Cierre de bolsillo subpectoral para la reconstrucción mamaria: descripción de una nueva técnica quirúrgica mediante el uso de celulosa oxidada regenerada NU-KNIT®
Date
2017
Type:
Artículo
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7
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Journal Title
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Volume Title
Publisher
Sociedad de Cirujanos de Chile
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Abstract
Introduction: The use of breast expander, prior to the final prosthetic reconstruction, is not exempt
from complications. They not only relate to the presence of peri-operative radiation therapy, or
patient-related issues; but also related to the muscle integrate coverage of the breast expander.
Material and methods: Retrospective review of patients undergoing deferred breast reconstruction
using a modification of the technique of sub muscular pocket closing with oxidized regenerated
cellulose NU-KNITTM for the breast expander. Between January 1, 2014 and December 31, 2015 one
plastic surgeon (J.V.), from the Breast Pathology Unit at Clínica Alemana de Santiago, performed
reconstruction surgeries with this technique in 31 patients. In the present article, the technique
modification, demographic data, histological data and the complications which arose during the
expansion phase of the same, will be described.
Results: 40 breast reconstructions were performed in 31 patients. 11 seromas (27.5% of total
expanders), 2 sufferings of skin flap wound dehiscence (5% expanders) and 1 wound infection (2.5%
of expanders) were presented. Two patients required surgical debridement due to surgical
dehiscence and infection. One patient required explantation of the expander (2.5% of total
expanders).
Discussion: The modification of the surgical technique represents a safe and reproducible
alternative to achieve a complete closure of the muscular pocket and thus a complete coverage of
the expander, consequently; avoiding some of the secondary complications drawn from an
insufficient coverage of the expander.
Description
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Citation
Gantz V, José Tomás, Villalón Q, Javier, Salazar P, Víctor, Cadiz V, Fernando, Pradenas B, Sebastián, Romagnoli R, Militza, Allamand T, Juan, Vial O, Gustavo, Santos C, María, Fuster C, Felipe, Fischer P, Diego Mauricio, Castillo M, Martin, & Rivera O, Matias. (2017). Cierre de bolsillo subpectoral para la reconstrucción mamaria: descripción de una nueva técnica quirúrgica mediante el uso de celulosa oxidada regenerada NU-KNIT®. Revista chilena de cirugía, 69(3), 223-229.
Keywords
Breast reconstruction, Mammary expander