Clinical, histological and ultrasound follow-up of the breast reconstruction with one-stage muscle sparing “wrap” technique: a single-center experience

Publication date: Available online 29 June 2017
Source:Journal of Plastic, Reconstructive & Aesthetic Surgery
Author(s): Maria Giuseppina Onesti, Michele Maruccia, Albano Antonio, Giuseppe Soda, Laura Ballesio, Nicolò Scuderi
BackgroundPrepectoral implant placement and complete coverage with porcine acellular matrix after mastectomy is a new concept in breast surgery presented in few cases in literature. The aim of this paper is to present our single center experience in one-stage breast reconstruction muscle sparing “wrap” technique by evaluating clinical and aesthetic outcomes, ultrasound and histological examination and patient quality of life.MethodsFrom January 2014 to January 2017, 52 patients (40 unilateral, 12 bilateral) underwent to one stage muscle-sparing breast reconstructions with Braxon^® acellular dermal matrix and implant. In three patients a surgical biopsy and histological examination with immunohistochemical analysis of the periprosthetic tissue was carried out. All patients underwent breast ultrasound examination and the occurrence of capsular contracture was assessed through the Baker classification and measuring the mammary compliance scores with the Antoon Paar Mammary compliance system. Breast appearance was evaluated with a Visual Analogue Scale (VAS) and in term of quality of life with the EOCRT QLQ C-30 and QLQ BR-23 questionnaires.ResultsEarly and late post-operative complications are reported. Histological and ultrasound evaluation showed a complete integration of the matrix. According to the VAS scale, the EOCRT QLQ C-30 and QLQ BR-23, patients’ satisfaction gave high score in terms of quality of life and aesthetic outcomes.ConclusionThe results of this new surgical technique in selected cases are promising in terms of effectiveness and low rate of post-operative complications, but further long-terms evaluations are required.



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