Immediate Implant Breast Reconstruction with Acellular Dermal Matrix for Treatment of a Large Recurrent Malignant Phyllodes Tumor

Farias-Eisner, Gina; Small, Kevin; Swistel, Alexander; Özerdem, Uğur; Talmor, Mia

doi:10.1007/s00266-014-0283-9

Cited by 14 publications

(13 citation statements)

References 22 publications

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“…AlloMax TM Surgical Graft (Bard Davol Inc.) is an acellular non-cross-linked human dermis allograft. Several studies have shown success in using AlloMax TM for breast reconstruction [22], ventral hernia repair [23], and hiatal hernia repair [16].…”

Section: Discussionmentioning

confidence: 99%

Different Biologic Grafts for Diaphragmatic Crura Reinforcement During Laparoscopic Repair of Large Hiatal Hernia: A Six-Year Single Surgeon Experience

Reznichenko

2016

J Curr Surg

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Background: Large hiatal hernias represent a challenge for surgeons. Biologic grafts are currently popular for the strengthening of crural closure during laparoscopic repair. This study is a retrospective review of crural reinforcement in laparoscopic repair of large hiatal hernias using various biologic grafts performed by a single surgeon in a rural community hospital. Methods: Eleven (n = 11) patients underwent laparoscopic repair of large hiatal hernia in a rural community hospital by a single surgeon from 2009 to 2015. Standard laparoscopic hiatal hernia repair was performed. Different biologic grafts were used for crural reinforcement, including "AlloMax", "Permacol", and "Acell MatriStem". Perioperative data and outcomes of surgery were evaluated. Results: There were six females and five males, with a mean age of 55.4 years and a mean body mass index of 32.5. Eight patients had type III hiatal hernia, two patients had type IV, and one patient had type II. Mean operative time was 244.6 minutes, and mean length of stay was 3.3 days. Mean size of herniated stomach in the chest was 62%. Mean size of the hiatal defect was 7.7 × 6.4 cm. One perioperative complication (9%) included bleeding from left gastric artery. Early complications included shortness of breath (18%), parapneumonic effusion (18%), and early dysphagia (18%). Late complications included persistent gastroesophageal reflux (9%), gastroparesis (9%), and persistent dysphagia (9%). Radiological recurrence was 18% and clinical recurrence was 9% at mean follow-up of 15 months. Conclusions: Laparoscopic repair of large hiatal hernia could be safely performed in rural community hospitals. The choice of the biologic graft, if one is used, should be at the discretion of the surgeon. The cost and availability of the biologic graft are important in decision-making.

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Section: Discussionmentioning

confidence: 99%

Different Biologic Grafts for Diaphragmatic Crura Reinforcement During Laparoscopic Repair of Large Hiatal Hernia: A Six-Year Single Surgeon Experience

Reznichenko

2016

J Curr Surg

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“…For this reason, reconstruction of the lost breast is generally performed. Methods of breast reconstruction are classified into two genres: reconstruction by the transfer of autologous tissues [ 2 , 3 ] and reconstruction with artificial materials [ 4 – 6 ]. The latter genre is less invasive than the former.…”

Section: Introductionmentioning

confidence: 99%

Nummular Eczema of Breast: A Potential Dermatologic Complication after Mastectomy and Subsequent Breast Reconstruction

Iwahira

Nagasao

Shimizu

et al. 2015

Plastic Surgery International

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Purposes. The present paper reports clinical cases where nummular eczema developed during the course of breast reconstruction by means of implantation and evaluates the occurrence patterns and ratios of this complication. Methods. 1662 patients undergoing breast reconstruction were reviewed. Patients who developed nummular eczema during the treatment were selected, and a survey was conducted on these patients regarding three items: (1) the stage of the treatment at which nummular eczema developed; (2) time required for the lesion to heal; (3) location of the lesion on the reconstructed breast(s). Furthermore, histopathological examination was conducted to elucidate the etiology of the lesion. Results. 48 patients (2.89%) developed nummular eczema. The timing of onset varied among these patients, with lesions developing after the placement of tissue expanders for 22 patients (45.8%); after the tissue expanders were replaced with silicone implants for 12 patients (25%); and after nipple-areola complex reconstruction for 14 patients (29.2%). Nummular eczema developed both in periwound regions (20 cases: 41.7%) and in nonperiwound regions (32 cases: 66.7%). Histopathological examination showed epidermal acanthosis, psoriasiform patterns, and reduction of sebaceous glands. Conclusions. Surgeons should recognize that nummular eczema is a potential complication of breast reconstruction with tissue expanders and silicone implants.

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“…The literature discussing reconstructive options following resection of giant phyllodes tumors is scarce. There are a few case reports and case series in the literature which report success with immediate‐based autologous reconstruction , as well as implant‐based reconstruction . In counseling our patient about her reconstructive options, she desired a reconstruction that would provide her with a superior cosmetic outcome in the most expeditious manner, while remaining safe for her developing fetus.…”

Section: Discussionmentioning

confidence: 99%

A Case of a Giant Borderline Phyllodes Tumor Early in Pregnancy Treated with Mastectomy and Immediate Breast Reconstruction

et al. 2016

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Breast tumors in pregnancy are often times diagnosed at advanced stages secondary to difficulty distinguishing between pathologic from normal physiologic changes. Often benign, phyllodes tumors are rare fibroepithelial stromal tumors of the breast, most commonly diagnosed in the 4th and 5th decades of life. However, these tumors may be characterized by malignancy with metastases in 10% of cases. In this paper, we report a novel case of a young woman presenting at 8 weeks gestation with a large borderline phyllodes tumor. An exceedingly rare condition, with only nine previously reported cases, phyllodes tumors in pregnancy frequently display more aggressive characteristics with larger median tumor size, more malignant potential, and more rapid growth rate. Here, we describe our experience safely and effectively treating this rare condition in a young gravid women with mastectomy and immediate breast reconstruction in the second trimester.

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Immediate Implant Breast Reconstruction with Acellular Dermal Matrix for Treatment of a Large Recurrent Malignant Phyllodes Tumor

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 14 publications

References 22 publications

Different Biologic Grafts for Diaphragmatic Crura Reinforcement During Laparoscopic Repair of Large Hiatal Hernia: A Six-Year Single Surgeon Experience

Different Biologic Grafts for Diaphragmatic Crura Reinforcement During Laparoscopic Repair of Large Hiatal Hernia: A Six-Year Single Surgeon Experience

Nummular Eczema of Breast: A Potential Dermatologic Complication after Mastectomy and Subsequent Breast Reconstruction

A Case of a Giant Borderline Phyllodes Tumor Early in Pregnancy Treated with Mastectomy and Immediate Breast Reconstruction

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