials and methodsA thorough literature review was conducted by the authors concerning the current strategy of tissue expander (TE)/implant-based breast reconstruction following breast cancer surgery.ResultsLoss of the breast can strongly affect a woman's personal and social life while breast reconstruction reduces the sense of mutilation felt by women after a mastectomy, and provides psychosocial as well as aesthetic benefits. TE/implant-based reconstruction is the most common breast reconstructive strategy, constituting almost 65% of all breast reconstructions in the US. Although numerous studies have been published on various aspects of alloplastic breast reconstructions, most studies are single-center observations. No evidence-based guidelines are available as yet. Conventional TE/implant-based reconstruction can be performed as a two-stage procedure either in the immediate or delayed setting. Moreover, the adjunctive use of acellular dermal matrix further broadened the alloplastic breast reconstruction indication and also enhanced aesthetic outcomes.ConclusionsTE/implant-based reconstruction has proved to be a safe, cost-effective, and reliable technique that can be performed in women with various comorbidities. Short operative time, fast recovery, and absence of donor site morbidity are other advantages over autologous breast reconstruction.

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Section: Surgical Techniquementioning

confidence: 99%

Section: Surgical Techniquementioning

confidence: 99%

See 1 more Smart Citation

Tissue expansion for breast reconstruction: Methods and techniques

Bertozzi

Pesce

Santi

et al. 2017

Annals of Medicine &Amp; Surgery

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“…The use of ADM provides numerous advantages over the conventional technique, but there are also potential disadvantages, including higher cost [ 27 ]. More recently, autologous dermal grafts have been proposed as an alternative to ADM [ 28 , 29 ].…”

Section: Objectivementioning

confidence: 99%

Two-Stage Tissue-Expander Breast Reconstruction: A Focus on the Surgical Technique

Bellini

Pesce

Santi

et al. 2017

BioMed Research International

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Objective Breast cancer, the most common malignancy in women, comprises 18% of all female cancers. Mastectomy is an essential intervention to save lives, but it can destroy one's body image, causing both physical and psychological trauma. Reconstruction is an important step in restoring patient quality of life after the mutilating treatment. Material and Methods Tissue expanders and implants are now commonly used in breast reconstruction. Autologous reconstruction allows a better aesthetic result; however, many patients prefer implant reconstruction due to the shorter operation time and lack of donor site morbidity. Moreover, this reconstruction strategy is safe and can be performed in patients with multiple health problems. Tissue-expander reconstruction is conventionally performed as a two-stage procedure starting immediately after mammary gland removal. Results Mastectomy is a destructive but essential intervention for women with breast cancer. Tissue expansion breast reconstruction is a safe, reliable, and efficacious procedure with considerable psychological benefits since it provides a healthy body image. Conclusion This article focuses on this surgical technique and how to achieve the best reconstruction possible.

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