Polyurethane Implants: Time to leave the ADM on the shelf?
Association of Breast Surgery ePoster Library. Wild J. 05/13/19; 257161; P118
John Wild
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P118
Topic: Oncoplastic and aesthetic surgery
Introduction: Pre-pectoral Breast implant reconstruction has, to date, commonly employed an acelluar dermal matrix (ADM) to cover the implant. The ADMs function is to reduce capsular contracture (CC), improve aesthetic outcome and shorten time to the final result. However Polyurethane Implants (PUI) have a microfoam texture that promotes integration into the tissues, preventing CC and eliminating the need ADM. We present a single surgeon series of Primary Polyurethane Pre Pectoral Implant Reconstruction. Methods A prospectively maintained database of all implant based reconstruction was analysed for all primary immediate pre pectoral breast reconstructions utilising PUI. The patient demographics, indications and complications were determined, as was the use of post-operative radiotherapy and patient satisfaction. Results: 22 Immediate PUI pre-pectoral breast reconstructions where performed in 17 patients (5 bilateral) over a 2 year period, mean period of follow up 12 months. Mean age was 52 years. Indications were cancer treatment and risk reduction . 4 (18.2%) patients had undergone neoadjuvant chemotherapy and 7 (31.8%) underwent post-operative radiotherapy. No seromas, infections or implant losses. Patient satisfaction was high. Conclusions: There are several benefits observed in this series of PUI immediate reconstructions, such as the low postoperative complication rate and the cost saving without the need of purchasing an ADM. However long-term follow up is required. We are encouraged by the results to date.
Topic: Oncoplastic and aesthetic surgery
Introduction: Pre-pectoral Breast implant reconstruction has, to date, commonly employed an acelluar dermal matrix (ADM) to cover the implant. The ADMs function is to reduce capsular contracture (CC), improve aesthetic outcome and shorten time to the final result. However Polyurethane Implants (PUI) have a microfoam texture that promotes integration into the tissues, preventing CC and eliminating the need ADM. We present a single surgeon series of Primary Polyurethane Pre Pectoral Implant Reconstruction. Methods A prospectively maintained database of all implant based reconstruction was analysed for all primary immediate pre pectoral breast reconstructions utilising PUI. The patient demographics, indications and complications were determined, as was the use of post-operative radiotherapy and patient satisfaction. Results: 22 Immediate PUI pre-pectoral breast reconstructions where performed in 17 patients (5 bilateral) over a 2 year period, mean period of follow up 12 months. Mean age was 52 years. Indications were cancer treatment and risk reduction . 4 (18.2%) patients had undergone neoadjuvant chemotherapy and 7 (31.8%) underwent post-operative radiotherapy. No seromas, infections or implant losses. Patient satisfaction was high. Conclusions: There are several benefits observed in this series of PUI immediate reconstructions, such as the low postoperative complication rate and the cost saving without the need of purchasing an ADM. However long-term follow up is required. We are encouraged by the results to date.
P118
Topic: Oncoplastic and aesthetic surgery
Introduction: Pre-pectoral Breast implant reconstruction has, to date, commonly employed an acelluar dermal matrix (ADM) to cover the implant. The ADMs function is to reduce capsular contracture (CC), improve aesthetic outcome and shorten time to the final result. However Polyurethane Implants (PUI) have a microfoam texture that promotes integration into the tissues, preventing CC and eliminating the need ADM. We present a single surgeon series of Primary Polyurethane Pre Pectoral Implant Reconstruction. Methods A prospectively maintained database of all implant based reconstruction was analysed for all primary immediate pre pectoral breast reconstructions utilising PUI. The patient demographics, indications and complications were determined, as was the use of post-operative radiotherapy and patient satisfaction. Results: 22 Immediate PUI pre-pectoral breast reconstructions where performed in 17 patients (5 bilateral) over a 2 year period, mean period of follow up 12 months. Mean age was 52 years. Indications were cancer treatment and risk reduction . 4 (18.2%) patients had undergone neoadjuvant chemotherapy and 7 (31.8%) underwent post-operative radiotherapy. No seromas, infections or implant losses. Patient satisfaction was high. Conclusions: There are several benefits observed in this series of PUI immediate reconstructions, such as the low postoperative complication rate and the cost saving without the need of purchasing an ADM. However long-term follow up is required. We are encouraged by the results to date.
Topic: Oncoplastic and aesthetic surgery
Introduction: Pre-pectoral Breast implant reconstruction has, to date, commonly employed an acelluar dermal matrix (ADM) to cover the implant. The ADMs function is to reduce capsular contracture (CC), improve aesthetic outcome and shorten time to the final result. However Polyurethane Implants (PUI) have a microfoam texture that promotes integration into the tissues, preventing CC and eliminating the need ADM. We present a single surgeon series of Primary Polyurethane Pre Pectoral Implant Reconstruction. Methods A prospectively maintained database of all implant based reconstruction was analysed for all primary immediate pre pectoral breast reconstructions utilising PUI. The patient demographics, indications and complications were determined, as was the use of post-operative radiotherapy and patient satisfaction. Results: 22 Immediate PUI pre-pectoral breast reconstructions where performed in 17 patients (5 bilateral) over a 2 year period, mean period of follow up 12 months. Mean age was 52 years. Indications were cancer treatment and risk reduction . 4 (18.2%) patients had undergone neoadjuvant chemotherapy and 7 (31.8%) underwent post-operative radiotherapy. No seromas, infections or implant losses. Patient satisfaction was high. Conclusions: There are several benefits observed in this series of PUI immediate reconstructions, such as the low postoperative complication rate and the cost saving without the need of purchasing an ADM. However long-term follow up is required. We are encouraged by the results to date.
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