Dermal flap and implant-based reconstruction- a useful technique
Association of Breast Surgery ePoster Library. Verma R. 05/13/19; 257091; P047
Mrs. Rashmi Verma
REGULAR CONTENT
Login now to access Regular content available to all registered users.
Abstract
Discussion Forum (0)
Rate & Comment (0)
P047
Topic: Breast surgery
Introduction: Immediate breast reconstruction using dermal flap (DF) and implant is a recognised technique for immediate breast reconstruction where skin reduction is needed. Methods Data was collected from a prospectively maintained database and also from electronic hospital database (Lorenzo). Patient demography, technique, use of implant, early and late outcome including aesthetic result and patient satisfaction were recorded. Results: A total of 63 DF- based reconstructions was performed on 50 patients between June 2008 -Oct 2018. Mean age of patients was 50 years (range 30-72years). Majority (73%) were done for cancer, 24% for risk-reducing prophylaxis and 2 for symmetrisation. 24% had BMI>30 and 43% were ASA II. A small patch of ADM was used to cover the implant laterally in 60%, 21% had serratus-anterior flap and 18% had complete cover with DF itself. Complications included unplanned use of antibiotics (8%), bleeding T-junction necrosis, return to theatre and implant loss 6% each. There was no significant difference in infections in patients based on BMI, breast size, other comorbidities or with use of neo adjuvant chemotherapy. Grade 2/3 capsular contracture was seen in 6 cases. Capsular contracture was significantly higher in patients who had radiotherapy (55% vs 17%, p=0.002).ConclusionDF based breast reconstruction is a good option in patients in need of skin reduction. In authors experience this was associated with acceptable complications and capsular contracture rates in patients not requiring radiotherapy.
Topic: Breast surgery
Introduction: Immediate breast reconstruction using dermal flap (DF) and implant is a recognised technique for immediate breast reconstruction where skin reduction is needed. Methods Data was collected from a prospectively maintained database and also from electronic hospital database (Lorenzo). Patient demography, technique, use of implant, early and late outcome including aesthetic result and patient satisfaction were recorded. Results: A total of 63 DF- based reconstructions was performed on 50 patients between June 2008 -Oct 2018. Mean age of patients was 50 years (range 30-72years). Majority (73%) were done for cancer, 24% for risk-reducing prophylaxis and 2 for symmetrisation. 24% had BMI>30 and 43% were ASA II. A small patch of ADM was used to cover the implant laterally in 60%, 21% had serratus-anterior flap and 18% had complete cover with DF itself. Complications included unplanned use of antibiotics (8%), bleeding T-junction necrosis, return to theatre and implant loss 6% each. There was no significant difference in infections in patients based on BMI, breast size, other comorbidities or with use of neo adjuvant chemotherapy. Grade 2/3 capsular contracture was seen in 6 cases. Capsular contracture was significantly higher in patients who had radiotherapy (55% vs 17%, p=0.002).ConclusionDF based breast reconstruction is a good option in patients in need of skin reduction. In authors experience this was associated with acceptable complications and capsular contracture rates in patients not requiring radiotherapy.
P047
Topic: Breast surgery
Introduction: Immediate breast reconstruction using dermal flap (DF) and implant is a recognised technique for immediate breast reconstruction where skin reduction is needed. Methods Data was collected from a prospectively maintained database and also from electronic hospital database (Lorenzo). Patient demography, technique, use of implant, early and late outcome including aesthetic result and patient satisfaction were recorded. Results: A total of 63 DF- based reconstructions was performed on 50 patients between June 2008 -Oct 2018. Mean age of patients was 50 years (range 30-72years). Majority (73%) were done for cancer, 24% for risk-reducing prophylaxis and 2 for symmetrisation. 24% had BMI>30 and 43% were ASA II. A small patch of ADM was used to cover the implant laterally in 60%, 21% had serratus-anterior flap and 18% had complete cover with DF itself. Complications included unplanned use of antibiotics (8%), bleeding T-junction necrosis, return to theatre and implant loss 6% each. There was no significant difference in infections in patients based on BMI, breast size, other comorbidities or with use of neo adjuvant chemotherapy. Grade 2/3 capsular contracture was seen in 6 cases. Capsular contracture was significantly higher in patients who had radiotherapy (55% vs 17%, p=0.002).ConclusionDF based breast reconstruction is a good option in patients in need of skin reduction. In authors experience this was associated with acceptable complications and capsular contracture rates in patients not requiring radiotherapy.
Topic: Breast surgery
Introduction: Immediate breast reconstruction using dermal flap (DF) and implant is a recognised technique for immediate breast reconstruction where skin reduction is needed. Methods Data was collected from a prospectively maintained database and also from electronic hospital database (Lorenzo). Patient demography, technique, use of implant, early and late outcome including aesthetic result and patient satisfaction were recorded. Results: A total of 63 DF- based reconstructions was performed on 50 patients between June 2008 -Oct 2018. Mean age of patients was 50 years (range 30-72years). Majority (73%) were done for cancer, 24% for risk-reducing prophylaxis and 2 for symmetrisation. 24% had BMI>30 and 43% were ASA II. A small patch of ADM was used to cover the implant laterally in 60%, 21% had serratus-anterior flap and 18% had complete cover with DF itself. Complications included unplanned use of antibiotics (8%), bleeding T-junction necrosis, return to theatre and implant loss 6% each. There was no significant difference in infections in patients based on BMI, breast size, other comorbidities or with use of neo adjuvant chemotherapy. Grade 2/3 capsular contracture was seen in 6 cases. Capsular contracture was significantly higher in patients who had radiotherapy (55% vs 17%, p=0.002).ConclusionDF based breast reconstruction is a good option in patients in need of skin reduction. In authors experience this was associated with acceptable complications and capsular contracture rates in patients not requiring radiotherapy.
Code of conduct/disclaimer available in General Terms & Conditions
{{ help_message }}
{{filter}}