Direct-to-Implant Breast Reconstruction without the Use of an Acellular Dermal Matrix Is Cost Effective and Oncologically Safe.

Abstract:

BACKGROUND:Direct-to-implant breast reconstruction is a predictable, reliable, and cost-effective reconstruction. Most units performing direct-to-implant reconstructions recommend the use of an acellular dermal matrix or a mesh to reinforce the lower pole of the breast reconstruction. METHODS:Two hundred seventy-two consecutive patients with 488 immediate direct-to-implant breast reconstructions performed in a 34-month period are included in this group. Mean follow-up of this group is 35 months. RESULTS:Four hundred eight reconstructions were performed through a lazy-S mastectomy, and 80 were performed through a Wise pattern mastectomy. Two local recurrences occurred. Minor complications accounted for 5.5 percent (n = 27): seromas, 3.4 percent (n = 17); wound healing problems, 0.6 percent (n = 3); and grade 2 capsular contracture, 1.4 percent (n = 7). Major complications accounted for 4.3 percent (n = 21): infection, 0.8 percent (n = 4); prosthetic loss, 0.4 percent (n = 2); hematoma, 0.4 percent (n = 2); and wounds requiring débridement, 2 percent (n = 10). The additional cost of acellular dermal matrix is dependent on manufacturer and size, but increases the cost of the procedure by 35.5 to 47.7 percent. CONCLUSIONS:This reconstruction method compares very favorably with published data from other units as far as early and late complications and cosmetic outcome are concerned. It has a complication rate similar to that of reconstructions using an acellular dermal matrix and is more cost effective. CLINICAL QUESTION/LEVEL OF EVIDENCE:Therapeutic, IV.

journal_name

Plast Reconstr Surg

authors

Serrurier LCJ,Rayne S,Venter M,Benn CA

doi

10.1097/PRS.0000000000003222

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

809-817

issue

4

eissn

0032-1052

issn

1529-4242

pii

00006534-201704000-00005

journal_volume

139

pub_type

杂志文章
  • Prepectoral Breast Reconstruction: A Safe Alternative to Submuscular Prosthetic Reconstruction following Nipple-Sparing Mastectomy.

    abstract:BACKGROUND:Nipple-sparing mastectomy with immediate prosthetic reconstruction is routinely performed because of excellent aesthetic results and safe oncologic outcomes. Typically, subpectoral expanders are placed, but in select patients, this can lead to significant postoperative pain and animation deformity, caused by...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000003627

    authors: Sbitany H,Piper M,Lentz R

    更新日期:2017-09-01 00:00:00

  • Effect of cross-linked and non-cross-linked acellular dermal matrices on the expression of mediators involved in wound healing and matrix remodeling.

    abstract:BACKGROUND:Molecular mechanisms that direct the extent of the foreign body reaction to implanted biological meshes and their subsequent incorporation are poorly understood. The purpose of this study was to compare the influence of non-cross-linked human dermis (AlloDerm) with that of cross-linked porcine dermis (Permac...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182818a3d

    authors: Carlson TL,Lee KW,Pierce LM

    更新日期:2013-04-01 00:00:00

  • Analysis of Alternative Metrics of Research Impact: A Correlation Comparison between Altmetric Attention Scores and Traditional Bibliometrics among Plastic Surgery Research.

    abstract:BACKGROUND:Scholarly output has typically been measured by citation-based metrics such as the Hirsch index (h-index). The Altmetric Attention Score has emerged as a substitute to measure digital attention given to a project. This study aims to determine whether there is any correlation between h-index and the Altmetric...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000007270

    authors: Shiah E,Heiman AJ,Ricci JA

    更新日期:2020-11-01 00:00:00

  • Surgical correction of Stahl's ear using the cartilage turnover and rotation method.

    abstract::Various operative methods for the correction of Stahl's ear exist. We, however, have devised an alternative "turnover and rotation" procedure. In this procedure, the deformed cartilage itself is used in its original contour to form a new scaphoid fossa, thus simplifying the corrective procedure and establishing a reli...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-198901000-00031

    authors: Sugino H,Tsuzuki K,Bandoh Y,Tange I

    更新日期:1989-01-01 00:00:00

  • Facial bone changes with vascular tumors in children.

    abstract::Deformities of the adjacent facial bones are common with large vascular tumors. Most hemangiomas will resolve spontaneously, but the incidence of resolution appears to be quite low when the adjacent bones are affected. In these, we have used high dosage corticosteroid therapy in the early cases, particularly those inv...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197903000-00003

    authors: Williams HB

    更新日期:1979-03-01 00:00:00

  • The identification of novel wound-healing genes through differential display.

    abstract::Effective methods to identify novel genes in complicated dynamic tissue processes are needed in molecular biology research. Traditional techniques primarily target known genes and are inefficient in the pursuit of unknown genes. Here we describe the use of a modified differential display polymerase chain reaction (DD-...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200209010-00011

    authors: Soo C,Sayah DN,Zhang X,Beanes SR,Nishimura I,Dang C,Freymiller E,Ting K

    更新日期:2002-09-01 00:00:00

  • Urinary excretion of oxidative damage markers in a rat model of vascularized composite allotransplantation.

    abstract:BACKGROUND:Vascularized composite allotransplantation is an emerging field of transplantation that provides a potential treatment for complex tissue defects after traumatic loss or tumor resection and for the repair of congenital abnormalities. However, vascularized composite allotransplantation recipients have suffere...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182a0141f

    authors: Hu CH,Lin CH,Chang NJ,Hu CW,Lin CH

    更新日期:2013-10-01 00:00:00

  • Acute hand compartment syndromes after closed crush: a reappraisal.

    abstract::Severe crush to the hand is associated with a poor prognosis. The authors investigated the hypothesis that compartment syndrome complicates such injuries. From 1996 to 2000, the authors retrospectively identified 11 patients who, after sustaining a closed crush injury, developed acute hand compartment syndrome. Diagno...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.PRS.0000025183.78057.9B

    authors: Del Piñal F,Herrero F,Jado E,García-Bernal FJ,Cerezal L

    更新日期:2002-10-01 00:00:00

  • Video microsurgery: evaluation of standard laparoscopic equipment for the practice of microsurgery.

    abstract::Traditional microsurgery involves the use of bulky and expensive stereo microscopes that have limited portability. Recent advances in video technology have enabled the exploration of alternative visualization methods. The purpose of this study was to evaluate standard laparoscopic equipment for microvascular anastomos...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-200109150-00008

    authors: Gorman PJ,Mackay DR,Kutz RH,Banducci DR,Haluck RS

    更新日期:2001-09-15 00:00:00

  • Rhinophyma: treatment with electrocautery and silver-impregnated porcine xenograft.

    abstract::A typical case of advanced rhinophyma is reported. Partial excision reduced the size of the nose by two-thirds, leaving a thin layer of dermis. This was covered with silver-impregnated porcine xenograft, which allowed efficient drainage and remained adherent in its initial application for 2 weeks. A total of four appl...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Ersek RA,Denton DR

    更新日期:1984-08-01 00:00:00

  • Improved malar projection with transconjunctival hydroxyapatite granules.

    abstract:BACKGROUND:Augmentation of the zygomatic body enhances appearance and provides a more youthful look. Porous hydroxyapatite granules offer an alternative to alloplastic implants. METHODS:Hydroxyapatite granules were placed by means of a transconjunctival approach into subperiosteal malar pockets (n = 8). From the preop...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000218867.26061.21

    authors: O'Hara KL,Urrego AF,Garri JI,O'Hara CM,Bradley JP,Kawamoto HK

    更新日期:2006-05-01 00:00:00

  • Computer-assisted three-dimensional planning in craniofacial surgery.

    abstract::Three-dimensional surface reconstruction from computed tomographic (CT) data has been used to plan craniofacial operations. Cephalometric and anthropometric databases were integrated with three-dimensional CT reconstructions to quantitate the skeletal deformity and to assist in the design of the surgical procedure. In...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Altobelli DE,Kikinis R,Mulliken JB,Cline H,Lorensen W,Jolesz F

    更新日期:1993-09-01 00:00:00

  • Osteoblastic and osteoclastic activation in coronal sutures undergoing fusion ex vivo.

    abstract::Numerous studies have demonstrated the importance of dura mater in the normal development and regeneration of the cranium and its sutures. The purpose of this study was to analyze the effect of dura mater on the metabolism of bone during the process of premature suture fusion. Previously, coronal sutures of fetal rats...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199710000-00003

    authors: Winograd JM,Im MJ,Vander Kolk CA

    更新日期:1997-10-01 00:00:00

  • Contrast-enhanced ultrasound combined with three-dimensional reconstruction in preoperative perforator flap planning.

    abstract:BACKGROUND:Along with technical advancements in perforator flap surgery, great interest has been recently focused on the accuracy of preoperative perforator location through the assessment of the donor-site vascular network. The goal of the present study was to investigate the usefulness of contrast-enhanced ultrasound...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e3182729e9e

    authors: Su W,Lu L,Lazzeri D,Zhang YX,Wang D,Innocenti M,Qian Y,Agostini T,Levin LS,Messmer C

    更新日期:2013-01-01 00:00:00

  • Factors influencing incidence and type of postmastectomy breast reconstruction in an urban multidisciplinary cancer center.

    abstract:BACKGROUND:On January 1, 2011, New York State amended the Public Health Law to ensure that patients receive "information and access to breast reconstruction surgery." The purposes of this study were to investigate the early impact of this legislation on reconstruction rates and to evaluate the influence of patient vari...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000000888

    authors: Iskandar ME,Dayan E,Lucido D,Samson W,Sultan M,Dayan JH,Boolbol SK,Smith ML

    更新日期:2015-02-01 00:00:00

  • Melanoma Extirpation with Immediate Reconstruction: The Oncologic Safety and Cost Savings of Single-Stage Treatment.

    abstract:BACKGROUND:The timing of reconstruction following melanoma extirpation remains controversial, with some advocating definitive reconstruction only when the results of permanent pathologic evaluation are available. The authors evaluated oncologic safety and cost benefit of single-stage neoplasm extirpation with immediate...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000002241

    authors: Karanetz I,Stanley S,Knobel D,Smith BD,Bastidas N,Beg M,Kasabian AK,Tanna N

    更新日期:2016-07-01 00:00:00

  • Soft-tissue augmentation of the middle and lower face using the deepithelialized submental flap.

    abstract:BACKGROUND:Facial contour augmentation is an entity often encountered by reconstructive surgeons. To date, very different autologous tissues such as fat, dermofat, dermal fascia, muscle, cartilage, and bone in the manner of grafts or flaps according to the requirements of the defect have been used for facial augmentati...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000252002.76466.cf

    authors: Tan O,Atik B,Parmaksizoglu D

    更新日期:2007-03-01 00:00:00

  • Analysis of breast implant capsular tissue for crystalline silica and other refractile phases.

    abstract::This study questions previous reports of the presence of micrometer-sized areas of crystalline silica in pathologic tissue sections that are based exclusively on polarized-light microscopy. By using optical principles, it can be argued that it is impossible to identify unambiguously or to detect the birefringence of c...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199904040-00028

    authors: Pasteris JD,Wopenka B,Freeman JJ,Young VL,Brandon HJ

    更新日期:1999-04-01 00:00:00

  • Posterior interosseous free flap: various types.

    abstract::The posterior interosseous artery is located in the intermuscular septum between the extensor carpi ulnaris and extensor digiti minimi muscles. The posterior interosseous artery is anatomically united through two main anastomoses: one proximal (at the level of the distal border of the supinator muscle) and one distal ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199710000-00018

    authors: Park JJ,Kim JS,Chung JI

    更新日期:1997-10-01 00:00:00

  • The distally based superficial sural artery island flap: clinical experiences and modifications.

    abstract::The coverage of defects of the Achilles tendon, malleoli, and heel remains a challenge to reconstructive surgeons. The distally based superficial sural artery island flap is vascularized by the median superficial sural artery, posterolateral septal perforators originating from the peroneal artery, neurovascular arteri...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199812000-00013

    authors: Yilmaz M,Karatas O,Barutcu A

    更新日期:1998-12-01 00:00:00

  • Uncircumcision: a historical review of preputial restoration.

    abstract::Throughout history, demands for restoration of the prepuce after circumcision were most commonly related to the political or religious persecution of the Jewish people. The first evidence for such a procedure is mentioned in the Bible: Under the reign of Antiochus IV (168 BC) Hellenistic ideals, such as public nakedne...

    journal_title:Plastic and reconstructive surgery

    pub_type: 历史文章,杂志文章

    doi:10.1097/00006534-199806000-00037

    authors: Schultheiss D,Truss MC,Stief CG,Jonas U

    更新日期:1998-06-01 00:00:00

  • Importance of additional microvascular anastomosis in esophageal reconstruction after salvage esophagectomy.

    abstract::Esophageal reconstruction after salvage esophagectomy in patients who have undergone curative-intent chemoradiotherapy for esophageal cancer is associated with a significant risk of perioperative morbidity and mortality. In particular, anastomotic leakage can cause severe and potentially fatal complications, including...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/01.prs.0000122211.29839.fe

    authors: Sakuraba M,Kimata Y,Hishinuma S,Nishimura M,Gotohda N,Ebihara S

    更新日期:2004-06-01 00:00:00

  • "Brazilian Butt Lift" under Local Anesthesia: A Novel Technique Addressing Safety Concerns.

    abstract:BACKGROUND:The gluteal lift ("Brazilian butt lift") has improved significantly in technique and in outcomes. Some postulate that fat embolism occurs because of damage to veins superficial to the gluteus muscles and that fat must be injected intramuscularly to achieve satisfactory aesthetic results. The purpose of this ...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000005067

    authors: Chia CT,Theodorou SJ,Dayan E,Tabbal G,Del Vecchio D

    更新日期:2018-12-01 00:00:00

  • Quantitative assessment of osseous, ocular, and periocular changes after hypertelorism surgery.

    abstract::The purpose of this study was to develop a methodology to quantify osseous, ocular, and periocular fat changes caused by correction of orbital hypertelorism to test the hypothesis that there is a quantitatively predictable relationship between the movement of the osseous orbit and that of the ocular globe. A retrospec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:

    authors: Panchal J,Kim YO,Stelnicki E,Pilgram T,Marsh JL

    更新日期:1999-07-01 00:00:00

  • Complications of total ischiectomy for the treatment of ischial pressure sores.

    abstract::Five patients are reported, 4 of whom had total ischiectomies and the other an extensive partial ischiectomy. In each, recurrent ulcers, extending into the perineum, developed subsequently. One patient had a urethrocutaneous fistula as a result of his perineal ulcer, and he had to undergo an ileal loop diversion. Foll...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-197807000-00015

    authors: Karaca AR,Binns JH,Blumenthal FS

    更新日期:1978-07-01 00:00:00

  • Advancements in free flap monitoring in the last decade: a critical review.

    abstract:BACKGROUND:The authors conducted a review of the recent literature on the monitoring of free flaps to create an overview of the current monitoring devices and their potential as an ideal monitoring method. METHODS:A literature-based study was conducted using the PubMed and Cochrane databases. The following search term...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章,评审

    doi:10.1097/PRS.0b013e3181c49580

    authors: Smit JM,Zeebregts CJ,Acosta R,Werker PMN

    更新日期:2010-01-01 00:00:00

  • Patient-Related Risk Factors for Worsened Abdominal Well-Being after Autologous Breast Reconstruction.

    abstract:BACKGROUND:Patient-reported lower satisfaction with the abdomen preoperatively is a strong predictor of undergoing DIEP flap surgery. The authors evaluated physical well-being of the abdomen before and after flap-based breast reconstruction to determine potential predictors for decreased postoperative abdominal well-be...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0000000000006536

    authors: Stone JP,Bello RJ,Siotos C,Meyer ML,Sebai ME,Payne RM,Manahan MA,Cooney DS,Sacks JM,Broderick KP,Cooney CM,Rosson GD

    更新日期:2020-03-01 00:00:00

  • Principles of pediatric mandibular fracture management.

    abstract::Mandible fractures are commonplace in today's craniofacial practice; however, managing the infrequent, operative pediatric mandible injury requires a thorough knowledge base and thoughtful approach. Not only do these patients demonstrate variable anatomy due to differing stages of dental eruption, but condylar disrupt...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/PRS.0b013e318199f695

    authors: Cole P,Kaufman Y,Izaddoost S,Hatef DA,Hollier L

    更新日期:2009-03-01 00:00:00

  • Browpexy: lateral orbicularis muscle fixation as an adjunct to upper blepharoplasty.

    abstract::Lateral ptosis of the eyebrow is a major part of the complex changes that patients are seeking to improve with an upper blepharoplasty. Two hundred and eight patients have undergone a browpexy procedure at the time of blepharoplasty. This operative maneuver, which is performed through the blepharoplasty incision, prev...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199710000-00029

    authors: Zarem HA,Resnick JI,Carr RM,Wootton DG

    更新日期:1997-10-01 00:00:00

  • Anxiety disorders in plastic surgery.

    abstract::Surgery is a stressful event, with the potential for profound disturbance to the patient's psychological and physiologic homeostasis. Cosmetic surgery is a particularly intense psychological experience because, in addition to the usual concerns about surgical side effects, cosmetic patients bring their hopes and expec...

    journal_title:Plastic and reconstructive surgery

    pub_type: 杂志文章

    doi:10.1097/00006534-199708000-00046

    authors: Rankin M,Borah GL

    更新日期:1997-08-01 00:00:00