Prepectoral prosthetic breast reconstruction has been widely reassessed in recent years and is taking on an increasingly important role in the field of immediate breast reconstruction. We report here a case series of 32 patients who underwent nipple-sparing mastectomy for breast carcinoma and prepectoral breast reconstruction involving an acellular dermal matrix (ADM) treated by means of a skin-graft mesher in our hospital from January 2015 to March 2016. The indications for this type of reconstruction were body mass index (BMI) less than 30 kg/m(2); no history of radiotherapy; no active smokers; moderate grade breast; and good viability of mastectomy flap: normal skin colour, active bleeding at the fresh cut edges, and thicker than 1 cm mastectomy flaps; the viability of lower thicknesses was ascertained by the fluorescent dye indocyanine green xenon-based imaging technology (4 patients). The mean age of the patients was 56.4 years (range: 39-77 years). Their mean BMI was 27.4 kg/m(2). Until the end of follow-up (mean: 17 months), major complications requiring reoperation occurred in 9% of patients and minor complications in 22% of patients. The mean of the 3 pain visual analogue scale scores taken in the first 24 hours after surgery was 1.8. Mean duration of hospital stay has been 2.2 days. Our complication rate was similar to those reported in other studies on prepectoral breast reconstruction featuring total ADM coverage of the implant.
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Paracelsus Med Univ Salzburg, Univ Hosp Salzburg, Breast Ctr Salzburg, A-5020 Salzburg, AustriaParacelsus Med Univ Salzburg, Univ Hosp Salzburg, Breast Ctr Salzburg, A-5020 Salzburg, Austria
Reitsamer, Roland
Peintinger, Florentia
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Paracelsus Med Univ Salzburg, Univ Hosp Salzburg, Breast Ctr Salzburg, A-5020 Salzburg, Austria
Med Univ Graz, Inst Pathol Graz, Graz, AustriaParacelsus Med Univ Salzburg, Univ Hosp Salzburg, Breast Ctr Salzburg, A-5020 Salzburg, Austria
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Rio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Roxo, Ana Claudia
Nahas, Fabio Xerfan
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Fed Univ Sao Paulo UNIFESP EPM, Paulista Sch Med, Div Plast Surg, Sao Paulo, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Nahas, Fabio Xerfan
Pinheiro Rodrigues, Nadia Cristina
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Univ Estado Rio De Janeiro, Pedro Ernesto Univ Hosp, Div Stat, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Pinheiro Rodrigues, Nadia Cristina
Salles, Jose Inacio
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INTO, Neuromuscular Res Lab, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Salles, Jose Inacio
Amaral Cossich, Victor Rodrigues
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INTO, Neuromuscular Res Lab, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Amaral Cossich, Victor Rodrigues
de Castro, Claudio Cardoso
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Rio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
de Castro, Claudio Cardoso
Aboudib, Jose Horacio
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h-index: 0
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Rio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Aboudib, Jose Horacio
Marques, Ruy Garcia
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Univ Estado Rio De Janeiro, UERJ, Dept Gen Surg, Grad Program Physiopathol & Surg Sci, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
机构:
Paracelsus Med Univ Salzburg, Univ Hosp Salzburg, Breast Ctr Salzburg, A-5020 Salzburg, AustriaParacelsus Med Univ Salzburg, Univ Hosp Salzburg, Breast Ctr Salzburg, A-5020 Salzburg, Austria
Reitsamer, Roland
Peintinger, Florentia
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h-index: 0
机构:
Paracelsus Med Univ Salzburg, Univ Hosp Salzburg, Breast Ctr Salzburg, A-5020 Salzburg, Austria
Med Univ Graz, Inst Pathol Graz, Graz, AustriaParacelsus Med Univ Salzburg, Univ Hosp Salzburg, Breast Ctr Salzburg, A-5020 Salzburg, Austria
机构:
Rio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Roxo, Ana Claudia
Nahas, Fabio Xerfan
论文数: 0引用数: 0
h-index: 0
机构:
Fed Univ Sao Paulo UNIFESP EPM, Paulista Sch Med, Div Plast Surg, Sao Paulo, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Nahas, Fabio Xerfan
Pinheiro Rodrigues, Nadia Cristina
论文数: 0引用数: 0
h-index: 0
机构:
Univ Estado Rio De Janeiro, Pedro Ernesto Univ Hosp, Div Stat, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Pinheiro Rodrigues, Nadia Cristina
Salles, Jose Inacio
论文数: 0引用数: 0
h-index: 0
机构:
INTO, Neuromuscular Res Lab, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Salles, Jose Inacio
Amaral Cossich, Victor Rodrigues
论文数: 0引用数: 0
h-index: 0
机构:
INTO, Neuromuscular Res Lab, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Amaral Cossich, Victor Rodrigues
de Castro, Claudio Cardoso
论文数: 0引用数: 0
h-index: 0
机构:
Rio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
de Castro, Claudio Cardoso
Aboudib, Jose Horacio
论文数: 0引用数: 0
h-index: 0
机构:
Rio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil
Aboudib, Jose Horacio
Marques, Ruy Garcia
论文数: 0引用数: 0
h-index: 0
机构:
Univ Estado Rio De Janeiro, UERJ, Dept Gen Surg, Grad Program Physiopathol & Surg Sci, Rio De Janeiro, BrazilRio de Janeiro State Univ UERJ, Pedro Ernesto Univ Hosp, Div Plast & Reconstruct Surg, Rio De Janeiro, Brazil