Direct to Implant Breast Reconstruction: Visualized Technique

Overview

Journal Gland Surg

Publisher AME Publishing Company

Specialty Endocrinology

Date 2019 Nov 12

PMID 31709162

Citations 3

Authors

Ilana G Margulies

Yasmina Zoghbi

Jordan Jacobs

Sarah P Cate

C Andrew Salzberg

Affiliations

Soon will be listed here.

Abstract

Over the past 19 years, direct to implant (DTI) breast reconstruction has been found to decrease medical system cost, improve psychosocial morbidity, and optimize cosmetic outcomes. Acellular dermal matrices (ADMs) have further improved reconstructive outcomes, as the tissue incorporates with new angiogenesis and tissue regeneration. ADMs have been used by the senior author since 2000, and have since become a cornerstone of implant-based reconstruction. The senior author began using contoured perforated ready to use ADM in 2015 and is currently studying the effect of this change on breast reconstruction outcomes. This article details the senior author's technique in performing DTI breast reconstruction and highlights the operative components necessary for success.

Citing Articles

Research trends and performances of breast reconstruction: a bibliometric analysis.

Li Y, Wang X, Thomsen J, Nahabedian M, Ishii N, Rozen W Ann Transl Med. 2020; 8(22):1529.

PMID: 33313274 PMC: 7729324. DOI: 10.21037/atm-20-3476.

Submuscular and Pre-Pectoral ADM Assisted Immediate Breast Reconstruction: A Literature Review.

Cuomo R Medicina (Kaunas). 2020; 56(6).

PMID: 32466619 PMC: 7353845. DOI: 10.3390/medicina56060256.

Inspiring visualized surgery of the breast.

Thomsen J Gland Surg. 2019; 8(Suppl 4):S245-S246.

PMID: 31709161 PMC: 6819880. DOI: 10.21037/gs.2019.09.08.

References

McCarthy C, Mehrara B, Riedel E, Davidge K, Hinson A, Disa J . Predicting complications following expander/implant breast reconstruction: an outcomes analysis based on preoperative clinical risk. Plast Reconstr Surg. 2008; 121(6):1886-1892. DOI: 10.1097/PRS.0b013e31817151c4. View

Komorowska-Timek E, Gurtner G . Intraoperative perfusion mapping with laser-assisted indocyanine green imaging can predict and prevent complications in immediate breast reconstruction. Plast Reconstr Surg. 2010; 125(4):1065-1073. DOI: 10.1097/PRS.0b013e3181d17f80. View

Palaia D, Arthur K, Cahan A, Rosenberg M . Incidence of Seromas and Infections Using Fenestrated versus Nonfenestrated Acellular Dermal Matrix in Breast Reconstructions. Plast Reconstr Surg Glob Open. 2016; 3(11):e569. PMC: 4727721. DOI: 10.1097/GOX.0000000000000559. View

Singletary S, Kroll S . Skin-sparing mastectomy with immediate breast reconstruction. Adv Surg. 1996; 30:39-52. View

Khoo A, Kroll S, Reece G, Miller M, EVANS G, ROBB G . A comparison of resource costs of immediate and delayed breast reconstruction. Plast Reconstr Surg. 1998; 101(4):964-8; discussion 969-70. DOI: 10.1097/00006534-199804040-00011. View

Dean C, Chetty U, Forrest A . Effects of immediate breast reconstruction on psychosocial morbidity after mastectomy. Lancet. 1983; 1(8322):459-62. DOI: 10.1016/s0140-6736(83)91452-6. View

Sood M, Glat P . Potential of the SPY intraoperative perfusion assessment system to reduce ischemic complications in immediate postmastectomy breast reconstruction. Ann Surg Innov Res. 2013; 7(1):9. PMC: 3733811. DOI: 10.1186/1750-1164-7-9. View

Margulies I, Salzberg C . The use of acellular dermal matrix in breast reconstruction: evolution of techniques over 2 decades. Gland Surg. 2019; 8(1):3-10. PMC: 6378261. DOI: 10.21037/gs.2018.10.05. View

Stevens L, McGrath M, DRUSS R, KISTER S, GUMP F, Forde K . The psychological impact of immediate breast reconstruction for women with early breast cancer. Plast Reconstr Surg. 1984; 73(4):619-28. DOI: 10.1097/00006534-198404000-00018. View

10.

Salzberg C . Focus on technique: one-stage implant-based breast reconstruction. Plast Reconstr Surg. 2012; 130(5 Suppl 2):95S-103S. DOI: 10.1097/PRS.0b013e318262e1a1. View

11.

Sbitany H, Piper M, Lentz R . Prepectoral Breast Reconstruction: A Safe Alternative to Submuscular Prosthetic Reconstruction following Nipple-Sparing Mastectomy. Plast Reconstr Surg. 2017; 140(3):432-443. DOI: 10.1097/PRS.0000000000003627. View

12.

Salzberg C . Nonexpansive immediate breast reconstruction using human acellular tissue matrix graft (AlloDerm). Ann Plast Surg. 2006; 57(1):1-5. DOI: 10.1097/01.sap.0000214873.13102.9f. View

13.

Hunsicker L, Ashikari A, Berry C, Koch R, Salzberg C . Short-Term Complications Associated With Acellular Dermal Matrix-Assisted Direct-to-Implant Breast Reconstruction. Ann Plast Surg. 2016; 78(1):35-40. DOI: 10.1097/SAP.0000000000000742. View

14.

Mowlds D, Salibian A, Scholz T, Paydar K, Wirth G . Capsular Contracture in Implant-Based Breast Reconstruction: Examining the Role of Acellular Dermal Matrix Fenestrations. Plast Reconstr Surg. 2015; 136(4):629-635. DOI: 10.1097/PRS.0000000000001570. View