Comparative study of immediate implant and expander-implant reconstruction

Introduction: The benefits of immediate reconstruction have been increasingly documented in the literature over the past few years. Today, with some exceptions, immediate reconstruction is the preferred surgical choice for breast cancer patients. In the recent years, the number of reconstructions us...

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Main Authors: Marcela Caetano Cammarota, Alberto Benedik, Rafael Quaresma Lima, Conrado Miranda Almeida, Fabrício Tavares Mendonça, Ismar Ribeiro, Luciano Gomes Moura, José Carlos Daher
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2019-09-01
Series:Revista Brasileira de Cirurgia Plástica
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Online Access:http://www.rbcp.org.br/export-pdf/2639/en_v34n3a04.pdf
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author Marcela Caetano Cammarota
Alberto Benedik
Rafael Quaresma Lima
Conrado Miranda Almeida
Fabrício Tavares Mendonça
Ismar Ribeiro
Luciano Gomes Moura
José Carlos Daher
author_facet Marcela Caetano Cammarota
Alberto Benedik
Rafael Quaresma Lima
Conrado Miranda Almeida
Fabrício Tavares Mendonça
Ismar Ribeiro
Luciano Gomes Moura
José Carlos Daher
author_sort Marcela Caetano Cammarota
collection DOAJ
description Introduction: The benefits of immediate reconstruction have been increasingly documented in the literature over the past few years. Today, with some exceptions, immediate reconstruction is the preferred surgical choice for breast cancer patients. In the recent years, the number of reconstructions using expanders and implants has increased. Methods: This retrospective study conducted between 2013 and 2014 included patients undergoing mastectomy followed by breast reconstruction, who were divided into direct implant reconstruction and expander treatment groups. Several variables were evaluated. Results: A total of 138 reconstructions (57 implants and 81 expander-implant) were performed. There were no intergroup differences in postoperative complications. Radiotherapy did not influence complications. Implant reconstruction patients underwent fewer surgeries (1.78 vs 2.54) and had fewer postoperative returns (8 vs 11.75). Conclusion: Immediate implant and expander-implant reconstruction approaches present low and similar postoperative complication rates. Patients undergoing implant reconstruction had a lower return rate and underwent fewer surgeries than those undergoing expander-implant reconstruction.
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publisher Thieme Revinter Publicações Ltda.
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spelling doaj-art-313ea068c0394e589a2d9da24560a2652025-08-20T02:53:12ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352019-09-01340332433010.5935/2177-1235.2019RBCP0203Comparative study of immediate implant and expander-implant reconstructionMarcela Caetano Cammarota0Alberto Benedik1Rafael Quaresma Lima2Conrado Miranda Almeida3Fabrício Tavares Mendonça4Ismar Ribeiro5Luciano Gomes Moura6José Carlos Daher7Hospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilIntroduction: The benefits of immediate reconstruction have been increasingly documented in the literature over the past few years. Today, with some exceptions, immediate reconstruction is the preferred surgical choice for breast cancer patients. In the recent years, the number of reconstructions using expanders and implants has increased. Methods: This retrospective study conducted between 2013 and 2014 included patients undergoing mastectomy followed by breast reconstruction, who were divided into direct implant reconstruction and expander treatment groups. Several variables were evaluated. Results: A total of 138 reconstructions (57 implants and 81 expander-implant) were performed. There were no intergroup differences in postoperative complications. Radiotherapy did not influence complications. Implant reconstruction patients underwent fewer surgeries (1.78 vs 2.54) and had fewer postoperative returns (8 vs 11.75). Conclusion: Immediate implant and expander-implant reconstruction approaches present low and similar postoperative complication rates. Patients undergoing implant reconstruction had a lower return rate and underwent fewer surgeries than those undergoing expander-implant reconstruction.http://www.rbcp.org.br/export-pdf/2639/en_v34n3a04.pdfbreast neoplasmsbreastpostoperative complicationsbreast implantreconstruction
spellingShingle Marcela Caetano Cammarota
Alberto Benedik
Rafael Quaresma Lima
Conrado Miranda Almeida
Fabrício Tavares Mendonça
Ismar Ribeiro
Luciano Gomes Moura
José Carlos Daher
Comparative study of immediate implant and expander-implant reconstruction
Revista Brasileira de Cirurgia Plástica
breast neoplasms
breast
postoperative complications
breast implant
reconstruction
title Comparative study of immediate implant and expander-implant reconstruction
title_full Comparative study of immediate implant and expander-implant reconstruction
title_fullStr Comparative study of immediate implant and expander-implant reconstruction
title_full_unstemmed Comparative study of immediate implant and expander-implant reconstruction
title_short Comparative study of immediate implant and expander-implant reconstruction
title_sort comparative study of immediate implant and expander implant reconstruction
topic breast neoplasms
breast
postoperative complications
breast implant
reconstruction
url http://www.rbcp.org.br/export-pdf/2639/en_v34n3a04.pdf
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AT conradomirandaalmeida comparativestudyofimmediateimplantandexpanderimplantreconstruction
AT fabriciotavaresmendonca comparativestudyofimmediateimplantandexpanderimplantreconstruction
AT ismarribeiro comparativestudyofimmediateimplantandexpanderimplantreconstruction
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