Muscle-Sparing ADM-Assisted Breast Reconstruction Technique Using Complete Breast Implant Coverage: A Dual-Institute UK-Based Experience
- Resource Type
- Authors
- Raghavan Vidya; Simon Cawthorn
- Source
- Breast Care. 12:251-254
- Subject
- Oncology
medicine.medical_specialty
medicine.medical_treatment
030230 surgery
law.invention
03 medical and health sciences
0302 clinical medicine
law
Internal medicine
medicine
Pectoralis Muscle
business.industry
Wound dehiscence
medicine.disease
Surgery
030220 oncology & carcinogenesis
Seroma
Mammaplasty
Breast implant
Original Article
Implant
Breast reconstruction
business
Mastectomy
- Language
- ISSN
- 1661-3805
1661-3791
Background: We report our early experience of a novel muscle-sparing breast (prepectoral) reconstruction technique using a pre-shaped Braxon® mesh (acellular dermal matrix) which completely wraps around the breast implant. Methods: All patients who underwent prepectoral implant-based breast reconstruction between April 2014 and September 2015 were included in the analysis. The dermal matrix Braxon® used is a pre-shaped matrix which forms a complete implant mesh wrap. The new breast created is placed over the chest wall without disturbing the pectoralis musculature. Results: A total of 51 (42 unilateral and 9 bilateral) muscle-sparing breast reconstructions were carried out. Complications included implant loss (n = 1; 1.7%) secondary to wound infection, seroma (n = 4; 6.7%), and superficial wound dehiscence (n = 1; 1.7%) which was re-sutured without further complication. The median follow-up period was 16.4 (range 8-25) months. Conclusion: The early experience appears highly satisfactory with good clinical outcome. The novel prepectoral implant-based breast reconstruction using the mesh wrap provides an effective alternative to the more traditional submuscular implant-based technique.