作者
Joseph M Escandón, Keith Sweitzer, Jose G Christiano, Jessica C Gooch, Ann Therese Olzinski, Peter A Prieto, Kristin A Skinner, Howard N Langstein, Oscar J Manrique
发表日期
2023/1/1
期刊
Journal of Plastic, Reconstructive & Aesthetic Surgery
卷号
76
页码范围
76-87
出版商
Churchill Livingstone
简介
Background
Approximately 80% of patients undergoing total mastectomy in the US opt for implant-based breast reconstruction (IBBR). A two-stage reconstruction with tissue expander (TE) remains the most common technique. Since the implementation of ADMs, a prepectoral approach has gained popularity and is becoming the standard of care. Herein, we compared the surgical and postoperative outcomes of prepectoral versus subpectoral two-stage IBBR.
Methods
A retrospective chart review was performed between January 2011 and December 2020. We included female patients undergoing immediate two-stage IBBR. The primary outcomes of this study were to compare the 30-day morbidity and the overall rate of complications during the first and second stages of reconstruction, and to compare the time to initiate postmastectomy radiotherapy (PMRT). Propensity score matching was implemented.
Results
After …
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JM Escandón, K Sweitzer, JG Christiano, JC Gooch… - Journal of Plastic, Reconstructive & Aesthetic Surgery, 2023