The Use of “Precapsular Space” in Secondary Breast Reconstruction

Zingaretti, Nicola; Lorenzi, Francesca De; Dell’Antonia, Francesco; Biasio, Fabrizio De; Riccio, Michele; Parodi, Pier Camillo

doi:10.1007/s00266-016-0683-0

Cited by 19 publications

(17 citation statements)

References 18 publications

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“…Complications were considered in 2 categories: early complications (hematoma, seroma, infection, and exposure) and long-term complications (implant rupture, capsular contracture, implant displacement/rotation, and pain onset in the breast region). Patients were asked to fill in a questionnaire 9 during the follow-up period (1 year after surgery).…”

Section: Methodsmentioning

confidence: 99%

Hybrid Breast Reconstruction: Preliminary Report

Calabrese

Zingaretti

Zanin

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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Section: Methodsmentioning

confidence: 99%

Hybrid Breast Reconstruction: Preliminary Report

Calabrese

Zingaretti

Zanin

et al. 2018

Plastic and Reconstructive Surgery - Global Open

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“…Mastectomy consists in the complete mammary gland excision together with the overlying skin and the nipple-areola complex, as well as the underlying muscle fascia. Nowadays, even more conservative techniques have been developed, so that it is possible to spare the skin with or without the nipple-areola complex by performing the so-called nipple-sparing mastectomy or skin-sparing mastectomy [85][86][87][88][89][90][91].…”

Section: Mastectomymentioning

confidence: 99%

Breast and Axilla Treatment in Ductal Carcinoma In Situ

Londero¹,

Bertozzi²,

Vora³

et al. 2018

Cancer Management and Therapy

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Ductal carcinoma in situ (DCIS) represents a challenge for the breast unit team, beginning from its difficult radiological detection and continuing with its controversial multimodal treatment and management. With the introduction of the mammographic screening, DCIS has become a common diagnosis. In fact, today DCIS is mostly identified by mammography or magnetic resonance imaging (MRI). The increased prevalence of DCIS diagnosis, in the past, raised the problem of the therapeutic management. In this chapter, the breast and axillary surgery in case of DCIS and the most controversial aspects regarding DCIS management are reviewed based on international guidelines and on the current literature.

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“…Since then, lipofilling has gained widespread popularity, and its use in breast surgery has become a standard procedure [5]. Fat grafting has been proposed as a tool to improve the outcome for capsular contracture after breast implant reconstruction [6][7][8][9]. Even in breast implant augmentation, lipofilling now has a well-recognized role [10,11].…”

Section: Introductionmentioning

confidence: 99%

Long-term impact of lipofilling in hybrid breast reconstruction: retrospective analysis of two cohorts

et al. 2019

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Lipofilling has recently gained popularity as a tool in primary treatment of breast cancer, and its association with two-stage implant breast reconstruction is considered as standard treatment in many centers. However, no data are available about the longterm results of the association of lipofilling in combination with expander-implant reconstruction. A retrospective analysis was conducted on patients treated between January 2010 and December 2014. Two groups were compared. Group 1 had a standard expander-implant two-stage reconstruction. Group 2 underwent hybrid breast reconstruction (HBR). Patient characteristics, hospitalization, outcomes, reoperation details, outpatient visits, and evaluation questionnaires were taken into consideration. Intergroup comparison was performed using Wilcoxon Mann-Whitney U test and Pearson's chi-square test or Fisher's exact test for categorical variables. Two hundred fourteen patients were evaluated: 130 patients in group 1 and 84 patients in group 2. Group 2 showed significant benefits over group 1 in terms of capsular contracture rate, breast pain, and displacement/rotation of the implant (p = 0.005). The HBR protocol is associated with lower rate of capsular contracture, less breast pain at long follow-up times, and lower overall rates of revision surgery compared to standard expander-implant reconstruction. A specific cost analysis will help further clarify the advantages of this protocol over a standard procedure. Level of Evidence: Level III, risk/prognostic, therapeutic study.

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The Use of “Precapsular Space” in Secondary Breast Reconstruction

Abstract: This journal requires that the 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 19 publications

References 18 publications

Hybrid Breast Reconstruction: Preliminary Report

Hybrid Breast Reconstruction: Preliminary Report

Breast and Axilla Treatment in Ductal Carcinoma In Situ

Long-term impact of lipofilling in hybrid breast reconstruction: retrospective analysis of two cohorts

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