Patient Selection and Outcome in One Stage Dermal Sling Assisted Immediate Breast Reconstruction
Association of Breast Surgery ePoster Library. Khan A. 05/15/17; 166269; P129
Ms. Ayesha Khan
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Abstract
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Background: One stage breast reconstruction with autologous inferior dermal flap has traditionally only been considered in women with high BMIs and macromastia. This study reports the use of this technique for large as well as smaller sized breasts in slimmer patients that traditionally would not be considered for this technique. We look at the complication rate post procedure, in particular implant loss rate and also patient satisfaction.
Methods: A retrospective review of electronic medical records was used to identify all patients who had undergone skin sparing mastectomy and immediate reconstruction with a dermal sling and implant between Feb 2015 to Oct 2016. Patient demographics, intraoperative details, post-operative complications and patient satisfaction were all recorded.
Results: In the defined study period, 49 dermal sling procedures were carried out on 45 patients. The mean patient age was 47 (range 35-68). The median patient BMI was 31 (range 19.9 to 47) with a median breast weight of 860g (range 372-2100g). Post operatively there were 3 cases of wound infections requiring antibiotics. Two cases of post-operative haematomas required a washout and only one patient lost their implant.
Conclusions: Immediate breast reconstruction with inferior dermal sling and implant is a safe technique with low complication rates. Our unit has demonstrated that this technique can be used in patients with an array of BMIs and breast sizes with good outcomes. In the current economic climate this technique should be considered in a wider range of patients as it avoids the cost and also potential morbidity of acellular dermal matrices. In addition patients wishing to avoid the use of animal material or free flaps benefit from this technique.
Methods: A retrospective review of electronic medical records was used to identify all patients who had undergone skin sparing mastectomy and immediate reconstruction with a dermal sling and implant between Feb 2015 to Oct 2016. Patient demographics, intraoperative details, post-operative complications and patient satisfaction were all recorded.
Results: In the defined study period, 49 dermal sling procedures were carried out on 45 patients. The mean patient age was 47 (range 35-68). The median patient BMI was 31 (range 19.9 to 47) with a median breast weight of 860g (range 372-2100g). Post operatively there were 3 cases of wound infections requiring antibiotics. Two cases of post-operative haematomas required a washout and only one patient lost their implant.
Conclusions: Immediate breast reconstruction with inferior dermal sling and implant is a safe technique with low complication rates. Our unit has demonstrated that this technique can be used in patients with an array of BMIs and breast sizes with good outcomes. In the current economic climate this technique should be considered in a wider range of patients as it avoids the cost and also potential morbidity of acellular dermal matrices. In addition patients wishing to avoid the use of animal material or free flaps benefit from this technique.
Background: One stage breast reconstruction with autologous inferior dermal flap has traditionally only been considered in women with high BMIs and macromastia. This study reports the use of this technique for large as well as smaller sized breasts in slimmer patients that traditionally would not be considered for this technique. We look at the complication rate post procedure, in particular implant loss rate and also patient satisfaction.
Methods: A retrospective review of electronic medical records was used to identify all patients who had undergone skin sparing mastectomy and immediate reconstruction with a dermal sling and implant between Feb 2015 to Oct 2016. Patient demographics, intraoperative details, post-operative complications and patient satisfaction were all recorded.
Results: In the defined study period, 49 dermal sling procedures were carried out on 45 patients. The mean patient age was 47 (range 35-68). The median patient BMI was 31 (range 19.9 to 47) with a median breast weight of 860g (range 372-2100g). Post operatively there were 3 cases of wound infections requiring antibiotics. Two cases of post-operative haematomas required a washout and only one patient lost their implant.
Conclusions: Immediate breast reconstruction with inferior dermal sling and implant is a safe technique with low complication rates. Our unit has demonstrated that this technique can be used in patients with an array of BMIs and breast sizes with good outcomes. In the current economic climate this technique should be considered in a wider range of patients as it avoids the cost and also potential morbidity of acellular dermal matrices. In addition patients wishing to avoid the use of animal material or free flaps benefit from this technique.
Methods: A retrospective review of electronic medical records was used to identify all patients who had undergone skin sparing mastectomy and immediate reconstruction with a dermal sling and implant between Feb 2015 to Oct 2016. Patient demographics, intraoperative details, post-operative complications and patient satisfaction were all recorded.
Results: In the defined study period, 49 dermal sling procedures were carried out on 45 patients. The mean patient age was 47 (range 35-68). The median patient BMI was 31 (range 19.9 to 47) with a median breast weight of 860g (range 372-2100g). Post operatively there were 3 cases of wound infections requiring antibiotics. Two cases of post-operative haematomas required a washout and only one patient lost their implant.
Conclusions: Immediate breast reconstruction with inferior dermal sling and implant is a safe technique with low complication rates. Our unit has demonstrated that this technique can be used in patients with an array of BMIs and breast sizes with good outcomes. In the current economic climate this technique should be considered in a wider range of patients as it avoids the cost and also potential morbidity of acellular dermal matrices. In addition patients wishing to avoid the use of animal material or free flaps benefit from this technique.
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