184 results match your criteria Pectoral Implants


Breast Device Surgery in Australia: Early Results from the Australian Breast Device Registry.

J Plast Reconstr Aesthet Surg 2021 Mar 28. Epub 2021 Mar 28.

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia. Electronic address:

Background: The Australian Breast Device Registry (ABDR) is a clinical quality registry designed to monitor the performance of breast devices; and the quality and safety of breast device surgery.

Objective: To report on breast device surgery characteristics across Australia.

Methods: Participants were registered patients in the ABDR from 2012 to 2018. Read More

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Quality of Life After Bilateral Risk-Reducing Mastectomy and Simultaneous Reconstruction Using Pre-Pectoral Silicone Implants.

Patient Prefer Adherence 2021 13;15:741-750. Epub 2021 Apr 13.

Department of Orthopedic Surgery, Traumatology and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.

Purpose: Bilateral risk-reducing mastectomy (BRRM) can reduce the risk of developing breast cancer by up to 95% in women with increased exposure. Although survival is increased, mastectomies can adversely affect a patient physically, psychologically, and psychosexually. High health-related quality of life (HRQoL) is often achieved after simultaneous breast reconstruction (BR) following BRRM; however, data on the pre- and postoperative results of HRQoL are lacking. Read More

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Accidental Magnetic Resonance Imaging Activation of Carbon Dioxide Tissue Expanders.

Aesthet Surg J Open Forum 2020 Jun 9;2(2):ojaa025. Epub 2020 Jun 9.

Miller School of Medicine, University of Miami, Miami, FL.

Implant-based reconstruction is the most common form of breast reconstruction following mastectomy. It is most often performed in 2 stages using saline-based tissue expanders, which are then exchanged for permanent implants. Serial expansions are performed by accessing a port in the office, an inconvenient and sometimes painful process. Read More

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The Effect of Low and High Vacuum Drainage on the Postoperative Drainage of Breast Cancer: Insights from a Prospective, Non-Inferiority, Randomized Clinical Trial.

Cancer Manag Res 2020 3;12:12487-12496. Epub 2020 Dec 3.

Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, People's Republic of China.

Background: Vacuum drains have been extensively applied to prevent seroma formation after breast surgery. However, the usage of negative suction drainage is mainly determined by surgeon's experience and preferences. The aim of this study is to prospectively compare the drain effect after breast surgery between the low and high vacuum drains. Read More

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December 2020

The Nomenclature, Terminology and Lexicon of Breast Surgery: Are We Really Saying the Same Thing?

Clin Plast Surg 2021 Jan 3;48(1):109-121. Epub 2020 Nov 3.

Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Toronto, 790 Bay Street, Suite 410, Toronto, Ontario M5G 1N8, Canada. Electronic address:

This study investigated inconsistencies in the use of descriptors in breast surgery and recommends a novel nomenclature that will be adopted and standardized among plastic surgeons. The study used a modified Delphi methodology to first identify redundant descriptors or those with multiple interpretations, and then achieve consensus on ideal recommended nomenclature in breast surgery. The Delphi panel agreed that there was misuse of and lack of a clear definition for several terms, and recommended removal of these subjective terms. Read More

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January 2021

Rerouting of the pectoralis major muscle for breast animation deformity in sub-pectoral autologous breast reconstruction: A case report and review of the literature.

Int J Surg Case Rep 2020 22;77:28-31. Epub 2020 Oct 22.

Department of Plastic and Reconstructive Surgery, Maastricht University Medical Center, Maastricht, the Netherlands; GROW - School for Oncology and Developmental Biology, Maastricht University, Maastricht, the Netherlands. Electronic address:

Introduction: Breast animation deformity (BAD) is a known complication of sub-pectoral implant placement that is usually corrected by simply repositioning the implant to a pre-pectoral position. However, when this complication occurs in the case of a sub-pectorally placed free-flap, the solution becomes a lot less straightforward: repositioning of the flap carries the risk of possible damage to the pedicle. In order to avoid having to re-do the anastomoses we opted for a rerouting of the pectoralis major muscle around the vascular anastomoses. Read More

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October 2020

Dual-Plane Retro-pectoral Versus Pre-pectoral DTI Breast Reconstruction: An Italian Multicenter Experience.

Aesthetic Plast Surg 2021 02 28;45(1):51-60. Epub 2020 Aug 28.

Clinic of Plastic and Reconstructive Surgery, Department of Experimental and Clinical Medicine, Marche Polytechnic University, Via Conca 71, 60126, Ancona, Italy.

Background: The use of conservative mastectomies has risen significantly during the last few years. The reconstructive choice of direct-to-implant reconstruction has become more practicable with modern mastectomy techniques. The initial trend in Italian centers was to use dual-plane hybrid reconstruction. Read More

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February 2021

Prospective Study of Saline versus Silicone Gel Implants for Subpectoral Breast Augmentation.

Authors:
Eric Swanson

Plast Reconstr Surg Glob Open 2020 Jun 4;8(6):e2882. Epub 2020 Jun 4.

Swanson Center, Leawood, Kans.

Background: Silicone gel implants are regarded as esthetically superior to saline implants, offering a more natural consistency. They are also considered less susceptible to rippling. However, objective measurements and patient-reported outcome studies are lacking. Read More

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Intraoperative Intercostal Nerve Block for Postoperative Pain Control in Pre-Pectoral versus Subpectoral Direct-to-Implant Breast Reconstruction: A Retrospective Study.

Medicina (Kaunas) 2020 Jun 30;56(7). Epub 2020 Jun 30.

Department of Plastic and Reconstructive Surgery, Ewha Womans University Mokdong Hospital, College of Medicine, Ewha Womans University, Seoul 07985, Korea.

Patients undergoing mastectomy and implant-based breast reconstruction have significant acute postsurgical pain. The purpose of this study was to examine the efficacy of intercostal nerve blocks (ICNBs) for reducing pain after direct-to-implant (DTI) breast reconstruction. Between January 2019 and March 2020, patients who underwent immediate DTI breast reconstruction were included in this study. Read More

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High-Efficiency Same-Day Approach to Breast Reconstruction During the COVID-19 Crisis.

Breast Cancer Res Treat 2020 Aug 19;182(3):679-688. Epub 2020 Jun 19.

Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Boston, MA, USA.

Purpose: As our hospitals conserve and re-allocate resources during the COVID-19 crisis, there is urgent need to determine how best to continue caring for breast cancer patients. During the time window before the COVID-19 critical peak and particularly thereafter, as hospitals are able to resume cancer operations, we anticipate that there will be great need to maximize efficiency to treat breast cancer. The goal of this study is to present a same-day protocol that minimizes resource utilization to enable hospitals to increase inpatient capacity, while providing care for breast cancer patients undergoing mastectomy and immediate breast reconstruction during the COVID-19 crisis. Read More

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Detection of atrial fibrillation with implantable loop recorders in horses.

Equine Vet J 2021 Mar 28;53(2):397-403. Epub 2020 Jun 28.

Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

Background: Cardiac arrhythmias in horses are diagnosed by auscultation or electrocardiogram (ECG), which results in a low sensitivity for detecting arrhythmias that occur sporadically. Implantable loop recorders (ILRs) are small ECG devices placed subcutaneously, to automatically detect arrhythmias in human patients.

Objectives: To test ILRs ability to detect atrial fibrillation (AF) in horses. Read More

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The Pre-BRA (pre-pectoral Breast Reconstruction EvAluation) feasibility study: protocol for a mixed-methods IDEAL 2a/2b prospective cohort study to determine the safety and effectiveness of prepectoral implant-based breast reconstruction.

BMJ Open 2020 01 26;10(1):e033641. Epub 2020 Jan 26.

National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, Bristol, UK.

Introduction: Implant-based breast reconstruction is the most commonly performed reconstructive technique worldwide. Subpectoral reconstruction with mesh is the current standard of care but new prepectoral techniques have recently been introduced. Prepectoral breast reconstruction (PPBR) may improve outcomes for patients but robust evaluation is required. Read More

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January 2020

Prepectoral Site Conversion for Animation Deformity.

Plast Reconstr Surg Glob Open 2019 Jul 29;7(7):e2301. Epub 2019 Jul 29.

Department of Plastic and Reconstructive Surgery, Louisiana State University School of Medicine, New Orleans, La.

A signifcant disadvantage of subpectoral breast reconstruction procedures is animation deformity during pectoralis major contraction. In this study, we discuss one surgeon's experience with elective subpectoral to prepectoral implant site conversion as a definitive solution to animation deformity.. Read More

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Study of breast implants mammography examinations for identification of suitable image quality criteria.

Insights Imaging 2020 Jan 3;11(1). Epub 2020 Jan 3.

School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Av. de Beaumont 21, 1011, Lausanne, Switzerland.

Purpose: To characterise the mammography technique used in breast cancer screening programmes for breast implants (BI) and to identify if the image quality (IQ) criteria available in literature are applicable to BI imaging.

Methods: The study was conducted in two phases: literature review to find IQ criteria used in mammography combining keywords in several sources; and assessment of 1207 BI mammograms using the criteria that was identified previously to see if they were achieved or not. An observation grid was used to collect information about positioning, beam energy, compression force, and exposure mode. Read More

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January 2020

Single stage immediate breast reconstruction with acellular dermal matrix and implant: Defining the risks and outcomes of post-mastectomy radiotherapy.

Surgeon 2020 Aug 18;18(4):202-207. Epub 2019 Oct 18.

Colchester General Hospital, East Suffolk and North Essex NHS Foundation Trust, Turner Road, Colchester CO4 5JL, UK; Hillingdon Hospital, The Hillingdon Hospitals NHS Foundation Trust, Pield Heath Road, Uxbridge, London UB8 3NN, UK. Electronic address:

Introduction: The objective of this study is to evaluate outcomes and complications in patients with single-stage ADM-implant based immediate breast reconstruction with and without radiotherapy (RT), highlighting the effects of RT on the reconstruction.

Materials And Methods: This prospective study recruited 91 consecutive patients who underwent skin-sparing, nipple-sparing or wise-pattern skin reduction mastectomy with direct-to-implant breast reconstruction with ADMs using sub-pectoral or pre-pectoral approach at the two breast units. Early and late complications like seroma, delayed wound healing, wound breakdown, infection, capsular contracture, implant loss and revision surgery were evaluated in the RT and non-RT groups. Read More

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Salvage of Exposed Cardiac Implants Using Fasciocutaneous Rotation Flaps.

Ann Plast Surg 2020 01;84(1):85-89

Department of Plastic, Reconstructive and Aesthetic Surgery, Konur Hospital, Bursa, Turkey.

Introduction: Implantation rates of cardiac implantable electrophysiological devices (CIEDs) are rising, mainly because of the expansion of implantable cardioverter-defibrillators indications for primary prevention. As the CIED usage increases, CIED-related complications are also in rise. Transvenous approach and laser utilization techniques are replacing the open heart surgeries, for removal of CIED systems that are suspected to be infected. Read More

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January 2020

The New Method of Pocket Forming for Breast Implant Placement in Augmentation Mammaplasty: Dual Plane Subfascial.

Med Arch 2019 Jun;73(3):178-182

University Clinical Centre Sarajevo, Sarajevo, Bosnia and Herzegovina.

Introduction: Breast augmentation is one of the most frequently performed aesthetic surgical procedures in the world. The most important preoperative decisions which influence the final appearance of the augmented breast are the breast implant pocket choice and selection of the most appropriate implant. Described pocket locations are subglandular, subfascial, partially retropectoral, totally submuscular and dual plane. Read More

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Smooth Prosthesis: Our Experience and Current State of Art in the Use of Smooth Sub-muscular Silicone Gel Breast Implants.

Aesthetic Plast Surg 2019 12 24;43(6):1454-1466. Epub 2019 Jul 24.

Clinic of Plastic and Reconstructive Surgery, Department of Medical Area (DAME), Academic Hospital of Udine, University of Udine, Udine, Italy.

Background: The objective of this clinical review is to provide an overview of the use of silicone gel-filled breast implants placed in the sub-muscular position, with a focus on complication rates reported for both smooth and textured implants. Furthermore, our experience in this field is also reviewed.

Methods: MEDLINE, EMBASE, Web of Science, Scopus, the Cochrane Central and Google Scholar databases were reviewed to identify the literature related to smooth breast implants. Read More

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December 2019

Cost-effectiveness of pre-pectoral implant-based breast reconstruction: A pilot comparative analysis.

J Plast Reconstr Aesthet Surg 2019 Oct 27;72(10):1700-1738. Epub 2019 Jun 27.

The Cambridge Breast Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK. Electronic address:

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October 2019

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 02 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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February 2019

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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February 2019

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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October 2018

The Development of a Benchtop Breast Reconstruction Surgical Simulator.

Annu Int Conf IEEE Eng Med Biol Soc 2018 Jul;2018:949-952

A modified Delphi technique was used to survey plastics surgeons with an expertise in breast reconstruction from 6 university centers with plastic surgery residency programs across Canada. A list of the most challenging steps in teaching alloplastic breast reconstruction was obtained. From the survey results, a benchtop post-mastectomy breast reconstruction simulator was created using various silicon materials. Read More

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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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January 2019

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

Ann Plast Surg 2019 01;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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January 2019

TIGR matrix for implant-based breast reconstruction - a long-term resorbable mesh.

Expert Rev Med Devices 2018 Sep 10;15(9):689-691. Epub 2018 Sep 10.

a Frimley Health NHS Foundation Trust , Wexham Park Hospital , Slough , UK.

The use of biological and synthetic meshes to aid implant coverage in implant-based breast reconstruction is well established. This technique allows single stage implant-based reconstruction compared to the traditional technique which required tissue expansion before permanent implant placement and therefore involved two operations for the patient. They can further be used for pre-pectoral implant reconstructions in a similar direct-to-implant strategy. Read More

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September 2018

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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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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November 2018