Evaluation of a novel breast reconstruction technique using the Braxon® acellular dermal matrix: a new muscle-sparing breast reconstruction.

Abstract:

BACKGROUND:Implant-based breast reconstruction is becoming increasingly popular because of the widespread adoption of acellular dermal matrix (ADM), which allows surgeons to obtain good aesthetic results with fewer operations. To develop more conservative surgical techniques, a retrospective, three-centre, proof-of-concept study was performed to study the effectiveness of a new, immediate, muscle-sparing breast reconstruction technique using the patented Braxon® ADM, which enables subcutaneous positioning of the breast implant without detaching the pectoralis major. METHODS:Ethics committee of the study coordinating centre approved medical record review on 19 women who underwent muscle-sparing breast reconstruction between November 2012 and January 2014. The first 10 implants were performed using 0.9-mm-thick porcine ADM, with preservatives. In the subsequent 15 implants, the product was changed to 0.6-mm-thick porcine dry ADM, without preservatives. RESULTS:Nineteen patients (25 implants) received six bilateral and 13 unilateral muscle-sparing breast reconstructions. For the first type of ADM used (0.9-mm-thick with preservatives), the rate of implant loss was 12% (n = 3) because of seroma (8%, n = 2) and infection (4%, n = 1). Minor complications, such as seroma (8%, n = 2), occurred when using the 0.6-mm-thick Braxon® ADM and were treated by aspiration. Symmetrical and natural breasts with good shape, ptosis and softness to the touch were obtained. None of the patients reported experiencing pain. CONCLUSIONS:The preliminary results are encouraging from aesthetic and clinical viewpoints. Further studies are planned to evaluate long-term results.

journal_name

ANZ J Surg

journal_title

ANZ journal of surgery

authors

Berna G,Cawthorn SJ,Papaccio G,Balestrieri N

doi

10.1111/ans.12849

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

493-498

issue

6

eissn

1445-1433

issn

1445-2197

journal_volume

87

pub_type

杂志文章
  • Minimally invasive major hepatectomies: a Southeast Asian single institution contemporary experience with its first 120 consecutive cases.

    abstract:BACKGROUND:The role of minimally invasive major hepatectomy (MIMH) remains controversial and questions remain about its safety and reproducibility outside expert centres. This study examines the changing trends, safety and outcomes associated with the adoption of MIMH based on a contemporary single institution experien...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15563

    authors: Goh BKP,Lee SY,Koh YX,Kam JH,Chan CY

    更新日期:2020-04-01 00:00:00

  • Clinical and molecular aspects of adrenocortical tumourigenesis.

    abstract::Adrenal masses are a common problem affecting 3-7% of the population. The majority turn out to be benign adrenocortical adenomas, which may be functional or non-functional. Much more rarely, these masses represent a primary adrenal carcinoma. It is becoming increasingly recognized that of the benign functioning adenom...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1046/j.1445-2197.2003.02746.x

    authors: Sidhu S,Gicquel C,Bambach CP,Campbell P,Magarey C,Robinson BG,Delbridge LW

    更新日期:2003-09-01 00:00:00

  • Creating change: building the capacity of the medical workforce in Aboriginal health.

    abstract:BACKGROUND:This paper provides an overview of the long-term strategies that have been in place at the University of Western Australia, which aim to build the capacity and preparedness of the health-care workforce in Aboriginal health. In 1996, the Centre for Aboriginal Medical and Dental Health was established within t...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12031

    authors: Paul D

    更新日期:2013-01-01 00:00:00

  • Surgical accountability in the 1880s: the death of Susan Nixon.

    abstract::Susan Nixon died in 1881 following a surgical error. Her surgeon, Dr W. E. Warren, excised a normal 7-month gravid uterus under the misapprehension that he was removing a tubular pregnancy. It is believed that Mrs Nixon was the first woman in Australia to have an abdominal hysterectomy and the second to have a live Ca...

    journal_title:ANZ journal of surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1445-2197.2005.03501.x

    authors: Watters GR,Walker DR

    更新日期:2005-08-01 00:00:00

  • Are breast conservation treatment rates optimized for Asian women with symptomatic malignancies?

    abstract:BACKGROUND:Published data indicate that 20-40% of patients undergo breast conservation treatment (BCT) in Asia, which is below an indicative benchmark of 50%. With an increasing body of evidence suggesting that BCT might be associated with improved survival outcomes, it is exigent to increase BCT utilization. This stud...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15084

    authors: Tan MPC,Sitoh YY

    更新日期:2019-05-01 00:00:00

  • The outcome of patients on the cholecystectomy waiting list in Western Australia 1999-2005.

    abstract:BACKGROUND:Surgeons are noticing increasing numbers of cholecystectomy waiting list patients presenting with complications of their gallstones. In this study, we analysed the outcome of these to ascertain natural history and outcome. METHODS:Data for 5298 waiting list patients in Western Australia, from 1999 to 2006, ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05428.x

    authors: Epari KP,Mukhtar AS,Fletcher DR,Samarasam I,Semmens JB

    更新日期:2010-10-01 00:00:00

  • Fresh frozen cadaver workshops for general surgical training.

    abstract:BACKGROUND:The technical proficiency of a surgeon is intricately linked to training and experience. Reduction in working hours, decreased operating time and ethical imperatives to protect patients have all resulted in a decrease in hands-on experience. The introduction of laparoscopic procedures has also decreased trai...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15258

    authors: Chai DQ,Naunton-Morgan R,Hamdorf J

    更新日期:2019-11-01 00:00:00

  • Treatment of subglottic hemangiomas with propranolol: initial experience in 10 infants.

    abstract:BACKGROUND:Subglottic hemangiomas (SGH) are a rare tumour, often associated with significant airway obstruction in infants. Current treatment options, while effective, often expose the infant to potential complications. Emerging evidence suggests a role for the beta blocker propranolol in the initial management of SGH....

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1445-2197.2010.05643.x

    authors: Mahadevan M,Cheng A,Barber C

    更新日期:2011-06-01 00:00:00

  • Anastomotic leaks in stage IV colorectal cancer.

    abstract:BACKGROUND:The purpose of this study was to determine the anastomotic leak rate for colorectal cancer resections in patients with metastases (compared to those without), and to determine the impact of anastomotic leaks on survival. METHODS:This is a retrospective analysis of all patients who underwent resection and pr...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14494

    authors: Ng SC,Stupart D,Bartolo D,Watters D

    更新日期:2018-09-01 00:00:00

  • Pilonidal sinus: is histological examination necessary?

    abstract:BACKGROUND:Pilonidal sinus is a common pathology occurring in a number of sites including the gluteal cleft between the buttocks. Surgery is the principal mode of treatment with a variety of techniques proposed to cure the disease and prevent recurrence. The rate of malignant degeneration is estimated at 0.1% in patien...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.16446

    authors: 'Otutaha B,Park B,Xia W,Hill AG

    更新日期:2020-12-28 00:00:00

  • Mastectomy flap design: the 'waisted teardrop' and a method to reduce the lateral fold.

    abstract:BACKGROUND:There are various methods to design mastectomy flaps but few are standardized. Lateral skin folds or 'dog ears' are a common, unsightly and uncomfortable consequence following a surgery in overweight patients. METHODS:We describe a simple technique for designing mastectomy flaps and a method to eliminate th...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2012.06046.x

    authors: Thomas R,Mouat C,King B

    更新日期:2012-05-01 00:00:00

  • Solid pseudopapillary tumour of the pancreas.

    abstract:BACKGROUND:Solid pseudopapillary tumour of the pancreas is a rare pancreatic tumour that occurs predominantly in women, with very few cases reported in men. This is a tumour with low malignancy potential and surgical resection usually results in cure. METHODS:A retrospective review of our experience with solid pseudop...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1046/j.1445-2197.2003.t01-1-02634.x

    authors: Ng KH,Tan PH,Thng CH,Ooi LL

    更新日期:2003-06-01 00:00:00

  • Post-operative outcomes in older patients: a single-centre observational study.

    abstract:BACKGROUND:Improved life-expectancies have seen increased rates of older patients undergoing surgery worldwide. These patients are at increased risk of post-operative complications. Australian evidence is limited regarding the association between age and post-operative outcomes, especially rapid response calls (RRCs) a...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.14433

    authors: Tang B,Green C,Yeoh AC,Husain F,Subramaniam A

    更新日期:2018-05-01 00:00:00

  • Weasels, keys and Thersites.

    abstract::It was the achievement of Andreas Vesalius (1514-1564) to redefine the understanding of human anatomy; and that of Homer was to write the first historical novel. This paper offers a link between the works of these two venturers, by way of an examination of the clinical anatomy of the clavicle. ...

    journal_title:ANZ journal of surgery

    pub_type: 传,历史文章,杂志文章

    doi:10.1111/j.1445-2197.2011.05711.x

    authors: Beasley AW

    更新日期:2011-12-01 00:00:00

  • Paediatric constipation for adult surgeons - article 2: new microscopic abnormalities and therapies.

    abstract::Chronic constipation is a common condition in both adults and children. Children with chronic constipation frequently have symptoms that continue into adulthood. In the second part of the review we describe advances in the identification of abnormalities in the control of motility. The role of neurotransmitters in bot...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/j.1445-1433.2004.03202.x

    authors: King SK,Sutcliffe JR,Hutson JM,Southwell BR

    更新日期:2004-10-01 00:00:00

  • Interventional management of necrotizing pancreatitis: an Australian experience.

    abstract:BACKGROUND:The interventional management of necrotizing pancreatitis has evolved from early open surgery to delayed endoscopic or percutaneous intervention. However, few studies have directly compared the three treatment modalities. We aim to compare the outcomes of patients who had endoscopic, percutaneous or surgical...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.13381

    authors: Woo S,Walklin R,Wewelwala C,Berry R,Devonshire D,Croagh D

    更新日期:2017-09-01 00:00:00

  • Modified elliptical rotation flap for sacrococcygeal pilonidal sinus disease.

    abstract:BACKGROUND:Although various surgical procedures have been described for pilonidal sinus disease, the best surgical technique is still controversial. The aim of this study was to evaluate the short-term results of modified elliptical rotation flap (MERF) for pilonidal sinus disease in terms of post-operative complicatio...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12818

    authors: Dizen H,Yoldas Ö,Yıldız M,Cilekar M,Dilektaşlı E

    更新日期:2014-10-01 00:00:00

  • Preoperative beta-blocker use reduces atrial fibrillation in off-pump coronary bypass surgery.

    abstract:BACKGROUND:Atrial fibrillation (AF) after coronary artery bypass graft surgery constitutes the most common sustained arrhythmia and results in many complications. The purpose of this study was to assess the effects of prophylactic use of beta-blockers against atrial fibrillation in off-pump surgery patients in the earl...

    journal_title:ANZ journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1445-2197.2007.04088.x

    authors: Imren Y,Benson AA,Zor H,Tasoglu I,Ereren E,Sinci V,Gokgoz L,Halit V

    更新日期:2007-06-01 00:00:00

  • Chlorhexidine-induced anaphylaxis in surgical patients: a review of the literature.

    abstract:BACKGROUND:Chlorhexidine (CHL) has antiseptic and disinfectant properties used to prevent hospital-acquired infections. CHL-induced anaphylaxis is poorly reported in surgical literature despite government warnings and growing recognition. The aim of this review is to increase awareness of CHL-induced anaphylaxis in the...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.13269

    authors: Sharp G,Green S,Rose M

    更新日期:2016-04-01 00:00:00

  • Paediatric trauma teams in Australia.

    abstract:BACKGROUND:Trauma teams have been associated with improved survival probability of paediatric trauma patients. The present study seeks to estimate the use of trauma teams in Australian paediatric tertiary referral centres and describe their medical composition, leadership and criteria for activation. METHODS:Australia...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-1433.2004.03213.x

    authors: Wong K,Petchell J

    更新日期:2004-11-01 00:00:00

  • Laparoscopic versus robotic-assisted radical prostatectomy: an Australian single-surgeon series.

    abstract:BACKGROUND:In Australia, robotic-assisted radical prostatectomy (RARP) has steadily replaced open and laparoscopic surgery in the management of localized prostate cancer. Given the increased cost of this technology, we aimed to compare the perioperative, pathological, oncological and functional outcomes as well as shor...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12602

    authors: Papachristos A,Basto M,Te Marvelde L,Moon D

    更新日期:2015-03-01 00:00:00

  • Laparoscopic revision of gastric band surgery.

    abstract:AIM:To identify the outcome of laparoscopic revision of gastric band surgery with respect to percentage of excess weight lost (%EWL). METHODS:Analysis of a prospective database was then performed and %EWL was plotted with respect to time from initial procedure and also time from revision procedure. RESULTS:All revisi...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2009.05088.x

    authors: Bardsley S,Hopkins G

    更新日期:2010-05-01 00:00:00

  • Identifying prostate cancer in men with non-suspicious multi-parametric magnetic resonance imaging of the prostate.

    abstract:BACKGROUND:To formulate clinical pathways for identifying clinically significant prostate cancer (csPC) and avoiding insignificant prostate cancer (isPC) in those without suspicious regions of interest on multi-parametric magnetic resonance imaging (mpMRI) of the prostate. METHODS:A retrospective review identified pat...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.16583

    authors: Doan P,Lahoud J,Kim L,Patel MI

    更新日期:2021-01-21 00:00:00

  • Does surgical decompression in Ludwig's angina decrease hospital length of stay?

    abstract:INTRODUCTION:Ludwig's angina (LA) is an uncommon and potentially life-threatening condition of the upper aero-digestive tract that often requires the coordinated efforts of the surgical, anesthetic and intensive care teams to optimize management. The purpose of the present study was to investigate the documented clinic...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05496.x

    authors: Rowe DP,Ollapallil J

    更新日期:2011-03-01 00:00:00

  • Use of face masks by non-scrubbed operating room staff: a randomized controlled trial.

    abstract:BACKGROUND:Ambiguity remains about the effectiveness of wearing surgical face masks. The purpose of this study was to assess the impact on surgical site infections (SSIs) when non-scrubbed operating room staff did not wear surgical face masks. METHODS:Eight hundred twenty-seven participants undergoing elective or emer...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1445-2197.2009.05200.x

    authors: Webster J,Croger S,Lister C,Doidge M,Terry MJ,Jones I

    更新日期:2010-03-01 00:00:00

  • Urethral syringocele: unseen but existing.

    abstract:BACKGROUND:Bulbourethral syringocele is an uncommon and under-diagnosed condition most commonly seen in the paediatric population, although there is increasing recognition in adults. Due to the difficulty in diagnosis, we report our experience of urethral syringocele in a quaternary paediatric hospital, with differing ...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1111/ans.15039

    authors: Saadat P,Borzi P,Patel B,Winkle D

    更新日期:2019-06-01 00:00:00

  • Predicting occult malignancy in nipple discharge.

    abstract:BACKGROUND:This study was a retrospective analysis of patients who underwent minor or major duct surgery for pathological nipple discharge. The results of clinical examination, mammography, ultrasonography and cytodiagnosis of the nipple discharge were studied in order to predict those patients at risk of underlying or...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/j.1445-2197.2010.05270.x

    authors: Alcock C,Layer GT

    更新日期:2010-09-01 00:00:00

  • Nicolaes Tulp and the golden age of the Dutch Republic.

    abstract::In the seventeenth century, Holland and the allied provinces of the northern Netherlands won final independence from their Spanish overlords and formed a worldwide economic empire. Dutch ships dominated the seas from the Caribbean to Japan and reconnoitred the coasts of Australia and New Zealand. Dutch society was cos...

    journal_title:ANZ journal of surgery

    pub_type: 传,历史文章

    doi:10.1111/j.1445-2197.2007.04327.x

    authors: Simpson D

    更新日期:2007-12-01 00:00:00

  • Diagnosis and surgical treatment of nipple adenoma.

    abstract:BACKGROUND:Nipple adenoma is a rare and benign type of breast tumour. Because of the lack of proper understanding, it is easily overlooked and misdiagnosed by doctors. The aim of the study is to improve clinicians' awareness of the disease. METHODS:Evaluation of the complaints such as blood discharge or nodules on the...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.12744

    authors: Wang C,Wang X,Ma R

    更新日期:2015-06-01 00:00:00

  • Laparoscopic-assisted colectomy with Duhamel procedure for idiopathic megacolon in adults: a retrospective study.

    abstract:BACKGROUND:Idiopathic megacolon (IMC) is an uncommon disease in adults. To date, only a few laparoscopic experiences and functional outcomes of IMC have been reported. This study was to retrospectively analyse our 12 year surgical experience and functional outcomes in adult patients with IMC. METHODS:A 12-year retrosp...

    journal_title:ANZ journal of surgery

    pub_type: 杂志文章

    doi:10.1111/ans.15868

    authors: Wang L,Zheng H,Tian Y,Mou J,Zhang L,Liu B,Tong W

    更新日期:2020-11-01 00:00:00