Titanium-coated polypropylene mesh as innovative bioactive material in conservatives mastectomies and pre-pectoral breast reconstruction.

Published on May 19, 2021in Bioactive Materials8.724
· DOI :10.1016/J.BIOACTMAT.2021.05.002
Pietro Gentile36
Estimated H-index: 36
,
Marco Bernini18
Estimated H-index: 18
+ 5 AuthorsClaudio Calabrese13
Estimated H-index: 13
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Abstract
References40
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4 CitationsSource
#1Nolan S. Karp (NYU: New York University)H-Index: 33
#2Ara A. Salibian (NYU: New York University)H-Index: 16
SUMMARY Prepectoral breast reconstruction has minimized morbidity and dynamic deformities associated with submuscular implant-based breast reconstruction. However, reliance on implant coverage with acellular dermal matrix in immediate implant reconstruction remains limited by high material costs. The authors describe a technique in which anterior implant coverage in prepectoral reconstruction is split into acellular dermal matrix inferolaterally and synthetic, absorbable mesh superiorly. Use of ...
1 CitationsSource
#1Marzia SalgarelloH-Index: 27
#2Domenico PagliaraH-Index: 1
Last. Pilar Matey (New Cross Hospital)H-Index: 2
view all 6 authors...
Abstract Background Immediate implant reconstruction after mastectomy with submuscular implant placement is widely used in order to avoid implant exposure, capsular contracture and poor aesthetic result. Post-operative complications can be reduced by maintain mastectomy flap thickness and asses flap vascularity with near infrared imaging . The prepectoral reconstruction with polyurethane implants has been utilised with encouraging results. Postoperative patient satisfaction was assessed with the...
1 CitationsSource
#1Jaume MasiaH-Index: 16
#2Marzia Salgarello (UCSC: Catholic University of the Sacred Heart)H-Index: 27
Last. Chiara GregorelliH-Index: 4
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BACKGROUND AND OBJECTIVES In the last years, prepectoral breast reconstruction has increased its popularity, becoming a standard reconstructive technique by preserving pectoralis major anatomy and functionality. Nevertheless, the lack of solid and extensive data negatively impacts on surgeons' correct information about postoperative complication rates and proper patient selection. This study aims to collect the largest evidence on this procedure. METHODS A multicentre retrospective audit, promot...
4 CitationsSource
#1Roy De VitaH-Index: 5
Last. Marcello PozziH-Index: 6
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Abstract Background Implant-based breast reconstruction after nipple-sparing mastectomy has been the most common breast reconstruction procedure performed, for both breast cancer treatment and prophylactically. Subpectoral implant placement with partial detachment of the pectoralis major muscle has been the procedure of choice for staged reconstruction and direct-to-implantation. Prepectoral implant placement has recently increased in popularity among plastic surgeons owing to the high rates of ...
19 CitationsSource
BACKGROUND: Breast reconstruction is rapidly evolving, because of the changing face of cancer surgery and the growing acceptance of acellular dermal matrices and synthetic meshes. Although some early reports showed encouraging results after prepectoral breast reconstruction, there is a paucity of data on long-term outcomes. METHODS: Between January of 2012 and March of 2015, 179 patients undergoing mastectomy were enrolled at the authors' institution. Patients underwent mastectomy and immediate ...
28 CitationsSource
#1Maria Giuseppina Onesti (Sapienza University of Rome)H-Index: 16
#2Michele Maruccia (Sapienza University of Rome)H-Index: 11
Last. Nicolò Scuderi (Sapienza University of Rome)H-Index: 31
view all 7 authors...
Summary Background Prepectoral implant placement and complete coverage with porcine acellular matrix after mastectomy is a new concept in breast surgery presented in few cases in the literature. This paper aimed to present our single-center experience in one-stage breast reconstruction muscle-sparing "wrap" technique by evaluating clinical and aesthetic outcomes, ultrasound and histological examination, and patient quality of life. Methods From January 2014 to January 2017, 52 patients (40 unila...
32 CitationsSource
#1Viviana Galimberti (IEO: European Institute of Oncology)H-Index: 79
#2Elisa Vicini (IEO: European Institute of Oncology)H-Index: 7
Last. Paolo Veronesi (IEO: European Institute of Oncology)H-Index: 77
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Abstract Skin-sparing (SSM) and nipple-sparing (NSM) mastectomies are relatively new conservative surgical approaches to breast cancer. In SSM most of the breast skin is conserved to create a pocket that facilitates immediate breast reconstruction with implant or autologous graft to achieve a quality cosmetic outcome. NSM is closely similar except that the nipple-areola complex (NAC) is also conserved. Meta-analyses indicate that outcomes for SSM and NSM do not differ from those for non-conserva...
79 CitationsSource
Digital mammography clearly distinguishes gland tissue density from the overlying nonglandular breast tissue coverage, which corresponds to the existing tissue between the skin and the superficial layer of the fascia superficialis surrounding the gland (i.e., dermis and subcutaneous fat). Preoperative digital imaging can determine the thickness of this breast tissue coverage, thus facilitating planning and reducing the rate of necrotic complications after direct to implant (DTI) reconstruction i...
16 CitationsSource
#1Giorgio BernaH-Index: 4
#2Simon Cawthorn (North Bristol NHS Trust)H-Index: 24
Last. Nicola BalestrieriH-Index: 1
view all 4 authors...
Background Implant-based breast reconstruction is becoming increasingly popular because of the widespread adoption of acellular dermal matrix (ADM), which allows surgeons to obtain good aesthetic results with fewer operations. To develop more conservative surgical techniques, a retrospective, three-centre, proof-of-concept study was performed to study the effectiveness of a new, immediate, muscle-sparing breast reconstruction technique using the patented Braxon® ADM, which enables subcutaneous p...
92 CitationsSource
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