203 results match your criteria Pectoral Implants


PEC block versus local anesthetic infiltration in breast implant augmentation surgery: a retrospective study.

Plast Reconstr Surg 2022 Jun 6. Epub 2022 Jun 6.

Service de chirurgie plastique, reconstructrice et esthétique CHU de Brest

Introduction: Pectoral plane (PEC) blocks are routinely used in analgesia for patients undergoing dual-plane breast augmentation with implants. Local anesthetic infiltration (LAI) is a simple alternative technique with the same aim. We evaluated both techniques. Read More

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Impact of Different Metal Artifact Reduction Techniques on Attenuation Correction of Normal Organs in F-FDG-PET/CT.

Diagnostics (Basel) 2022 Feb 1;12(2). Epub 2022 Feb 1.

Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, D-45147 Essen, Germany.

Purpose: To evaluate the impact of different metal artifact reduction algorithms on Hounsfield units (HU) and the standardized uptake value (SUV) in normal organs in patients with different metal implants.

Methods: This study prospectively included 66 patients (mean age of 66.02 ± 13. Read More

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February 2022

Risk Comparison Using Autologous Dermal Flap and Absorbable Breast Mesh on Patient Undergoing Subcutaneous Mastectomy with Immediate Breast Reconstruction.

Aesthetic Plast Surg 2022 Feb 14. Epub 2022 Feb 14.

Department of Plastic Surgery, Royal Vinohrady Teaching Hospital, Prague, Czech Republic.

In patients with large breasts undergoing a subcutaneous mastectomy with immediate implant-based reconstruction, is necessary to perform a mastopexy. The combination of these procedures increases the complication rate. To reduce it, it is necessary to cover the lower pole of the implant. Read More

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February 2022

Pre-pectoral Immediate Breast Reconstruction Following Conservative Mastectomy Using Acellular Dermal Matrix and Semi-smooth Implants.

Anticancer Res 2022 Feb;42(2):1013-1018

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

Background/aim: Improvements in acellular dermal matrix (ADM) and surgical techniques have facilitated pre-pectoral immediate breast reconstruction (IBR). Outer shell texturing is a key risk factor for anaplastic large cell lymphoma, prompting this evaluation of reconstruction with nano-textured rounded implants.

Patients And Methods: Fifty-one consecutive patients underwent 72 pre-pectoral ADM-assisted (fenestrated SurgiMend™) IBRs using nano-textured implants (Sebbin™). Read More

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February 2022

An exposed Cardiovascular Implantable Electronic Device (CIED) complicated with infection: A case report of unconventional experience with 'Sealed CIED'.

Med J Malaysia 2022 Jan;77(1):119-120

Hospital Sultanah Bahiyah, Department of Cardiology, Kedah, Malaysia.

The rate of infected Cardiovascular Implantable Electronic Device is alarming and causes substantial socio-economic burden. A common approach involves immediate extraction of the infected device. Here, we report an unorthodox approach to this problem by 'sealing' the generator inside a sterile container as a temporary permanent pacemaker while waiting for implantation of another device. Read More

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January 2022

Breast Augmentation in Athletic Women: A Retrospective Survey Assessing Pectoral Muscle Function and Implant Aesthetics Post-Augmentation.

Aesthetic Plast Surg 2022 Jan 24. Epub 2022 Jan 24.

Anaesthetic and Pain Medicine Department, Royal Perth Hospital, Perth, Australia.

Background: Breast augmentation is the most common cosmetic, surgical procedure (1). Implant insertion planes include subglandular or submuscular. Submuscular augmentation is often preferred in women with less soft tissue coverage; requiring pectoralis major dissection (2). Read More

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January 2022

Comparing post-surgical outcomes of pre-pectoral versus dual-plane direct-to-implant breast reconstruction without increasing the use of acellular dermal matrix.

J Plast Reconstr Aesthet Surg 2022 03 14;75(3):1123-1129. Epub 2021 Nov 14.

Division of Plastic, Reconstructive and Aesthetic Surgery, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Background: Direct-to-implant (DTI) reconstruction when performed using the dual-plane technique can be associated with increased postoperative pain, longer recovery, functional impairment, and animation deformity. These issues can be avoided by using the pre-pectoral technique that traditionally uses larger pieces of the acellular dermal matrix (ADM) and results in increased costs. It is unclear how these two methods compare when the technique is modified to avoid the use of additional ADM. Read More

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"Just Pulse it!" Introduction of a conservative implant salvage protocol to manage infection in pre-pectoral breast reconstruction: Case series and literature review.

J Plast Reconstr Aesthet Surg 2022 Feb 22;75(2):571-578. Epub 2021 Oct 22.

Sapienza University of Rome, Policlinico Umberto I, Department of Surgery "P. Valdoni", Unit of Plastic and Reconstructive Surgery, Roma, Italy.

Post-operative implant infection is generally rare after breast augmentation, but it can occur in up to 35% of cases in post-mastectomy breast reconstruction. Standard treatment consists in the administration of antibiotics, implant removal, and delayed prosthesis replacement leading to multiple operations, with a negative impact on patient's clinical, economical, and psychological outcomes. There is little information published in the literature on the management of periprosthetic infection following pre-pectoral reconstructions. Read More

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February 2022

Pre-pectoral breast reconstruction: early and long-term safety evaluation of 146 unselected cases of the early pre-pectoral era of a single-institution, including cases with previous breast irradiation and post-mastectomy radiation therapy.

Breast Cancer 2022 Mar 14;29(2):302-313. Epub 2021 Nov 14.

Breast Surgery, Breast Unit, Oncology Department, Azienda Ospedaliero Universitaria Careggi, University of Florence, L.go Brambilla 3, 50134, Florence, Italy.

We re-evaluated acute and early-late toxicity-related factors among pre-pectoral immediate tissue expander/implant (TE/I) breast reconstruction (BR) unselected, first-era, cases, including previous breast radiation treatment and post-mastectomy radiation therapy (PMRT). A retrospective analysis of 146 (117 therapeutic and 29 prophylactic) pre-pectoral reconstructions, between 2012 and 2016, considered patient-related (age, body mass index [BMI], smoke-history, comorbidity, BRCA mutation), and treatment-related characteristics (previous irradiation, axillary surgery, PMRT, pre- and postoperative chemotherapy, endocrine therapy, and target-therapy). Safety was evaluated as acute and early-late complications, and TE/I failures. Read More

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Pre-pectoral Breast Reconstruction Does Not Affect Early Immunological Response: A BIAL 2.20 Study Subanalysis.

Anticancer Res 2021 Nov;41(11):5657-5665

Breast Unit, Department of Surgical Science, Policlinico Tor Vergata University, Rome, Italy.

Background/aim: Reduction of postoperative stress is a modern tenet in surgical oncology with the aim of reducing early postoperative lymphopenia. Our prospective study evaluated post-operative immune response at baseline and postoperative day (POD) 1 and 2 after direct-to-implant pre-pectoral (PP) breast reconstruction with titanium-coated polypropylene mesh versus subpectoral (SP) breast reconstruction.

Patients And Methods: Between January and December 2020, 37 patients were randomized between PP (n=17) or SP (n=16) reconstruction. Read More

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November 2021

The Journey of Prepectoral Breast Reconstruction through Time.

World J Plast Surg 2021 May;10(2):3-13

The Royal Wolverhampton N.H.S. Trust, Wolverhampton Road, Wolverh-ampton United Kingdom.

Background: The facet of breast reconstruction has evolved from complex surgery to simple implant-based breast reconstruction. Minimal invasive surgery or Prepectoral breast reconstruction has revolutionised the surgical treatment for breast cancer and became a reality due to advances in meshes and implants. In this review, we have looked at the journey of Prepectoral implant beast reconstruction through time. Read More

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The nerve supply to the pectoralis major: An anatomical study and clinical application of the denervation in subpectoral breast implant surgery.

J Plast Reconstr Aesthet Surg 2022 Jan 13;75(1):415-423. Epub 2021 Jun 13.

Department of Plastic, Reconstructive, and Hand Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.

Background: Using the subpectoral approach, animation deformity or breast distortion due to pectoralis muscle contraction is common. Although the anatomy of the pectoral nerves has been extensively studied, only few studies have related the location of these nerves to bony landmarks.

Objective: Our aim is to clarify the anatomy and possible variations of the innervation of the pectoralis major in relation to bony landmarks useful for surgery and to identify the preferred level for (selective) denervation by 1) transecting the nerves and 2) splitting the muscle in subpectoral breast implant surgery in cadavers. Read More

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January 2022

Muscle-Sparing Skin-Reducing Breast Reconstruction with Pre-Pectoral Implants in Breast Cancer Patients: Long-Term Assessment of Patients' Satisfaction and Quality of Life.

J Invest Surg 2022 Apr 20;35(4):841-847. Epub 2021 May 20.

University of Pisa, Pisa, Italy.

Introduction: Breast cancer is the most frequently diagnosed tumor in women; globally, it accounts 23% of all cancer deaths. Breast reconstruction after oncologic surgery has become crucial to enhance patients' quality of life and alleviate the psychological distress related to the disease. The aim of this study was to assess quality of life and esthetic satisfaction of breast cancer patients undergoing muscle-sparing skin-reducing breast reconstruction (MS-SR) with pre-pectoral implants. Read More

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Seroma Formation in Pre-pectoral Implant-Based ADM Assisted Breast Reconstruction: A Comprehensive Review of Current Literature.

Chirurgia (Bucur) 2021 Mar-Apr;116(2 Suppl):16-23

In the field of implant-based breast reconstruction (IBBR), the most recent and successful progress has been the evolution of the prepectoral approach through the use of acellular dermal matrix (ADM). ADM-assisted breast reconstruction is now gaining a foothold as standard practice, but its advantages are often clouded due to discouraging studies reporting increased seroma formation. The origin of the serum accumulation still remains unclear, but it has always been the most frequent early complication in breast reconstruction, thus proving to be crucial to address since it can lead to further complications. Read More

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

J Plast Reconstr Aesthet Surg 2021 Oct 28;74(10):2719-2730. 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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October 2021

The Expander-Implant Breast Reconstruction in the COVID Era: Which is the "Unhappy" Tissue Expander Priority?

Aesthetic Plast Surg 2021 12 28;45(6):3090-3091. Epub 2021 Apr 28.

Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Breast surgeons seem to agree on the fact that a same-day surgery (mastectomy and breast reconstruction) protocol provides appropriate cancer treatment during times of unprecedented resource limitations, such as in the COVID era. In this scenario, pre-pectoral implant-based breast reconstruction can be definitively considered a sustainable technique. Nevertheless, the authors focus on the management of patients who had already undergone a same day procedure with two-stage breast reconstruction, implanting a breast tissue expander during the last two-year period and have been progressively delayed according to a surgical care based on priority. Read More

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December 2021

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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The First Use of Autologous Dermal Patch in DTI Pre-Pectoral Breast Reconstruction After Skin Reducing Mastectomy: A New Useful and Cheap Reconstruction Option.

Aesthetic Plast Surg 2022 02 6;46(1):590-592. Epub 2021 Apr 6.

Breast Surgery Unit, Morgagni-Pierantoni Hospital, Ausl Romagna Via Carlo Forlanini 34, 47100, Forli, FC, Italy.

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February 2022

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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A prospective comparison study of early functional outcomes after implant-based breast reconstruction: subpectoral versus prepectoral technique.

Ann Palliat Med 2021 Mar 26;10(3):2520-2529. Epub 2021 Feb 26.

Department of Rehabilitation Medicine, School of Medicine, Kyungpook National University, Daegu, Korea.

Background: After skin-sparing mastectomy, direct-to-implant breast reconstruction is divided into a subpectoral and prepectoral techniques. However, there is still lack of studies that have compared the functional recovery after reconstruction based on the two techniques. Therefore, this study was conducted as a prospective comparison of the functional recovery and quality of life between the two techniques. Read More

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Pectoral placement of tissue expanders affects inpatient opioid use.

Breast J 2021 02 12;27(2):126-133. Epub 2021 Jan 12.

Division of Plastic and Reconstructive Surgery in the Department of Surgery, Washington University in St Louis, St Louis, MI, USA.

Prepectoral breast reconstruction promises to minimize breast animation deformity and decrease pain associated with subpectoral dissection and tissue expansion. This latter benefit is particularly timely given the ongoing opioid epidemic; however, this theoretical benefit remains to be demonstrated clinically. As such, this study aimed to compare inpatient opioid use and prescription practices following prepectoral and subpectoral expander-based breast reconstruction. Read More

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February 2021

Quality of Life and Early Functional Evaluation in Direct-to-Implant Breast Reconstruction After Mastectomy: A Comparative Study Between Prepectoral Versus Dual-Plane Reconstruction.

Clin Breast Cancer 2021 08 24;21(4):344-351. Epub 2020 Nov 24.

Department of Plastic and Reconstructive Surgery and Burn Center.

Background: In conservative mastectomies, in which the native skin envelope is preserved, positioning an implant in the submuscular plane commonly leads to functional consequences like upper limb movement impairment and animation phenomena. In recent years, however, a new conservative prepectoral breast reconstruction technique has been proposed, with demonstrated surgical safety and aesthetic effectiveness. The aim of our study was to explore and compare the functional and aesthetic outcomes of the prepectoral/acellular dermal matrix (ADM)-wrapped implant procedure versus subpectoral/ADM-assisted reconstruction. 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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