Case Series
Early complications in cases series in implantbased immediate breast reconstruction with a biological acellular matrix during the learning curve of this technique and using 3 different matrices: a case series of 84 breasts
Authors:
Jorge Aguilera-Sáez,
Department of Plastic Surgery and Burn Unit, University Hostpial Vall d’Hebron, Barcelona, ES
About Jorge
MD
Pau Bosacoma Roura,
Department of Plastic Surgery and Burn Unit, University Hostpial Vall d’Hebron, Barcelona, ES
About Pau Bosacoma
MD
Anselmo Garrido Ferrer,
Department of Plastic Surgery and Burn Unit, University Hostpial Vall d’Hebron, Barcelona, ES
About Anselmo Garrido
MD
Alberto Guinot Madridejos,
Department of Plastic Surgery and Burn Unit, University Hostpial Vall d’Hebron, Barcelona, ES
About Alberto Guinot
MD
Juan P. Barret
Department of Plastic Surgery and Burn Unit, University Hostpial Vall d’Hebron, Passeig de la Vall d’Hebron 119-129, Barcelona 08035, ES
About Juan P.
PhD, MD
Abstract
Introduction: We present our experience in implant-based immediate breast reconstruction (IBIBR) with biological acellular matrix during our learning curve and compare the complications with the use of three different matrices.
Materials and methods: We did a retrospective study on patients who underwent an IBIBR with acellular matrix after skin sparing mastectomy with or without nipple-areolar complex preservation at the Breast Pathology Unit at University Hospital Vall d’Hebron, Barcelona (Spain) between July 2011 and December 2014.
Results: A total of 84 breasts were reconstructed in 71 women. A therapeutic mastectomy was performed in 55 of them (65.5%) and a prophylactic mastectomy in 29 (34.5%). The total rate of complications was 41.67% (35 patients): we found 11 cases of erythema (13.1%), 19 cases of seroma (22.62%), 9 cases of hematoma (10.71%), 17 cases of wound dehiscence (20.24%), 11 cases of skin flap necrosis (13.1%), and 10 cases of reconstruction failure (11.9%). The probability of reconstruction failure was higher in smokers and former smokers (P=0.0011%). There were more complications with the Protexa matrix than with the other 2, Strattice and Tutomesh (P<0.001) and a higher risk of reconstruction failure as well (P =0.03).
Conclusions: In our experience the use of acellular matrix in IBIBR can have a high rate of complications, especially during the learning curve. Therefore, the selection of suitable patients and the better matrix is an issue of great importance to achieve favorable results.
How to Cite:
Aguilera-Sáez J, Roura PB, Ferrer AG, Madridejos AG, Barret JP. Early complications in cases series in implantbased immediate breast reconstruction with a biological acellular matrix during the learning curve of this technique and using 3 different matrices: a case series of 84 breasts. International Journal of Surgery: Oncology. 2017;3(1):e52. DOI: http://doi.org/10.1097/IJ9.0000000000000052
Published on
27 Dec 2017.
Peer Reviewed
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