Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant

Purpose of the study. To study the results of prepectoral reconstruction of the mammary gland after subcutaneous mastectomy for cancer with additional covering of the implant with a polypropylene mesh implant. (IPPBR)Materials and methods. Case-series of 6 patients with luminal breast cancer T1–2N0M...

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Main Authors: D. N. Rovenskikh, S. A. Usov, S. V. Petrosyants
Format: Article
Language:Russian
Published: QUASAR, LLC 2020-12-01
Series:Исследования и практика в медицине
Subjects:
Online Access:https://www.rpmj.ru/rpmj/article/view/629
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author D. N. Rovenskikh
S. A. Usov
S. V. Petrosyants
author_facet D. N. Rovenskikh
S. A. Usov
S. V. Petrosyants
author_sort D. N. Rovenskikh
collection DOAJ
description Purpose of the study. To study the results of prepectoral reconstruction of the mammary gland after subcutaneous mastectomy for cancer with additional covering of the implant with a polypropylene mesh implant. (IPPBR)Materials and methods. Case-series of 6 patients with luminal breast cancer T1–2N0M0 aged from 34 to 47 years. IPPBR was performed after subcutaneous mastectomy (nipple sparing in 2 cases). The anterior surface of implants (Polytech, Germany) was covered with Ethicon/Johnson& Johnson (USA) simple polypropylene mesh. The mesh was fixed with interrupted absorbable sutures to the big pectoral muscle.Results. There was one successfully treated minor complication: limited skin incision necrosis. No other complications or tumor recurrences were registrated during observation period. The aesthetic results (mainly shape and volume breasts symmetry, nipples symmetry after nipple- sparing operation) were estimated as good both by surgeon and all patients. Periprosthetic connective tissue growth was minimal (grade I due to Baker’s scale) in all cases.Conclusion. The first results of the use of a simple mesh polypropylene implant in cases of breast cancer after subcutaneous mastectomy for cancer for the prevention of implant migration are encouraging. The degree of development of periprosthetic scar contracture is minimal.
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issn 2410-1893
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series Исследования и практика в медицине
spelling doaj-art-e8a504767c294e11ac5a308443dfc4222025-02-03T00:57:37ZrusQUASAR, LLCИсследования и практика в медицине2410-18932020-12-0174192610.17709/2409-2231-2020-7-4-2350Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implantD. N. Rovenskikh0S. A. Usov1S. V. Petrosyants2Medical Сentre EvroMedClinica Plus; Novosibirsk National Research State UniversityNovosibirsk Military Institute Named after General of the army I.K.Yakovlev of the National Guard of the Russian FederationNovosibirsk National Research State UniversityPurpose of the study. To study the results of prepectoral reconstruction of the mammary gland after subcutaneous mastectomy for cancer with additional covering of the implant with a polypropylene mesh implant. (IPPBR)Materials and methods. Case-series of 6 patients with luminal breast cancer T1–2N0M0 aged from 34 to 47 years. IPPBR was performed after subcutaneous mastectomy (nipple sparing in 2 cases). The anterior surface of implants (Polytech, Germany) was covered with Ethicon/Johnson& Johnson (USA) simple polypropylene mesh. The mesh was fixed with interrupted absorbable sutures to the big pectoral muscle.Results. There was one successfully treated minor complication: limited skin incision necrosis. No other complications or tumor recurrences were registrated during observation period. The aesthetic results (mainly shape and volume breasts symmetry, nipples symmetry after nipple- sparing operation) were estimated as good both by surgeon and all patients. Periprosthetic connective tissue growth was minimal (grade I due to Baker’s scale) in all cases.Conclusion. The first results of the use of a simple mesh polypropylene implant in cases of breast cancer after subcutaneous mastectomy for cancer for the prevention of implant migration are encouraging. The degree of development of periprosthetic scar contracture is minimal.https://www.rpmj.ru/rpmj/article/view/629immediate prepectoral prosthetic breast reconstructioncapsular contractureprosthesis displacementprophylaxissimple polypropylene mesh
spellingShingle D. N. Rovenskikh
S. A. Usov
S. V. Petrosyants
Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
Исследования и практика в медицине
immediate prepectoral prosthetic breast reconstruction
capsular contracture
prosthesis displacement
prophylaxis
simple polypropylene mesh
title Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
title_full Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
title_fullStr Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
title_full_unstemmed Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
title_short Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
title_sort our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
topic immediate prepectoral prosthetic breast reconstruction
capsular contracture
prosthesis displacement
prophylaxis
simple polypropylene mesh
url https://www.rpmj.ru/rpmj/article/view/629
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AT sausov ourfirstexperienceofprepectoralreconstructionofthemammaryglandusingameshpolypropyleneimplant
AT svpetrosyants ourfirstexperienceofprepectoralreconstructionofthemammaryglandusingameshpolypropyleneimplant