Technical approach and clinical outcomes of delayed two-stage tissue expander/implant breast reconstruction: a single-institution experience

被引：0

作者：

Kang, Myeong Jae ^{[1
]}

Lee, Jung Ho ^{[1
]}

Jeon, Hyeon Jun ^{[2
]}

Ryu, Jeong Yeop ^{[1
]}

Lee, Joon Seok ^{[1
]}

Choi, Kang Young ^{[1
]}

Chung, Ho Yun ^{[1
]}

Cho, Byung Chae ^{[1
]}

Lee, Jeeyeon ^{[3
]}

Park, Ho Yong ^{[3
]}

Yang, Jung Dug ^{[1
]}

机构：

[1] Kyungpook Natl Univ, Sch Med, Dept Plast & Reconstruct Surg, Daegu, South Korea

[2] Liting Plast Surg Clin, Seoul, South Korea

[3] Kyungpook Natl Univ, Sch Med, Dept Surg, Daegu, South Korea

来源：

ARCHIVES OF AESTHETIC PLASTIC SURGERY | 2023年 / 29卷 / 02期

关键词：

Breast surgery; Tissue expansion; Breast implant; DIRECT-TO-IMPLANT; IMMEDIATE; MULTICENTER; MASTECTOMY; STAGE;

D O I：

10.14730/aaps.2022.00745

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background Immediate breast reconstruction after mastectomy can be challenging in some patients for medical or oncological reasons. Delayed two-stage tissue expander/implant breast reconstruction is a reliable option for these patients. However, data regarding surgical techniques, outcomes, and complication rates are limited. This study reports our experience using the two-stage tissue expander/implant procedure for delayed breast reconstruction. Methods This retrospective study included 32 patients (34 breasts) who underwent delayed two-stage tissue expander/implant breast reconstruction at our institution from January 2018 to July 2022. We summarized the techniques used in the procedure and evaluated the 1-year postoperative outcomes and complication rates. Results The mean time from mastectomy to expander insertion was 210 +/- 25 days, and 8.2 +/- 2.3 additional expansions were required prior to the implant insertion. The mean time of tissue expansion was 187 +/- 15 days, and the mean volume of expansion was 495 +/- 31 mL. No major complications occurred that required reoperation, and the patients were highly satisfied with the surgical results. Conclusions Although delayed two-stage tissue expander/implant breast reconstruction resulted in satisfactory outcomes, consensus regarding the operative technique is still needed. Two-stage tissue expander/implant breast reconstruction is a safe and effective option for delayed breast reconstruction.

引用

页码：89 / 96

页数：8

共 24 条

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