| Title: |
Seroma Formation in Pre-pectoral Implant-Based ADM Assisted Breast Reconstruction: A Comprehensive Review of Current Literature |
| Authors: |
Kiriil Stanislavovich Nikolaev; Roman Sergeevich Pesotsky; Kirill Yurevich Rychagov; Tengiz Tabagua; Konstantin Yurevich Zirov; K. Zernov; Vladimir Semiglazov; Diana Arturovna Enaldieva; Yana Igorevna Bondarchuk; A. Emelyanov; Zalina Alibekovna Aseeva; Valeriy Evgenevich Levchenko; Elena Zhiltsova; Alexander Bessonov; Petr Krivorotko; Alexey M. Belyaev; L. Gigolaeva; Alexander Komyahov |
| Publisher Information: |
Celsius Publishing House |
| Publication Year: |
2025 |
| Subject Terms: |
0301 basic medicine; Mammaplasty; Mastectomy; Segmental; Surgical Flaps; Body Mass Index; Postoperative Complications; 0302 clinical medicine; Risk Factors; Positron Emission Tomography Computed Tomography; Germany; Neoplasms; Photography; Prospective Studies; Child; Breast Implantation; Ultrasonography; Melatonin; Abdominal Muscles; 0303 health sciences; Fertility Preservation; Middle Aged; Neoadjuvant Therapy; Hospitals; 3. Good health; Treatment Outcome; Lymphatic Metastasis; Female; Adult; Breast Implants |
| Description: |
Background: In dealing with the inferior pole coverage of an implant or a tissue expander in the partial submuscular technique, various surgical strategies have been introduced over the years. Among them, ADM and synthetic meshes were intensively studied and performed in order to obtain a good aesthetic result with satisfactory lower pole contouring, create a strong support of the implant and offer flexibility in adapting the volume of a tissue expander to the remaining mastectomy flaps (1,2). However, the viability of the skin from the mastectomy flaps is not always optimal. Vascular impairment and subsequent necrosis can occur at various extent in the mastectomy flaps (3). The necrosis of the mastectomy flaps is unpredictable and sometimes occurs with no obvious cause (4). Implant exposure and extrusion, ADM or mesh exposure are serious complications which can lead to the reconstructive failure. Methods: The scarless latissimus dorsi flap technique was introduced and observed in patients eligible for skin sparing and nipple sparing mastectomy with implant-based submuscular breast reconstruction. The keypoints of the surgical steps are described. Results: The main priorities of the outcome of the reconstructive process were stability and good definition of the lower pole of the reconstructed breast. The good vascularized underlying muscular tissue totally covering the implant increases chances in avoiding exposure or extrusion of the implant. In the advent of partial mastectomy flap necrosis, the healing by secondary intention provided good and stable results. Also, this technique decreases the morbidity and risks related with the change of the patient position during the procedure, improves the aesthetic results, by avoiding additional incisions for harvesting the flap. Conclusions: The scarless latissimus dorsi flap in implant based breast reconstruction is a valuable option for stable results and viable alternative to the use of ADM. |
| Document Type: |
article in journal/newspaper |
| Language: |
unknown |
| Relation: |
Chirurgia; https://hdl.handle.net/20.500.12628/25934; 000651654400002; S16; 116 |
| DOI: |
10.21614/chirurgia.116.2suppl.s16 |
| Availability: |
https://hdl.handle.net/20.500.12628/25934; https://doi.org/10.21614/chirurgia.116.2suppl.s16 |
| Rights: |
OPEN |
| Accession Number: |
edsbas.B3FCEBE8 |
| Database: |
BASE |