Resumo

AGUILERA-SAEZ, J.; BOSACOMA-ROURA, P.; GARRIDO-FERRER, A.  e  GUINOT-MADRIDEJOS, A.. Experience in immediate breast reconstruction with implant and acellular bovine pericardium matrix after skin sparing mastectomy. Cir. plást. iberolatinoam. [online]. 2015, vol.41, n.4, pp.385-392. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922015000400005.

The aim of this document is to share our experience in terms of immediate breast reconstruction using breast implants and acellular matrix made of bovine pericardium. We carried out an study including all the patients treated at the Breast Pathology Unit of the Vall d' Hebron Hospital, Barcelona (Spain) who underwent an immediate breast reconstruction with a subpectoral breast implant and acellular matrix made of bovine pericardium after a skin sparing mastectomy with or without preservation of the nipple-areola complex, between March 2013 and December 2014. A total of 24 breasts were reconstructed with this technique. Therapeutic mastectomy was made in 17 breasts (70.8%) and 7 were prophylactic (29.2%). The average volume of the implants was 263.3 cc (range 80-445 cc ). Seven breasts (29.2%) were reconstructed with a tissue expander and the other 17 (70.8%) with a definitive anatomical breast implant. The overall complication rate was 16.7% (4 cases): 3 seromas cases (12.5%), 1 hematoma (4.2%) and 1 partial skin flap necrosis (4.2 %) with extrusion of the implant which required removal. The overall complication rate in the breast that received postoperative radiation therapy was 33.3% (including the case of reconstructive failure). In our experience, immediate breast reconstruction with breast implant and acellular matrix made of bovine pericardium is a safe and reliable technique, which allows the surgeon to obtain optimum results, with an acceptable rate of complications and a lower price.

Palavras-chave : Acellular matrix; Mammary implants; Immediate breast reconstruction.

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