Comparison of Immediate Implant Placement versus the Staged Tissue Expander Technique in Breast Reconstruction

Abstract

Therapeutic, III.

Comparison of one-stage vs two-stage prosthesis-based breast reconstruction: a systematic review and meta-analysis

“…1,4,19,23,26 Six studies compared patient demographics and operation-related characteristics between two groups. 1,[3][4][5]18,19 Of these, a study by Petersen et al 5 showed unilaterally unfavorable patient characteristics in which the one-stage group included a significantly higher rate of smokers and obese patients, which resulted in significant heterogeneity in the analysis. Therefore, we…”

“…1,3-5,13,16-18,20-28 Nine studies were conducted with patients who underwent NSM, 13,[16][17][18][20][21][22]24,25 three for skinsparing mastectomy 5,27,28 and one for both. 3 The other five studies did not describe the specific mastectomy types used, and they likely included cases of non-NSM. 1,4,19,23,26 Six studies compared patient demographics and operation-related characteristics between two groups.…”

“…Finally, 18 articles passed the full-text review and were thus included for the present analysis ( Figure 1). 1,[3][4][5]13,[16][17][18][19][20][21][22][23][24][25][26][27][28] …”

“…6,7 Preserving the entire breast envelope reduces the necessity for skin expansion and facilitates reconstruction of symmetric breasts through one-stage prosthesis-based reconstruction. 3,8 Furthermore, with refinement of surgical techniques and popular use of the acellular dermal matrix, which can protect the threatened mastectomy flap from direct pressure caused by inserting a large-volume implant, the complication rates of one-stage reconstruction have been reduced. [9][10][11][12] Several studies have compared the outcomes of one-stage and two-stage breast reconstruction, though their results were inconsistent.…”

“…With the rise in prophylactic mastectomy and bilateral reconstruction, use of prostheses surpassed that of autologous tissue for reconstruction in the early 2000s, 2 and now exceeds 70% of all breast reconstruction cases, 3 and has become the most popular breast reconstruction modality.…”