Maria Giuseppina Onesti1, Michele Maruccia2, Giuseppe Di Taranto1, Antonio Albano1, Giuseppe Soda3, Laura Ballesio4, Nicolò Scuderi1. 1. Department Surgery "P.Valdoni", Unit of Plastic and Reconstructive Surgery, Sapienza University, Rome, Italy. 2. Department Surgery "P.Valdoni", Unit of Plastic and Reconstructive Surgery, Sapienza University, Rome, Italy. Electronic address: marucciam@gmail.com. 3. Department of Molecular medicine, Sapienza University of Rome, Rome, Italy. 4. Department of Radiological, Oncological, Anatomo-pathological Sciences, Sapienza University of Rome, Rome, Italy.
Abstract
BACKGROUND: Prepectoral implant placement and complete coverage with porcine acellular matrix after mastectomy is a new concept in breast surgery presented in few cases in the literature. This paper aimed 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. METHODS: From January 2014 to January 2017, 52 patients (40 unilateral, 12 bilateral) underwent one-stage muscle-sparing breast reconstructions with Braxon® acellular dermal matrix and implant. In 3 patients, a surgical biopsy and histological examination with immunohistochemical analysis of the periprosthetic tissue were performed. All patients underwent breast ultrasound examination, and the occurrence of capsular contracture was assessed through the Baker classification and by measuring the mammary compliance scores with the Antoon Paar Mammary compliance system. Breast appearance was evaluated using a visual analogue scale (VAS) and in terms of quality of life using the EOCRT QLQ C-30 and QLQ BR-23 questionnaires. RESULTS: Early and late postoperative 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 resulted in a high score in terms of quality of life and aesthetic outcomes. CONCLUSION: The results of this new surgical technique in selected cases are promising in terms of effectiveness and low rate of postoperative complications, but further long-terms evaluations are required.
BACKGROUND: Prepectoral implant placement and complete coverage with porcine acellular matrix after mastectomy is a new concept in breast surgery presented in few cases in the literature. This paper aimed 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. METHODS: From January 2014 to January 2017, 52 patients (40 unilateral, 12 bilateral) underwent one-stage muscle-sparing breast reconstructions with Braxon® acellular dermal matrix and implant. In 3 patients, a surgical biopsy and histological examination with immunohistochemical analysis of the periprosthetic tissue were performed. All patients underwent breast ultrasound examination, and the occurrence of capsular contracture was assessed through the Baker classification and by measuring the mammary compliance scores with the Antoon Paar Mammary compliance system. Breast appearance was evaluated using a visual analogue scale (VAS) and in terms of quality of life using the EOCRT QLQ C-30 and QLQ BR-23 questionnaires. RESULTS: Early and late postoperative 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 resulted in a high score in terms of quality of life and aesthetic outcomes. CONCLUSION: The results of this new surgical technique in selected cases are promising in terms of effectiveness and low rate of postoperative complications, but further long-terms evaluations are required.
Authors: Elena Tsangaris; Andrea L Pusic; Manraj N Kaur; Sophocles Voineskos; Louise Bordeleau; Toni Zhong; Raghavan Vidya; Justin Broyles; Anne F Klassen Journal: Ann Surg Oncol Date: 2021-02-26 Impact factor: 5.344
Authors: Steven Sigalove; G Patrick Maxwell; Noemi M Sigalove; Toni L Storm-Dickerson; Nicole Pope; Jami Rice; Allen Gabriel Journal: Plast Reconstr Surg Glob Open Date: 2017-12-28
Authors: Diego Ribuffo; Giorgio Berna; Roy De Vita; Giovanni Di Benedetto; Emanuele Cigna; Manfredi Greco; Luigi Valdatta; Maria Giuseppina Onesti; Federico Lo Torto; Marco Marcasciano; Ugo Redi; Vittorio Quercia; Juste Kaciulyte; Mario Cherubino; Luigi Losco; Francesco Luca Rocco Mori; Alessandro Scalise Journal: Aesthetic Plast Surg Date: 2020-08-28 Impact factor: 2.326