159 results match your criteria Pectoral Implants


Short-term safety outcomes of mastectomy and immediate implant-based breast reconstruction with and without mesh (iBRA): a multicentre, prospective cohort study.

Lancet Oncol 2019 Feb 9;20(2):254-266. Epub 2019 Jan 9.

Linda McCartney Centre, Royal Liverpool and Broadgreen University Hospital, Liverpool, UK.

Background: Use of biological or synthetic mesh might improve outcomes of immediate implant-based breast reconstruction-breast reconstruction with implants or expanders at the time of mastectomy-but there is a lack of high-quality evidence to support the safety or effectiveness of the technique. We aimed to establish the short-term safety of immediate implant-based breast reconstruction performed with and without mesh, to inform the feasibility of undertaking a future randomised clinical trial comparing different breast reconstruction techniques.

Methods: In this prospective, multicentre cohort study, we consecutively recruited women aged 16 years or older who had any type of immediate implant-based breast reconstruction for malignancy or risk reduction, with any technique, at 81 participating breast and plastic surgical units in the UK. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14702045183078
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http://dx.doi.org/10.1016/S1470-2045(18)30781-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358590PMC
February 2019
8 Reads

Breast reconstruction with a dermal sling: a systematic review of surgical modifications.

J Plast Surg Hand Surg 2019 Feb 17;53(1):1-13. Epub 2018 Dec 17.

a Department of clinical sciences , University of Gothenburg. The Sahlgrenska Academy , Gothenburg , Sweden.

A dermal sling (DS) is used to cover the implant with two layers of tissue when immediate breast reconstruction is performed in women with large and ptotic breasts. It works as an autologous acellular dermal matrix/mesh that can be used to control the implant pocket and inframammary fold, without inferring an extra foreign material and higher costs. There is relatively little published about the DS technique. Read More

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https://www.tandfonline.com/doi/full/10.1080/2000656X.2018.1
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http://dx.doi.org/10.1080/2000656X.2018.1533840DOI Listing
February 2019
7 Reads

Jumping Breast Phenomenon Following Subcutaneous Mastectomy: First Description and Grading of a Well-Known Breast Deformity.

Breast Care (Basel) 2018 Oct 3;13(5):354-358. Epub 2018 Aug 3.

Breast Unit, Evangelische Huyssens-Stiftung, Kliniken Essen-Mitte, Essen, Germany.

Introduction: One of the goals of breast cancer surgery is to preserve the breast. However, where this is not possible, various breast reconstructive procedures are available. The most common procedure is the immediate insertion of a subpectoral implant after removing the breast tissue. Read More

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http://dx.doi.org/10.1159/000489939DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257146PMC
October 2018
1 Read

The Evolving Role of Pre-pectoral ADM-assisted Approach in Implant-based Immediate Breast Reconstruction Following Conservative Mastectomy: An Overview of the Literature and Description of Technique.

In Vivo 2018 Nov-Dec;32(6):1477-1480

The London Breast Institute, Princess Grace Hospital, London, U.K.

Background/aim: The recent development of acellular dermal matrix (ADM) devices has enhanced implant-based breast reconstruction surgery following conservative mastectomy for therapeutic and risk-reducing purposes leading to improved aesthetics. In the traditional sub-pectoral approach, coverage of the implant is provided by the pectoral muscles superiorly and the ADM inferiorly. The need to eliminate breast animation, reduce post-operative dysfunctional pain and the risk of capsular contracture, have stimulated surgeons to investigate the feasibility of placing the implant over the pectoralis major muscle with complete coverage with ADM thus inventing a novel pre-pectoral approach. Read More

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http://iv.iiarjournals.org/lookup/doi/10.21873/invivo.11402
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http://dx.doi.org/10.21873/invivo.11402DOI Listing
January 2019
10 Reads

Impact on Breastfeeding According to Implant Features in Breast Augmentation: A Multicentric Retrospective Study.

Ann Plast Surg 2019 Jan;82(1):11-14

Department of Maxillo-facial and Plastic, Reconstructive and Aesthetic Surgery, Henri Mondor Hospital, Paris-Est University, Créteil.

Background: Exclusive breastfeeding is highly recommended by the World Health Organization during the first 6 months of life. In parallel, breast augmentation with implants is one of the most performed operations in aesthetic surgery.

Objective: The goal of our study was therefore to analyze the potential impact of aesthetic breast implants on breastfeeding. Read More

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http://Insights.ovid.com/crossref?an=00000637-201901000-0000
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http://dx.doi.org/10.1097/SAP.0000000000001651DOI Listing
January 2019
2 Reads

Combination of acellular dermal matrix with a de-epithelialised dermal flap during skin-reducing mastectomy and immediate breast reconstruction.

Ann R Coll Surg Engl 2018 Aug 16:e1-e6. Epub 2018 Aug 16.

Cambridge Breast Unit, Cambridge University Hospitals NHS Foundation Trust , Cambridge , UK.

Introduction Patients with large ptotic breasts undergoing immediate implant-based reconstruction often require skin-reducing mastectomy to optimise the aesthetic outcome. However, healing complications, especially at the resulting inverted T-junction, leading to wound dehiscence, infection, skin necrosis, implant exposure and failed reconstruction have been widely reported. We present an innovative approach for immediate implant-based reconstruction combining porcine- or bovine-derived acellular dermal matrices with a de-epithelialised dermal sling to protect and support the implant, while improving clinical outcomes in this challenging group of patients. Read More

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https://publishing.rcseng.ac.uk/doi/10.1308/rcsann.2018.0127
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http://dx.doi.org/10.1308/rcsann.2018.0127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204518PMC
August 2018
20 Reads

Pectoral Block Failure May Be Due to Incomplete Coverage of Anatomical Targets: A Dissection Study.

Reg Anesth Pain Med 2018 Nov;43(8):844-848

Department of Cellular and Molecular Medicine, University of Copenhagen, Copenhagen, Denmark.

Background And Objectives: The popularization of ultrasound-guided nerve blocks in cosmetic and reconstructive breast surgery calls for better anatomical understanding of chest wall innervation. When inserting subpectoral implants, pain from pocket dissection, stretching of muscle, and release of costal attachments may be relieved by blocking the pectoral nerves in the interpectoral (IP) space.We describe the variable anatomy of the pectoral nerves in the IP space in order to define the area to be covered for sufficient blockade, based on cadaver dissections. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000837DOI Listing
November 2018

Correcting Poland Syndrome with a Custom-Made Silicone Implant: Contribution of Three-Dimensional Computer-Aided Design Reconstruction.

Plast Reconstr Surg 2018 08;142(2):109e-119e

Toulouse, France From the Service de Chirurgie Plastique et Reconstructrice, CHU Toulouse Rangueil; and AnatomikModeling SAS.

Background: Poland syndrome is historically associated with hypoplasia of the pectoral major muscle and abnormalities of the upper limbs. The authors propose an innovative procedure for correcting Poland syndrome thoracic malformations using three-dimensional modeling. Moreover, the authors evaluated aesthetic improvement, satisfaction, and quality of life after reconstruction with computer-aided design customized silicone implants. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004605DOI Listing
August 2018
8 Reads

Acellular dermal matrix for breast reconstruction after surgery for giant dermatofibrosarcoma protuberans.

Ann Ital Chir 2018 Jul 12;7. Epub 2018 Jul 12.

Introduction: Dermatofibrosarcoma protuberans (DFSP) is a rare neoplasm that exceptionally can affect the breast, always originating from skin and dermis, so imposing large sacrifice of skin. Only few cases have been reported of intraparenchymal DFS. We describe a unique case of giant intraparenchymal DFS that required removal of all the gland and reconstructive surgery. Read More

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July 2018
21 Reads

Sub-muscular Breast Augmentation Using Tumescent Local Anesthesia.

Aesthetic Plast Surg 2019 Feb 11;43(1):7-13. Epub 2018 Jul 11.

Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Via Monte Grappa 70, 07100, Sassari, Italy.

Background: Tumescent local anesthesia (TLA) consists of infiltration of saline solution with lidocaine and epinephrine into the tissues to obtain regional anesthesia and vasoconstriction. The use of TLA in augmentation mammoplasty has been described for sub-glandular positioning. We describe a modified TLA technique for primary sub-muscular breast augmentation reporting our experience during the past 7 years. Read More

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http://dx.doi.org/10.1007/s00266-018-1181-3DOI Listing
February 2019
25 Reads

"No Drain, No Gain": Simultaneous Seroma Drainage and Tissue Expansion in Pre-pectoral Tissue Expander-Based Breast Reconstruction.

Aesthetic Plast Surg 2018 Jul 9. Epub 2018 Jul 9.

Unità di Oncologia Chirurgica Ricostruttiva della Mammella, "Spedali Riuniti" di Livorno, Breast Unit Integrata di Livorno Cecina, Piombino Elba, Azienda USL Toscana Nord Ovest, Leghorn, Italy.

Seromas represent the most frequent complication following immediate breast reconstruction surgery, in particular when acellular dermal matrix or synthetic meshes are used to add coverage to implants. Little information regarding breast seroma management is available in the literature. When seroma becomes clinically significant, current methods for its management consist of repeated needle aspiration. Read More

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http://dx.doi.org/10.1007/s00266-018-1192-0DOI Listing
July 2018
4 Reads

The evolving role of pre-pectoral ADM-assisted implant-based immediate breast reconstruction following skin-sparing mastectomy.

Am J Surg 2018 Sep 2;216(3):639-640. Epub 2018 Feb 2.

The London Breast Institute, The Princess Grace Hospital, 42-52 Nottingham Place, London W1U 5NY, UK. Electronic address:

Introduction: The increasing use of acellular dermal matrix (ADM) and fat transfer in the context of breast reconstruction, following skin sparing mastectomy (SSM) for therapeutic and risk reducing purposes, combined with the need to eliminate animation deformities, reduce post-operative dysfunctional pain and the risk of capsular contracture, has prompted surgeons to investigate the possibility of placing the mammary implant over the pectoralis major muscle with complete coverage with ADM thus reviving the pre-pectoral approach which was previously abandoned due to high complications rates and poor aesthetics in the pre-ADM era.

Methods: We reviewed the literature regarding this evolving technique of muscle sparing ADM-assisted implant-based immediate breast reconstruction.

Results And Conclusions: Several authors have recently reported positive early results confirming the potential benefits of eliminating breast animation and reducing postoperative pain, however, most of these reports contain insufficient numbers of patients (<100) and were retrospective in nature with a very short-term follow-up and lack of data regarding objective aesthetic assessment. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.01.021DOI Listing
September 2018
7 Reads

Early multicentre experience of pre-pectoral implant based immediate breast reconstruction using Braxon.

Gland Surg 2017 Dec;6(6):682-688

Department of Breast Surgery, South Warwickshire NHS Foundation Trust, Warwick, UK.

Background: The last two decades have seen significant changes in surgical management of breast cancer. The offer of immediate breast reconstruction (IBR) following mastectomy is currently standard practice. Skin sparing and nipple sparing mastectomy with implant-based IBR have emerged as oncologically safe treatment options. Read More

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http://gs.amegroups.com/article/view/16334/17950
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http://dx.doi.org/10.21037/gs.2017.07.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750316PMC
December 2017
17 Reads

Placement Of Cardiac PacemaKEr Trial (POCKET) - rationale and design: a randomized controlled trial.

Heart Int 2017 Jan-Dec;12(1):e8-e11. Epub 2017 Apr 14.

Centre for Research and Development, Uppsala University/Region Gävleborg, Gävle - Sweden.

Background: A pacemaker system consists of one or two leads connected to a device that is implanted into a pocket formed just below the collarbone. This pocket is typically subcutaneous, that is, located just above the pectoral fascia. Even though the size of pacemakers has decreased markedly, complications due to superficial implants do occur. Read More

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http://dx.doi.org/10.5301/heartint.5000235DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5421194PMC
April 2017
4 Reads

Anaplastic Large-Cell Lymphoma Associated with Breast Implants: A Case Report of a Transgender Female.

Aesthetic Plast Surg 2018 Apr 3;42(2):451-455. Epub 2017 Nov 3.

Department of Plastic Surgery, Royal Vinohrady Teaching Hospital, Srobarova 1150/50, 100 34, Prague, Czech Republic.

Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) is a rare peripheral T cell lymphoma. BIA-ALCL is a disease of the fibrous capsule surrounding the implant and occurs in patients after both breast reconstruction and augmentation. More than 300 cases have been reported so far, including two in a transgender patient. Read More

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http://dx.doi.org/10.1007/s00266-017-1012-yDOI Listing
April 2018
31 Reads

Augmentation Mastopexy with a Dermal Encapsulated Round or Anatomic Autoprosthesis.

Authors:
Safvet Ors

Aesthetic Plast Surg 2018 Feb 26;42(1):88-97. Epub 2017 Oct 26.

SO-EP Aesthetic and Plastic Surgery Clinic, Seyitgazi Mah. Seyyid Burhaneddin Bulv. No: 51/A, 38050, Kayseri, Turkey.

Introduction: Several factors, such as aging, pregnancy, and weight loss, reduce the elasticity of the breast tissue, and ptosis occurs. Due to aging and gravity, it is not possible to completely prevent breast ptosis. The goal is to delay the recurrence of ptosis as much as possible. Read More

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http://dx.doi.org/10.1007/s00266-017-0987-8DOI Listing
February 2018
17 Reads

Is Asphyxiating Thoracic Dystrophy (Jeune's Syndrome) Deadly and Should We Insist on Treating It? Reconstructive Surgery "On Demand".

Surg J (N Y) 2017 Jan 17;3(1):e17-e22. Epub 2017 Feb 17.

Department of Pediatric and Thoracic Surgery, University Multiprofile Hospital for Active Treatment and Emergency Medicine "Pirogov" Sofia, Bulgaria.

Our aim is to present the treatment of one of the skeletal manifestations of Jeune's syndrome (JS), the hypoplastic chest, which can result in thoracic insufficiency syndrome and present "on-demand" stage surgical technique using mandible locking plate system for the fixation of ribs. The diagnosis "Jeune's syndrome" was presented clinically in a 3-month-old girl from a family in which the first child died of JS at the age of 18 months. After close follow-up for several months and preoperative planning, we decided to make reconstructive chest operation with atypical use of a double-angled mandible locking plate for fixation. Read More

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http://dx.doi.org/10.1055/s-0037-1598043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553486PMC
January 2017
9 Reads

Efficacy of ultrasound, mammography and magnetic resonance imaging in detecting breast implant rupture: A retrospective study of 175 reconstructive and aesthetic sub-pectoral breast augmentation cases.

J Plast Reconstr Aesthet Surg 2017 Nov 3;70(11):1520-1526. Epub 2017 Jun 3.

Department of Plastic, Reconstructive and Aesthetic Surgery, Saint Louis Hospital, AP-HP Hôpital Saint-Louis, Avenue Claude Vellefaux, 75475 Paris Cedex 10, France; Paris Diderot University, Sorbonne Paris, France.

To date, the effectiveness of radiological imaging in detecting silicone breast implant rupture is uncertain. The purpose of this study is to retrospectively evaluate the effectiveness of radiological imaging when diagnosing a rupture. In this study, 175 patients with 242 breast implants were included, of which 168 and 74 implants were used for breast reconstruction and aesthetic augmentation, respectively. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815173022
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http://dx.doi.org/10.1016/j.bjps.2017.05.051DOI Listing
November 2017
24 Reads

Subcutaneous implant breast reconstruction: Time to reconsider?

Eur J Surg Oncol 2017 Sep 4;43(9):1636-1646. Epub 2017 May 4.

Breast Department, Royal Wolverhampton Hospital, Wolverhampton Road, WV10 0QP, Wolverhampton, UK.

Improvements in breast surgery techniques such as skin and nipple preserving mastectomy and innovative prosthetics (implants, acellular dermal matrices and meshes) is renewing interest in subcutaneous (pre-pectoral) implant reconstruction. The aim of this paper is to review the current literature in an attempt to provide a rationale that may support a return to subcutaneous implant placement, so minimising the pain and functional problems resulting from submuscular breast reconstruction. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07487983173045
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http://dx.doi.org/10.1016/j.ejso.2017.04.008DOI Listing
September 2017
15 Reads

Overview of the radiographers' practice in 65 healthcare centers using digital mammography systems in Portugal.

Insights Imaging 2017 Jun 16;8(3):345-355. Epub 2017 Mar 16.

Instituto Superior Técnico (IST), Laboratório de Proteção e Segurança Radiológica (LPSR), Universidade de Lisboa (UL), Estrada Nacional 10 (ao km 139,7), 2986-066, Bobadela, Portugal.

Purpose: To assess current practices in digital mammography (DM) in Portuguese healthcare providers using digital systems. To investigate compliance with European standards regarding mean glandular dose and quality control practice and to identify optimisation needs.

Methods: Two questionnaires, targeted at breast radiographers and chief radiographers, were designed and applied in 65 imaging departments offering DM. Read More

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http://dx.doi.org/10.1007/s13244-017-0550-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5438316PMC
June 2017
12 Reads

Revisiting an Old Place: Single-Surgeon Experience on Post-Mastectomy Subcutaneous Implant-Based Breast Reconstruction.

Breast J 2017 Sep 13;23(5):545-553. Epub 2017 Mar 13.

Department of Surgery Plastic, Surgery Mayo Clinic, Rochester, New York.

Significant advances have been made to the reconstructive tools available to plastic surgeons allowing for the re-exploration of subcutaneous breast reconstruction. The purpose of the current study is to examine the safety, efficacy, and aesthetic results of subcutaneous breast reconstruction by a single-surgeon. A retrospective chart review was performed on all patients undergoing subcutaneous implant-based breast reconstruction between April 2012 and September 2014. Read More

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http://doi.wiley.com/10.1111/tbj.12790
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http://dx.doi.org/10.1111/tbj.12790DOI Listing
September 2017
13 Reads

Functional and Aesthetic Thorax Reconstruction after Desmoid Tumor Resection.

Plast Reconstr Surg Glob Open 2017 Feb 22;5(2):e1248. Epub 2017 Feb 22.

Plastic and Reconstructive Surgery Service, Surgical Oncology Service, and Pathology Service, Hospital Angeles Puebla, Puebla 72190, México.

This study describes a case report of a 31-year-old patient who presented with a left thoracic tumor on costal cartilages 5 and 6 that was diagnosed as a desmoid tumor 3 years after receiving retropectoral breast implants for cosmetic reasons. The integral reconstruction of the thoracic wall, functional and aesthetic, was planned for a single surgical period. The defect secondary to the tumor resection, which left the pericardium and lung exposed, was closed using the pectoral muscle as a "pre-expanded" flap by the breast implant, and the breast aesthetic was treated bilaterally with new implants in the retromammary position. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5340497PMC
February 2017
5 Reads

Acellular dermal matrix reduces capsule formation in two-stage breast reconstruction.

Int Wound J 2017 Apr 15;14(2):414-419. Epub 2016 Aug 15.

Department of Plastic Surgery, Anne Arundel Medical Center, Annapolis, MD, USA.

Acellular dermal matrix (ADM) is commonly employed to create an inferior pocket for the tissue expander in two-stage breast reconstruction. The authors sought to determine whether placement of ADM during the first stage of reconstruction decreases the amount of capsule formation at implant exchange. Patients who underwent mastectomy and tissue expander reconstruction were included in this study. Read More

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http://dx.doi.org/10.1111/iwj.12620DOI Listing
April 2017
6 Reads

Mammography in females with an implanted medical device: impact on image quality, pain and anxiety.

Br J Radiol 2016 Oct 25;89(1066):20160142. Epub 2016 Jul 25.

1 Dutch Reference Centre for Screening, Nijmegen, Netherlands.

Objective: To assess the image quality of mammograms in females with an implanted medical device (IMD), to evaluate pain and anxiety during mammography in these females and to investigate the experience of radiographers.

Methods: Image quality was evaluated by two radiographers and one radiologist in the images of females with an IMD participating in the Dutch screening programme (clients). Pain and anxiety were scored using a Numeric Rating Scale in both clients visiting a screening organization and patients from the Isala Hospital, Zwolle. Read More

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http://dx.doi.org/10.1259/bjr.20160142DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5124797PMC
October 2016
20 Reads

Male Pectoral Implants: Radiographic Appearance of Complications.

J Radiol Case Rep 2016 Mar 31;10(3):11-9. Epub 2016 Mar 31.

Department of Radiology, Larkin Community Hospital, FL, USA.

There has been a significant surge in aesthetic chest surgery for men in the last several years. Male chest enhancement is performed with surgical placement of a solid silicone pectoral implant. In the past, male chest correction and implantation were limited to the treatment of men who had congenital absence or atrophy of the pectoralis muscle and pectus excavatum deformity. Read More

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http://dx.doi.org/10.3941/jrcr.v10i3.2549DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4861614PMC
March 2016
5 Reads

The Outcome of Primary Subglandular Breast Augmentation Using Tumescent Local Anesthesia.

Ann Plast Surg 2016 Jan;76(1):13-7

From the *Skinlaser, Plastic Surgery and Laser Center, Rome, Italy; †Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospitals of Lausanne, Lausanne, Switzerland; ‡Department of Anaesthesiology and Intensive Care, Catholic University of the Sacred Heart, Rome; and §Venuslab, Plastic Surgery and Laser Center, Palermo, Italy.

Background: Tumescent local anesthesia (TLA) technique to obtain regional anesthesia and vasoconstriction of the skin and subcutaneous tissues is routinely adopted for several plastic surgery procedures. Here, we describe the use of TLA in primary subglandular breast augmentation. This series evaluates advantages and disadvantages of TLA in elective augmentation breast surgery as well as patients' response to this procedure. Read More

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http://dx.doi.org/10.1097/SAP.0000000000000215DOI Listing
January 2016
25 Reads

Use of Deslorelin Acetate Implants to Mitigate Aggression in Two Adult Male Domestic Turkeys (Meleagris gallopavo) and Correlating Plasma Testosterone Concentrations.

J Avian Med Surg 2015 Sep;29(3):224-30

Two adult, male domestic turkeys were treated with implants of deslorelin acetate, a gonadotropin-releasing hormone agonist, to reduce intermale aggression and aggression directed toward the animal care team at a zoologic institution. The turkeys were manually restrained and either two 4.7-mg or two 9. Read More

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http://dx.doi.org/10.1647/2014-041DOI Listing
September 2015
3 Reads

Male Body Contouring.

J Drugs Dermatol 2015 Sep;14(9):1052-9

Men are increasingly turning to dermatologists and plastic surgeons to request procedures that correct or enhance physical features. With the advent of this emerging new patient population, alterations in preexisting aesthetic techniques, gender-specific uses of existing devices and overall approaches need to be revisited and adapted to obtain results that are suitable for the male patient. Recently, body contouring has become one of the most sought out procedures by men. Read More

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September 2015
3 Reads

The In Vivo Pericapsular Tissue Response to Modern Polyurethane Breast Implants.

Aesthetic Plast Surg 2015 Oct 25;39(5):713-23. Epub 2015 Aug 25.

Postgraduate Medical Institute, Anglia Ruskin University, Bishop Hall Lane, Chelmsford, Essex, CM1 1SQ, UK,

Unlabelled: Polyurethane breast implants were first introduced by Ashley (Plast Reconstr Surg 45:421-424, 1970), with the intention of trying to reduce the high incidence of capsular contracture associated with smooth shelled, high gel bleed, silicone breast implants. The sterilization of the polyurethane foam in the early days was questionable. More recently, ethylene oxide (ETO)-sterilized polyurethane has been used in the manufacturing process and this has been shown to reduce the incidence of biofilm. Read More

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http://dx.doi.org/10.1007/s00266-015-0550-4DOI Listing
October 2015
8 Reads

The Effect of Botox on the Implant Stabilization and Capsular Formation: An Experimental Study.

Ann Plast Surg 2015 Jul;75(1):91-7

From the *Department of Plastic and Reconstructive Surgery, †Department of Pathology, and ‡Department of Radiology, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.

Background: Breast augmentation is one of the most common esthetic procedures with increasing frequency throughout the past years. The most demanding complications involving esthetic and reconstructive breast surgery are the malpositioning of the implant and capsular contracture. The etiology, prevention, and management remain to be fully explained. Read More

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http://pdfs.journals.lww.com/annalsplasticsurgery/2015/07000
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/SAP.0000000000000005DOI Listing
July 2015
10 Reads

Imaging of cosmetic plastic procedures and implants in the body and their potential complications.

AJR Am J Roentgenol 2015 Apr;204(4):707-15

1 Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO.

Objective: Cosmetic plastic surgery procedures, as well as implants, are increasingly being performed. These implants are often encountered on routine imaging examinations, and radiologists are often asked to evaluate for complications or evidence of failure. Pectoral augmentation, gluteal augmentation, body lift and abdominoplasty, and penile and testicular prostheses are reviewed in this article. Read More

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http://dx.doi.org/10.2214/AJR.14.13516DOI Listing
April 2015
6 Reads

[Should we drain after pre-pectoral breast implants? Analysis of a cohort of 400 patients operated for breast augmentation with pre-pectoral silicone implants].

Ann Chir Plast Esthet 2015 Feb 6;60(1):35-8. Epub 2014 Nov 6.

Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France. Electronic address:

Aim Of The Study: During breast augmentation, surgical drainage remains a source of debate. The objective of the study was to determine the interest of the drainage after pre-pectoral breast implants pre, analyzing the risk of hematoma and capsular contracture.

Patients And Methods: We retrospectively analyzed a cohort of 400 patients who underwent a first aesthetic breast augmentation by pre-pectoral silicone gel implants. Read More

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http://dx.doi.org/10.1016/j.anplas.2014.08.014DOI Listing
February 2015
4 Reads

Vicryl mesh in expander/implant breast reconstruction: long-term follow-up in 38 patients.

Plast Reconstr Surg 2014 Nov;134(5):892-9

Johnson City, Tenn.; and Bradenton, Fla. From the Division of Plastic Surgery, East Tennessee State University; and Lakewood Ranch Plastic Surgery.

Background: Acellular dermal matrix has proven to be a useful adjunct in tissue expander or direct-to-implant breast reconstruction. Although versatile, acellular dermal matrix adds considerable cost. Vicryl (polyglactin) mesh has an established track record in many fields of surgery, and is considerably less costly than acellular dermal matrix. Read More

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http://dx.doi.org/10.1097/PRS.0000000000000610DOI Listing
November 2014
6 Reads

Anatomical study of pectoral nerves and its implications in surgery.

Authors:
Prakash Kg Saniya K

J Clin Diagn Res 2014 Jul 20;8(7):AC01-5. Epub 2014 Jul 20.

Assistant Professor, Department of Anatomy, Azeezia Medical College , Meeyyannor, Kollam District, Kerala, India .

Introduction: This anatomical study of the pectoral nerves and their innervation is to provide detail informations on the pectoral nerves and their variations in their course, to guide the cosmetic and plastic surgeons for their easy intra operative localization and to improve the understanding of the pectoral muscle innervation, which is very much required during breast reconstruction after modified radical mastectomy (MRM) in breast cancer; axillary dissection; removal of the pectoralis minor muscle, and in harvesting the pectoralis major for myocutaneous head and neck island flap surgeries.

Materials And Methods: A total of 50 pectoral region specimens (both right and left sided) from 25 embalmed adult human cadavers (20 female & 05 male) were studied by dissection method.

Statistical Analysis: The data were tabulated in Microsoft excel and analysed by using Statistical Package for Social Science (SPSS 17(th) version). Read More

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http://dx.doi.org/10.7860/JCDR/2014/8631.4545DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4149058PMC
July 2014
3 Reads

Sternocostal dislocation following open correction of pectus excavatum-"stairway phenomenon": complication management by means of sternocostal locking titanium plate osteosynthesis.

Thorac Cardiovasc Surg 2014 Apr 14;62(3):245-52. Epub 2013 Oct 14.

Department of Pediatric Surgery, University Hospital Erlangen, Erlangen, Germany.

Introduction: Some open surgical methods describe complete sternocostal dissection with subsequent resynthesis. Lack of consolidation with painful sternocostal instability and retrosternal dislocation of sternal rib tips are possible complications.

Materials And Methods: Seven patients with symptomatic unilateral sternocostal dislocation were included in this study. Read More

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http://dx.doi.org/10.1055/s-0033-1356864DOI Listing
April 2014
11 Reads

Qualitative and quantitative evaluation of avian demineralized bone matrix in heterotopic beds.

Vet Surg 2013 Nov 1;42(8):963-70. Epub 2013 Oct 1.

Department of Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.

Objective: To evaluate the osteogenic potential of avian demineralized bone matrix (DBM) in the context of implant geometry.

Study Design: Experimental.

Animals: Rock pigeons (n = 24). Read More

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http://dx.doi.org/10.1111/j.1532-950X.2013.12057.xDOI Listing
November 2013
7 Reads

Laparoscopically harvested omental flap for breast reconstruction in Poland syndrome.

J Plast Reconstr Aesthet Surg 2013 Nov 22;66(11):e303-9. Epub 2013 Aug 22.

Pediatric Plastic Surgery Unit, Dr. Luis Calvo Mackenna Hospital, Santiago, Chile. Electronic address:

Background/purpose: Poland syndrome (PS) is a congenital anomaly of the thoracic wall characterised by a variable degree of unilateral agenesis of pectoralis major and minor muscles associated with ipsilateral breast, rib and upper-arm anomalies. In female patients, breast reconstruction is particularly challenging because of cranial pectoralis muscle defects and partial or complete breast agenesis. Different techniques have been used to treat the thoracic anomaly, including the positioning of an implant, fat transfer or latissimus dorsi transposition, but in some cases these techniques are not feasible resulting in a poor reconstruction. Read More

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http://dx.doi.org/10.1016/j.bjps.2013.08.003DOI Listing
November 2013
6 Reads

Submammary device implantation in women: a step-by-step approach.

J Cardiovasc Electrophysiol 2013 Apr 5;24(4):476-9. Epub 2013 Feb 5.

University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.

Introduction: The frequency of device implantation is increasing in younger patients as our ability to diagnose long-QT syndrome, hypertrophic cardiomyopathy, Brugada Syndrome, and other life-threatening disorders earlier has improved. Similarly, use of cardiac resynchronization therapy and ICD therapies has increased in cardiomyopathy patients.

Methods And Results: Device implantation in young women has unique considerations. Read More

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http://dx.doi.org/10.1111/jce.12033DOI Listing
April 2013
4 Reads

Implantable cardioverter defibrillator therapy in paediatric practice: a single-centre UK experience with focus on subcutaneous defibrillation.

Europace 2013 Apr 20;15(4):523-30. Epub 2013 Jan 20.

Department of Paediatric Cardiology & Cardiothoracic Surgery, University Hospital Southampton, Tremona Road, Southampton SO16 6YD, Hampshire, UK.

Aims: Sudden cardiac death (SCD) risk can be managed by implantable cardioverter defibrillators (ICD). Defibrillation shocks can be delivered via ICD generator and/or intracardiac or subcutaneous coil configurations. We present our single-centre use of childhood ICDs. Read More

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http://europace.oxfordjournals.org/content/europace/15/4/523
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http://europace.oxfordjournals.org/cgi/doi/10.1093/europace/
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http://dx.doi.org/10.1093/europace/eus388DOI Listing
April 2013
47 Reads

Feasibility of heart sounds measurements from an accelerometer within an ICD pulse generator.

Pacing Clin Electrophysiol 2013 Mar 17;36(3):334-46. Epub 2012 Dec 17.

Boston Scientific Corp, St. Paul, MN 55112, USA.

Objective: The feasibility of detecting heart sounds (HS) from an accelerometer sensor enclosed within an implantable cardioverter defibrillator (ICD) pulse generator (PG) was explored in a noninvasive pilot study on heart failure (HF) patients with audible third HS (S3).

Methods: Accelerometer circuitry enhanced for HS was incorporated into non-functional ICDs. A study was conducted on 30 HF patients and 10 normal subjects without history of cardiac disease. Read More

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http://dx.doi.org/10.1111/pace.12059DOI Listing
March 2013
7 Reads

Triplane augmentation mammaplasty.

Ann Ital Chir 2013 May-Jun;84(3):305-10

Background: Sub-muscular positioning of breast implants requires interrupting as well as disinserting both the abdominal and sterno-chondral fibers of the pectoral muscle; this can produce a muscular strength reduction which reveal bothering and is often detected in some daily motions, such as cutting bread into slices.

Material And Methods: The revision of anatomy and literature induced the authors to search for a conservative approach for breast augmentation. They describe a new technique defined "Tri-plane" where the muscular fibers are not cut but simply split to create the pocket for breast implants. Read More

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June 2014
2 Reads

Total hip and knee arthroplasty in patients with hereditary multiple exostoses.

Orthopedics 2012 Dec;35(12):e1807-10

Department of Orthopaedic Surgery, Washington University, St Louis, Missouri, USA.

To the authors' knowledge, few reports have been published in the English literature of using total knee arthroplasty and total hip arthroplasty for the treatment of hereditary multiple exostoses. This article describes 2 patients with hereditary multiple exostoses, 1 treated with total hip arthroplasty and 1 treated with total knee arthroplasty. Bony deformities make arthroplasty uniquely challenging in patients undergoing total hip or knee arthroplasty. Read More

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http://dx.doi.org/10.3928/01477447-20121120-29DOI Listing
December 2012
4 Reads

An autoprosthesis technique for better breast projection in free nipple graft reduction mammaplasty.

Aesthetic Plast Surg 2012 Dec 9;36(6):1340-6. Epub 2012 Oct 9.

Department of Plastic Surgery, Inonu University School of Medicine, Malatya, Turkey.

Background: Reduction mammaplasty for macromastia provides relief from uncomfortable symptoms and improves self-confidence and the ability to participate in sports activities. Reduction mammaplasty using the free nipple graft technique may result in bottoming-out deformity and a lack of upper-pole projection. We describe a modified breast reduction technique that combines the Graf and Thorek methods. Read More

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http://dx.doi.org/10.1007/s00266-012-9984-0DOI Listing
December 2012
6 Reads

A prospective analysis of the functional and radiological outcomes of minimally invasive plating in proximal humerus fractures.

Injury 2013 Apr 5;44(4):456-60. Epub 2012 Oct 5.

Kantonsspital Graubünden, Loestr. 170, CH-7000 Chur, Switzerland.

Background: Locking-plate osteosynthesis is a well-established treatment option for proximal humerus fractures. The standard approach is delta-pectoral, but few data using the minimally invasive antero-lateral delta-split approach exist. The aim of the study was to prospectively evaluate shoulder function and radiological outcome after a minimally invasive antero-lateral delta-split approach. Read More

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http://dx.doi.org/10.1016/j.injury.2012.09.010DOI Listing
April 2013
7 Reads

Veritas® bovine pericardium for immediate breast reconstruction: a xenograft alternative to acellular dermal matrix products.

Eur J Plast Surg 2012 Oct 17;35(10):717-722. Epub 2012 Jun 17.

Division of Plastic Surgery, University of California San Diego, 4150 Regents Park Row Suite #300, La Jolla, CA 92037 USA.

BACKGROUND: The technical advantages in utilizing human acellular dermal matrix (ADM) products as pectoral extenders in immediate breast reconstruction with tissue expanders or implants are well documented in the medical literature. In this study, the authors examine a commonly used biologic xenograft product that has not yet been described in the medical literature for use in immediate breast reconstruction to determine whether a lower overall complication rate is identified compared to published data on ADM products. METHODS: A retrospective multicenter medical record review of data on 54 subjects in 93 tissue expander/implant-based, consecutive, immediate breast reconstructions from three surgeons at different institutions was performed in which Veritas® bovine pericardium was used as the biologic graft material for the pectoral extender. Read More

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http://dx.doi.org/10.1007/s00238-012-0736-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3443340PMC
October 2012
43 Reads

[Mastectomy and immediate breast reconstruction using a prosthesis and lower dermal flap: description of five cases].

Ann Chir Plast Esthet 2012 Dec 4;57(6):606-11. Epub 2012 Aug 4.

Centre Antoine-Lacassagne, Nice, France.

Introduction: When performing mastectomy involving immediate reconstruction with prosthesis, it is required to obtain a complete cover of the implant. However, this is hardly ever possible for patients having a significant breast volume, despite the use of the skin-reducing technique. Using the lower dermal flap makes it possible to fully cover the implant for these patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S02941260120010
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http://dx.doi.org/10.1016/j.anplas.2012.06.002DOI Listing
December 2012
7 Reads

Dynamic-definition male pectoral reshaping and enhancement in slim, athletic, obese, and gynecomastic patients through selective fat removal and grafting.

Aesthetic Plast Surg 2012 Oct 26;36(5):1066-77. Epub 2012 Jul 26.

Universidad de San Martin, Bogota, Colombia.

Background: One of the most appealing characteristics of an athletic male body is a well-defined pectoral area. For decades, implants have been the gold standard method for the treatment of this area, but it is not suitable for every case. The goal was to design a mixed technique combining autologous fat extraction and grafting in an anatomically guided fashion to produce a highly athletic contour in the male pectoral. Read More

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http://link.springer.com/content/pdf/10.1007%2Fs00266-012-99
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http://link.springer.com/10.1007/s00266-012-9940-z
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http://dx.doi.org/10.1007/s00266-012-9940-zDOI Listing
October 2012
8 Reads

[Thoracic paravertebral block compared to thoracic paravertebral block plus pectoral nerve block in reconstructive breast surgery].

Rev Esp Anestesiol Reanim 2012 Jan 14;59(1):12-7. Epub 2012 Mar 14.

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Central de Asturias (HUCA), Oviedo, Asturias, España.

Introduction: Major breast surgery was usually performed under general anaesthesia until the first patient series with thoracic paravertebral block was published. This block was introduced into our Hospital, and with the purpose of obtaining a more comfortable perioperative period, it was combined with blocking the pectoral nerves. In this study, both anaesthetic techniques are compared, as regards control of postoperative pain, incidence of postoperative nausea and vomiting, and sedation requirements. Read More

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http://linkinghub.elsevier.com/retrieve/pii/S003493561200005
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http://dx.doi.org/10.1016/j.redar.2011.10.001DOI Listing
January 2012
2 Reads

Subfascial breast augmentation: is there any advantage over the submammary plane?

Authors:
Tim Brown

Aesthetic Plast Surg 2012 Jun 16;36(3):566-9. Epub 2011 Nov 16.

Subfascial (SF) breast augmentation has been proposed as an alternative to placement of a breast prosthesis in a subpectoral (SP) or direct submammary (SM) plane, producing advantages over both techniques. This study compares complication rates in 200 SF-placed implants with 83 SM implants, undertaken over a 51-month period by a single surgeon. No statistical difference was found in the complication rate or patient satisfaction of one technique over the other. Read More

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http://link.springer.com/10.1007/s00266-011-9840-7
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http://dx.doi.org/10.1007/s00266-011-9840-7DOI Listing
June 2012
19 Reads

Patient-specific prediction of intrinsic mechanical loadings on sub-muscular pectoral pacemaker implants based on an inter-species transfer function.

J Biomech 2011 Sep 6;44(14):2525-31. Epub 2011 Aug 6.

Cardiovascular Research Unit, Chris Barnard Department of Cardiothoracic Surgery, University of Cape Town, Cape Town, South Africa.

With the steady technological development enabling reduced device dimensions and new patient populations, detailed data on mechanical in vivo loads become increasingly important to ensure reliability of implantable medical devices. Based on an intra-species correlation of in-line and transverse force of the Pectoralis major established previously for the Chacma baboon (de Vaal et al., 2010a), a simplified physiological model and a mechanical equivalent model were developed for a sub-muscular pectoral device implant considering Pectoralis major, Pectoralis minor and rib cage. Read More

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http://dx.doi.org/10.1016/j.jbiomech.2011.07.019DOI Listing
September 2011
3 Reads