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2019;13 927.

Prepectoral implant-based breast reconstruction: a joint consensus guide from UK, European and USA breast and plastic reconstructive surgeons.

Raghavan Vidya, Giorgio Berna, Hani Sbitany, Maurice Nahabedian, Hilton Becker, Roland Reitsamer, Alberto Rancati, Douglas Macmillan, Simon Cawthorn
Author Information
  1. Raghavan Vidya: Royal Wolverhampton Hospital, Wolverhampton WV10 0QP, UK.
  2. Giorgio Berna: Department of Plastic and Reconstructive Surgery, Ulss 9, General Hospital, Treviso, Italy.
  3. Hani Sbitany: Division of Plastic and Reconstructive Surgery, Department of Surgery, Mt Sinai Medical Center, New York, NY 10029 USA.
  4. Maurice Nahabedian: VCU College of Medicine-Inova Branch, National Center for Plastic Surgery, McLean, VA 22102 USA.
  5. Hilton Becker: Voluntary Faculty Cleveland Clinic Florida Department of Plastic Surgery, Florida Atlantic University, Boca Raton, FL 33431 USA.
  6. Roland Reitsamer: University Hospital Salzburg, Breast Centre Salzburg, Paracelsus Medical University Salzburg, 5020 Salzburg, Austria.
  7. Alberto Rancati: Henry Moore Oncologic Institute, Universidad de Buenos Aires, Buenos Aires C1053, Argentina.
  8. Douglas Macmillan: Nottingham Breast Institute, Nottingham NG5 1PB, UK.
  9. Simon Cawthorn: Bristol Royal Infirmary, Bristol BS2 8HW, UK.
PMID: 31281424 DOI: 10.3332/ecancer.2019.927

Abstract

Advances in implantable biologic and synthetic products over the last decade have enabled surgeons to replace traditional submuscular implant-based breast reconstruction techniques with a prepectoral or muscle-sparing technique. Prepectoral breast reconstruction is becoming increasingly popular among surgeons and patients due to the preservation of normal chest wall anatomy, with the restoration of body image with minimal morbidity. In this article, we have described a guide to prepectoral or muscle-sparing breast reconstruction with a particular emphasis on patient selection, technique and postoperative outcomes. Hence, a joint consensus guide from European and USA breast and plastic reconstructive surgeons has been agreed, and a crowd-writing method has been adopted to produce this guide.

Keywords

ADM breast implant mesh prepectoral reconstruction

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Journal Article
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