Foteini Neamonitou* and Raghavan Vidya
Department of Oncology, The Royal of Wolverhampton NHS Trust, UKFulltext PDF
Background: Evolution of meshes and implants available for breast reconstruction have led to an increase in the use of the prepectoral reconstruction technique, which is associated with superior clinical, aesthetic and cost outcomes when compared to the subpectoral method. In this paper, we describe our experience using a simple algorithm in prepectoral breast reconstruction, which can be adopted in clinical practice.
Method: We classified the breast into three categories according to size and ptosis. We applied the classification to 30 patients (10 random patient selection of each category) who underwent bilateral immediate prepectoral implant based breast reconstruction with ADM. The data was collected and statistically analyzed on SPSS.
Results: Each category was tested with 10 bilateral cases, showed less complications in group 1 and 2. However, group 3 involved more complications that possibly caused of large volume breasts and high BMI.
Conclusion: Our early experience demonstrates that first and second types are suitable for implant based prepectoral breast reconstruction while the third type benefits with a dermal sling for additional support.
Mammoplasty; Algorithms; Mastectomy breast implant
Neamonitou F, Vidya R. Our Experience in Prepectoral Implant Based Breast Reconstruction. World J Breast Cancer Res. 2019;2(2):1014.