Immediate-implant-based-breast-reconstruction with two-stage expander-implant reconstruction versus one-stage-reconstruction with acellular dermal matrix: analysis of patients’ satisfaction

Immediate-implant-based-breast-reconstruction with two-stage expander-implant reconstruction versus one-stage-reconstruction with acellular dermal matrix: analysis of patients’ satisfaction

Authors

  • Alessandro Innocenti Plastic and Reconstructive Microsurgery - Careggi University Hospital - Florence
  • Dario Melita Plastic and Reconstructive Microsurgery - Careggi University Hospital - Florence
  • Marco Affortunati Plastic and Reconstructive Microsurgery - Careggi University Hospital - Florence
  • Tommaso Susini Breast Unit – Ginecology Section – Department of Health Science - Careggi University Hospital - Florence- Italy
  • Marco Innocenti Plastic and Reconstructive Microsurgery - Careggi University Hospital - Florence

Keywords:

breast reconstruction; immediate breast reconstruction; breast cancer; ADM; breast implant;

Abstract

Background

The aim of this retrospective study is to evaluate the patient-reported outcome after immediate ADM-assisted implant- based breast reconstruction.

Material and Methods

Patients underwent breast reconstruction from 2015 to 2019 have been retrospectively divided into group A (partial subpectoral implant and ADM and group B (expander/implant). For each patient we evaluated retrospectively postoperative complications and patients’ satisfaction.

Results

26 patients from the case group and 40 from the control group completed the BREAST-Q. The incidence of complications in the cases was 18.4%, while in the control group was 20.4%.  We found no statistical difference in most of the domains and in the mean score of the questionnaire (mean score cases=69.0±14.4 vs controls=68.4±15.7; p=0.888). A significant difference results only in the domains Q2a and Q2b, sensation of rippling.

Conclusions. The use of ADM in one-stage reconstruction allows to perform breast reconstruction in only one surgery, with similar complication rates and patient satisfaction.

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Published

01-07-2021

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ORIGINAL ARTICLES

How to Cite

1.
Innocenti A, Melita D, Affortunati M, Susini T, Innocenti M. Immediate-implant-based-breast-reconstruction with two-stage expander-implant reconstruction versus one-stage-reconstruction with acellular dermal matrix: analysis of patients’ satisfaction. Acta Biomed [Internet]. 2021 Jul. 1 [cited 2024 Jul. 23];92(3):e2021228. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/9916