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One-Stage Hybrid Breast Reconstruction with Inflatable Saline Implants: Minimizing the Need for Major Revision Surgery

Received: 3 August 2021     Accepted: 12 August 2021     Published: 10 November 2021
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Abstract

Autologous breast reconstruction is an appealing choice for breast cancer undergoing mastectomy. Evaluating for adequate donor tissue volume is a highly subjective process with potentials for miscommunication. It is not uncommon for patients to desire significant augmentation of their autologous breast reconstruction with delayed insertion of an implant. However, flap elevation in the pre-pectoral plane can be treacherous. Our novel technique combines autologous abdominal free flaps with immediate pre-pectoral adjustable saline implants to provide a customizable, single-stage strategy. A retrospective review of patients undergoing breast reconstruction with abdominal free tissue transfer and either immediate placement of adjustable saline implants or delayed placement of implants for augmentation was performed. Patient characteristics, operative details and complications were recorded. Complications, patient satisfaction and ability to achieve goal breast size was compared between the immediate adjustable saline implant group and delayed implant placement group. Twenty-four patients (41 breasts) were identified and met inclusion criteria. Sixteen patients received implants in a delayed manner (28 breasts), while 8 received adjustable saline implants immediately with flap reconstruction (13 breasts). High patient satisfaction with breast size and shape was noted across both cohorts. Nearly all patients across both cohorts believed that it was beneficial to be able to adjust breast volumes post-reconstruction. Immediate saline implant placement was demonstrated to increased odds of patient-reported satisfaction by multivariable analysis. A single-stage hybrid approach breast reconstruction with a pre-pectoral adjustable saline implant and abdominal free flap is feasible. This novel technique reduces the rate of major revision surgery and optimizes patient satisfaction in autologous breast reconstruction.

Published in Journal of Surgery (Volume 9, Issue 6)
DOI 10.11648/j.js.20210906.12
Page(s) 256-263
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Autologous Breast Reconstruction, Adjustable Implant, Hybrid Reconstruction, Revision Breast Surgery

References
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[2] Santosa KB, Qi J, Kim HM, et al. Long-term Patient-Reported Outcomes in Postmastectomy Breast Reconstruction. JAMA Surg. 2018; 153 (10): 891-899.
[3] Kanchwala S, Momeni A. Hybrid breast reconstruction-the best of both worlds. Gland Surg. 2019; 8 (1): 82–89.
[4] Momeni A, Kanchwala S. Hybrid prepectoral breast reconstruction: A surgical approach that combines the benefits of autologous and implant-based reconstruction. Plast Reconstr Surg. 2018; 142 (5): 1109-1115.
[5] Chu MW, Samra F, Kanchwala SK, et al. Treatment Options for Bilateral Autologous Breast Reconstruction in Patients with Inadequate Donor-Site Volume. J Reconstr Microsurg. 2017; 33 (5): 305-311.
[6] Hsieh F, Shah A, Malata CM. Experience with the Mentor Contour Profile Becker-35 expandable implants in reconstructive breast surgery. J Plast Reconstr Aesthetic Surg. 2010; 63 (7): 1124-30.
[7] Scuderi N, Alfano C, Campus GV, et al. Multicenter study on breast reconstruction outcome using becker implants. Aesthetic Plast Surg. 2011; 35 (1): 66-72.
[8] Choo AMH, Forouhi P, Malata CM. Innovative combination of therapeutic mammoplasty and expandable-implant breast augmentation for immediate partial breast reconstruction. Int J Surg Case Rep. 2016; 23: 146–150.
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Cite This Article
  • APA Style

    Anna Zhou, Peter Deptula, Pooja Yesantharao, Irene Ma, Dung Nguyen. (2021). One-Stage Hybrid Breast Reconstruction with Inflatable Saline Implants: Minimizing the Need for Major Revision Surgery. Journal of Surgery, 9(6), 256-263. https://doi.org/10.11648/j.js.20210906.12

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    ACS Style

    Anna Zhou; Peter Deptula; Pooja Yesantharao; Irene Ma; Dung Nguyen. One-Stage Hybrid Breast Reconstruction with Inflatable Saline Implants: Minimizing the Need for Major Revision Surgery. J. Surg. 2021, 9(6), 256-263. doi: 10.11648/j.js.20210906.12

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    AMA Style

    Anna Zhou, Peter Deptula, Pooja Yesantharao, Irene Ma, Dung Nguyen. One-Stage Hybrid Breast Reconstruction with Inflatable Saline Implants: Minimizing the Need for Major Revision Surgery. J Surg. 2021;9(6):256-263. doi: 10.11648/j.js.20210906.12

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  • @article{10.11648/j.js.20210906.12,
      author = {Anna Zhou and Peter Deptula and Pooja Yesantharao and Irene Ma and Dung Nguyen},
      title = {One-Stage Hybrid Breast Reconstruction with Inflatable Saline Implants: Minimizing the Need for Major Revision Surgery},
      journal = {Journal of Surgery},
      volume = {9},
      number = {6},
      pages = {256-263},
      doi = {10.11648/j.js.20210906.12},
      url = {https://doi.org/10.11648/j.js.20210906.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20210906.12},
      abstract = {Autologous breast reconstruction is an appealing choice for breast cancer undergoing mastectomy. Evaluating for adequate donor tissue volume is a highly subjective process with potentials for miscommunication. It is not uncommon for patients to desire significant augmentation of their autologous breast reconstruction with delayed insertion of an implant. However, flap elevation in the pre-pectoral plane can be treacherous. Our novel technique combines autologous abdominal free flaps with immediate pre-pectoral adjustable saline implants to provide a customizable, single-stage strategy. A retrospective review of patients undergoing breast reconstruction with abdominal free tissue transfer and either immediate placement of adjustable saline implants or delayed placement of implants for augmentation was performed. Patient characteristics, operative details and complications were recorded. Complications, patient satisfaction and ability to achieve goal breast size was compared between the immediate adjustable saline implant group and delayed implant placement group. Twenty-four patients (41 breasts) were identified and met inclusion criteria. Sixteen patients received implants in a delayed manner (28 breasts), while 8 received adjustable saline implants immediately with flap reconstruction (13 breasts). High patient satisfaction with breast size and shape was noted across both cohorts. Nearly all patients across both cohorts believed that it was beneficial to be able to adjust breast volumes post-reconstruction. Immediate saline implant placement was demonstrated to increased odds of patient-reported satisfaction by multivariable analysis. A single-stage hybrid approach breast reconstruction with a pre-pectoral adjustable saline implant and abdominal free flap is feasible. This novel technique reduces the rate of major revision surgery and optimizes patient satisfaction in autologous breast reconstruction.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - One-Stage Hybrid Breast Reconstruction with Inflatable Saline Implants: Minimizing the Need for Major Revision Surgery
    AU  - Anna Zhou
    AU  - Peter Deptula
    AU  - Pooja Yesantharao
    AU  - Irene Ma
    AU  - Dung Nguyen
    Y1  - 2021/11/10
    PY  - 2021
    N1  - https://doi.org/10.11648/j.js.20210906.12
    DO  - 10.11648/j.js.20210906.12
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 256
    EP  - 263
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20210906.12
    AB  - Autologous breast reconstruction is an appealing choice for breast cancer undergoing mastectomy. Evaluating for adequate donor tissue volume is a highly subjective process with potentials for miscommunication. It is not uncommon for patients to desire significant augmentation of their autologous breast reconstruction with delayed insertion of an implant. However, flap elevation in the pre-pectoral plane can be treacherous. Our novel technique combines autologous abdominal free flaps with immediate pre-pectoral adjustable saline implants to provide a customizable, single-stage strategy. A retrospective review of patients undergoing breast reconstruction with abdominal free tissue transfer and either immediate placement of adjustable saline implants or delayed placement of implants for augmentation was performed. Patient characteristics, operative details and complications were recorded. Complications, patient satisfaction and ability to achieve goal breast size was compared between the immediate adjustable saline implant group and delayed implant placement group. Twenty-four patients (41 breasts) were identified and met inclusion criteria. Sixteen patients received implants in a delayed manner (28 breasts), while 8 received adjustable saline implants immediately with flap reconstruction (13 breasts). High patient satisfaction with breast size and shape was noted across both cohorts. Nearly all patients across both cohorts believed that it was beneficial to be able to adjust breast volumes post-reconstruction. Immediate saline implant placement was demonstrated to increased odds of patient-reported satisfaction by multivariable analysis. A single-stage hybrid approach breast reconstruction with a pre-pectoral adjustable saline implant and abdominal free flap is feasible. This novel technique reduces the rate of major revision surgery and optimizes patient satisfaction in autologous breast reconstruction.
    VL  - 9
    IS  - 6
    ER  - 

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Author Information
  • Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, USA

  • Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, USA

  • Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, USA

  • Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, USA

  • Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, Stanford, USA

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