Immediate implant replacement with DIEP flap: a single-stage salvage option in failed implant-based breast reconstruction

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ID: 49955
2018
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Abstract
Abstract Background Implant-based immediate breast reconstruction after skin-sparing mastectomy has shown a significant improvement in patients’ quality of life, making the procedure steadily more popular year after year. However, this technique has a high morbidity rate, including skin necrosis and implant exposure. Methods A retrospective review of a prospectively held database for autologous breast reconstruction in our institution of the last 5 years found eight cases with exposed implants after nipple-sparing mastectomy and immediate reconstruction. A single-stage procedure consisting on implant removal and immediate replacement with a deepithelialized DIEP flap was performed in all cases (10 DIEP flaps). Results All flaps were successful. Patients’ mean age was 45 years old. Three patients developed seroma (5, 7, and 14 days after surgery, respectively). No infections were detected in up to 24 months of follow-up. Conclusions Nipple-sparing mastectomy with immediate implant-based reconstruction is considered oncologically safe. However, it has a high rate of complications that could require implant removal. Immediate free flap reconstruction is a feasible and safe option to replace the missing volume with low risk of complications that result in a soft and natural-shaped breast.
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marquez2018immediateworld Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Marquez, Miguel De La Parra;Fernandez-Riera, Ricardo;Cardona, Hector Vela;Flores, Jesus María Rangel;
Journal world journal of surgical oncology
Year 2018
DOI
DOI not found
URL
http://link.springer.com/article/10.1186/s12957-018-1387-5
Keywords
chemistry Biology (General) Medicine Engineering (General). Civil engineering (General) Technology Computer applications to medicine. Medical informatics Science surgery Dentistry physics neoplasms. tumors. oncology. including cancer and carcinogens public aspects of medicine practical theology practical religion. the christian life

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