1 research outputs found
Mastectomy by inverted drip incision and immediate reconstruction: data from 510 cases
BACKGROUND: Immediate reconstruction of the breast can be performed in
selected cases after mastectomy for breast cancer or after prophylactic
mastectomy in patients with a high risk of developing breast cancer.
Despite the frequency with which these procedures are performed, data from
large series of subpectoral implantation of silicone prostheses in
combination with a skin-saving approach are lacking. METHODS: In this
retrospective study, data on complications and late surgical interventions
in 356 patients who underwent 510 mastectomies with an inverted drip
incision and immediate reconstruction (MIDIIR) were analyzed to determine
potential prognostic factors of early complications. RESULTS: In 82% of
the MIDIIRs, the postoperative course was uneventful. In 18%, the
complications were infection (32 cases), necrosis of the skin flap (29
cases), bleeding (31 cases), and protrusion of the prosthesis (20 cases),
resulting in surgery in 9, 12, 15, and 20 cases, respectively. At the end
of the follow-up period, 30 (6%) prostheses were definitively removed.
Age, size of the prostheses, radiotherapy, previous lumpectomy, and
indication for mastectomy were not significant factors for the prognosis
of early complications. CONCLUSIONS: With the right technique and
indications, MIDIIR is a very safe procedure and should be one of the
surgical treatments that can be offered in the overall management of
patients with, or at high risk for, breast cancer