A retrospective study comparing early outcomes of prepectoral and subpectoral implant based breast reconstruction.
Association of Breast Surgery ePoster Library. Khan A. 05/15/17; 166332; P048
Asad Khan
REGULAR CONTENT
Login now to access Regular content available to all registered users.
Abstract
Rate & Comment (0)
Introduction
Immediate implant based reconstruction is an established breast reconstruction technique where full implant converage is achieved with the combination of the pectoral muscle and either a dermal sling or mesh. However, prepectoral implant reconstructions have become increasingly popular and have been shown to result in equally good outcomes.
Methods
We performed a retrospective audit comparing the length of hospital stay, use of analgesia and complication rate (delayed healing, infection, implant loss, return to theatre) in patients who had prepectoral and subpectoral implant based reconstruction over the last year.
Results
A total of 44 patients were included in this study with 22 patients in each group. There was no significant difference in the patients' age, smoking history or indication for mastectomy (DCIS or cancer). However, patients who had prepectoral implants had significantly shorter hospital stay (p=0.047). No difference was seen in analgesia requirements. There was also no difference in the rate of complications between the two groups.
Conclusions
Prepectoral implant reconstruction achieves comparable outcomes to the placement of subpectoral implants. With less intraoperative dissection, patients need less time to recover. Further prospective studies are needed to look at the long-term outcomes of prepectoral implant reconstruction.
Immediate implant based reconstruction is an established breast reconstruction technique where full implant converage is achieved with the combination of the pectoral muscle and either a dermal sling or mesh. However, prepectoral implant reconstructions have become increasingly popular and have been shown to result in equally good outcomes.
Methods
We performed a retrospective audit comparing the length of hospital stay, use of analgesia and complication rate (delayed healing, infection, implant loss, return to theatre) in patients who had prepectoral and subpectoral implant based reconstruction over the last year.
Results
A total of 44 patients were included in this study with 22 patients in each group. There was no significant difference in the patients' age, smoking history or indication for mastectomy (DCIS or cancer). However, patients who had prepectoral implants had significantly shorter hospital stay (p=0.047). No difference was seen in analgesia requirements. There was also no difference in the rate of complications between the two groups.
Conclusions
Prepectoral implant reconstruction achieves comparable outcomes to the placement of subpectoral implants. With less intraoperative dissection, patients need less time to recover. Further prospective studies are needed to look at the long-term outcomes of prepectoral implant reconstruction.
Introduction
Immediate implant based reconstruction is an established breast reconstruction technique where full implant converage is achieved with the combination of the pectoral muscle and either a dermal sling or mesh. However, prepectoral implant reconstructions have become increasingly popular and have been shown to result in equally good outcomes.
Methods
We performed a retrospective audit comparing the length of hospital stay, use of analgesia and complication rate (delayed healing, infection, implant loss, return to theatre) in patients who had prepectoral and subpectoral implant based reconstruction over the last year.
Results
A total of 44 patients were included in this study with 22 patients in each group. There was no significant difference in the patients' age, smoking history or indication for mastectomy (DCIS or cancer). However, patients who had prepectoral implants had significantly shorter hospital stay (p=0.047). No difference was seen in analgesia requirements. There was also no difference in the rate of complications between the two groups.
Conclusions
Prepectoral implant reconstruction achieves comparable outcomes to the placement of subpectoral implants. With less intraoperative dissection, patients need less time to recover. Further prospective studies are needed to look at the long-term outcomes of prepectoral implant reconstruction.
Immediate implant based reconstruction is an established breast reconstruction technique where full implant converage is achieved with the combination of the pectoral muscle and either a dermal sling or mesh. However, prepectoral implant reconstructions have become increasingly popular and have been shown to result in equally good outcomes.
Methods
We performed a retrospective audit comparing the length of hospital stay, use of analgesia and complication rate (delayed healing, infection, implant loss, return to theatre) in patients who had prepectoral and subpectoral implant based reconstruction over the last year.
Results
A total of 44 patients were included in this study with 22 patients in each group. There was no significant difference in the patients' age, smoking history or indication for mastectomy (DCIS or cancer). However, patients who had prepectoral implants had significantly shorter hospital stay (p=0.047). No difference was seen in analgesia requirements. There was also no difference in the rate of complications between the two groups.
Conclusions
Prepectoral implant reconstruction achieves comparable outcomes to the placement of subpectoral implants. With less intraoperative dissection, patients need less time to recover. Further prospective studies are needed to look at the long-term outcomes of prepectoral implant reconstruction.
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}
{{filter}}