Skin sparing mastectomy with immediate dermal sling implant reconstruction: an assessment of outcomes and patient satisfaction
Association of Breast Surgery ePoster Library. Hartley f. 05/13/19; 257087; P043
frederick Hartley
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P043
Topic: Breast surgery
Introduction:Skin sparing mastectomy (SSM) with immediate dermal sling implant reconstruction is an innovative option in breast cancer management and relies upon the use of autologous tissue to facilitate implant placement. This technique is particularly useful in patients with a high body mass index (BMI) and/or large ptotic breasts. Clinical and patient satisfaction outcomes in SSM with dermal sling implant reconstruction were retrospectively assessed in a London teaching Hospital. MethodsAll patients who underwent SSM with immediate dermal sling implant reconstruction were identified from August 2015 - May 2018 and included in this study. Notes were reviewed to identify complications and cancer recurrence rates. Patients were also contacted and asked to rate aspects of their experience on a Likert-type scale ranging from very dissatisfied to very satisfied. Results28 patients were identified (average age=52, average BMI=31). 2 patients had cancer recurrence (7%). 3 patients (9%)suffered complications with implant loss (1 haematoma and 2 wound breakdown in smokers). At the time of study 10 (36%) patients had undergone contralateral symmetrisation. 14 patients answered questions on their experience. 71% were satisfied with the shape of their breast in a bra (57% extremely satisfied) and 64% were satisfied with the shape of their breast unclothed (50% extremely satisfied). 76% of patients were satisfied with their overall experience (57% extremely satisfied). ConclusionPatients who underwent SSM with dermal sling implant reconstruction exhibited low complication rates and high satisfaction levels. Future work comparing outcomes with alternative immediate reconstructive methods would give further valuable information.
Topic: Breast surgery
Introduction:Skin sparing mastectomy (SSM) with immediate dermal sling implant reconstruction is an innovative option in breast cancer management and relies upon the use of autologous tissue to facilitate implant placement. This technique is particularly useful in patients with a high body mass index (BMI) and/or large ptotic breasts. Clinical and patient satisfaction outcomes in SSM with dermal sling implant reconstruction were retrospectively assessed in a London teaching Hospital. MethodsAll patients who underwent SSM with immediate dermal sling implant reconstruction were identified from August 2015 - May 2018 and included in this study. Notes were reviewed to identify complications and cancer recurrence rates. Patients were also contacted and asked to rate aspects of their experience on a Likert-type scale ranging from very dissatisfied to very satisfied. Results28 patients were identified (average age=52, average BMI=31). 2 patients had cancer recurrence (7%). 3 patients (9%)suffered complications with implant loss (1 haematoma and 2 wound breakdown in smokers). At the time of study 10 (36%) patients had undergone contralateral symmetrisation. 14 patients answered questions on their experience. 71% were satisfied with the shape of their breast in a bra (57% extremely satisfied) and 64% were satisfied with the shape of their breast unclothed (50% extremely satisfied). 76% of patients were satisfied with their overall experience (57% extremely satisfied). ConclusionPatients who underwent SSM with dermal sling implant reconstruction exhibited low complication rates and high satisfaction levels. Future work comparing outcomes with alternative immediate reconstructive methods would give further valuable information.
P043
Topic: Breast surgery
Introduction:Skin sparing mastectomy (SSM) with immediate dermal sling implant reconstruction is an innovative option in breast cancer management and relies upon the use of autologous tissue to facilitate implant placement. This technique is particularly useful in patients with a high body mass index (BMI) and/or large ptotic breasts. Clinical and patient satisfaction outcomes in SSM with dermal sling implant reconstruction were retrospectively assessed in a London teaching Hospital. MethodsAll patients who underwent SSM with immediate dermal sling implant reconstruction were identified from August 2015 - May 2018 and included in this study. Notes were reviewed to identify complications and cancer recurrence rates. Patients were also contacted and asked to rate aspects of their experience on a Likert-type scale ranging from very dissatisfied to very satisfied. Results28 patients were identified (average age=52, average BMI=31). 2 patients had cancer recurrence (7%). 3 patients (9%)suffered complications with implant loss (1 haematoma and 2 wound breakdown in smokers). At the time of study 10 (36%) patients had undergone contralateral symmetrisation. 14 patients answered questions on their experience. 71% were satisfied with the shape of their breast in a bra (57% extremely satisfied) and 64% were satisfied with the shape of their breast unclothed (50% extremely satisfied). 76% of patients were satisfied with their overall experience (57% extremely satisfied). ConclusionPatients who underwent SSM with dermal sling implant reconstruction exhibited low complication rates and high satisfaction levels. Future work comparing outcomes with alternative immediate reconstructive methods would give further valuable information.
Topic: Breast surgery
Introduction:Skin sparing mastectomy (SSM) with immediate dermal sling implant reconstruction is an innovative option in breast cancer management and relies upon the use of autologous tissue to facilitate implant placement. This technique is particularly useful in patients with a high body mass index (BMI) and/or large ptotic breasts. Clinical and patient satisfaction outcomes in SSM with dermal sling implant reconstruction were retrospectively assessed in a London teaching Hospital. MethodsAll patients who underwent SSM with immediate dermal sling implant reconstruction were identified from August 2015 - May 2018 and included in this study. Notes were reviewed to identify complications and cancer recurrence rates. Patients were also contacted and asked to rate aspects of their experience on a Likert-type scale ranging from very dissatisfied to very satisfied. Results28 patients were identified (average age=52, average BMI=31). 2 patients had cancer recurrence (7%). 3 patients (9%)suffered complications with implant loss (1 haematoma and 2 wound breakdown in smokers). At the time of study 10 (36%) patients had undergone contralateral symmetrisation. 14 patients answered questions on their experience. 71% were satisfied with the shape of their breast in a bra (57% extremely satisfied) and 64% were satisfied with the shape of their breast unclothed (50% extremely satisfied). 76% of patients were satisfied with their overall experience (57% extremely satisfied). ConclusionPatients who underwent SSM with dermal sling implant reconstruction exhibited low complication rates and high satisfaction levels. Future work comparing outcomes with alternative immediate reconstructive methods would give further valuable information.
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