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:
Article
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Journal Title
Journal ISSN
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
Rev Chil Cir. 2017;69(3):223-229
Keywords
Breast reconstruction, Mammary expander