Donor site complications and satisfaction in autologous fat grafting for breast reconstruction: A systematic review

Wederfoort, Jamilla L M; Hebels, S.A.; Heuts, E. M.; Hulst, René R W J van der; Piatkowski, Andrzej

doi:10.1016/j.bjps.2022.01.029

Cited by 11 publications

(3 citation statements)

References 37 publications

(46 reference statements)

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“…The complications for the donor sites include bruising, swelling, hematoma, paresthesia, infection, and contour irregularities. Damage of the underlying structures like intrapleural, intraperitoneal or intramuscular penetration of the cannula remains exceptional ( 72 , 75 , 76 ).…”

Section: Results and Considerationsmentioning

confidence: 99%

Autogenous breast reconstruction for total mastectomies: a narrative review

Laurent,

Trifan,

Danino

et al. 2024

Ann Transl Med

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Background and Objective Mastectomies have a significant socio-psychological impact, motivating patients to undergo breast reconstruction. Initially, silicone implants were used to reconstruct the breast. However, breast implants have been the subject of successive crises throughout the years. Indeed, rupture, silicone bleeding, and capsular contracture remain topical. In 2019, the BIOCELL textured breast implants was banned and recalled due to the discovery of the breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). More recently, the breast implant illness has been depicted in the media. To cope with these issues and to respond to some patients’ expectations for a natural reconstruction, plastic surgeons have developed autogenous solutions for breast reconstruction. Since Taylor’s research on angiosomes, the development of the microsurgery and more recently fat grafting, autogenous breast reconstruction has known a tremendous expansion. Autologous breast reconstruction allows a more natural feeling and texture. This narrative review aims to provide to the readers a comprehensive and updated evidence-based overview of state of the art about autologous breast reconstruction after total mastectomy. Methods We conducted a narrative review of the literature searching for papers published between January 2010 and December 2022. The MeSH terms with different combinations were used to identify articles for inclusion. After screening article titles and abstracts independently by three authors, 66 papers were included in this review. Key Content and Findings In this review, the authors describe and discuss the different autogenous techniques in breast reconstruction. Conclusions Autologous reconstructions provide very satisfactory, durable, and reliable results with relatively low complication rates. Deep inferior epigastric perforator (DIEP) flaps, latissimus dorsi flaps and autologous fat grafting are the most common type of autogenous breast reconstructions.

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Section: Results and Considerationsmentioning

confidence: 99%

Autogenous breast reconstruction for total mastectomies: a narrative review

Laurent,

Trifan,

Danino

et al. 2024

Ann Transl Med

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“…To pre-expand the breast before a session of AFT, an EVE-cup can be used. Survival of the injected fat cells is facilitated by angiogenesis [ 6 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

Bilateral breast infection following total breast reconstruction with autologous fat transfer (AFT): A case report

Saelmans

Rijkx

Hommes

et al. 2023

International Journal of Surgery Case Reports

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“…Breast reconstruction using an autologous flap may result in abdominal hernia, wound dehiscence, wound infection, and flap necrosis [ 5 ], and almost one-third of reconstructive patients require revision surgery [ 6 ]. Fat injections require large volumes of autologous fat and repeat procedures owing to the reduced fat retention rate, and the oncological safety and risk of lipofilling oil cysts have been questioned [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%