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Implant Delivery Technique for Prepectoral Reconstruction after Endoscopic-assisted Nipple-sparing Mastectomy

Prepectoral breast reconstruction through a small axillary incision during endoscopic-assisted nipple-sparing mastectomy or robotic nipple-sparing mastectomy is difficult. Cases involving implants covered with an acellular dermal matrix (ADM) are particularly difficult. Therefore, a new delivery tec...

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Autores principales: Yang, Ho Jik, Ko, Geonil, Kim, Joo-Hak, Lee, Jinsun, Oh, Sang-Ha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191688/
https://www.ncbi.nlm.nih.gov/pubmed/34123688
http://dx.doi.org/10.1097/GOX.0000000000003623
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author Yang, Ho Jik
Ko, Geonil
Kim, Joo-Hak
Lee, Jinsun
Oh, Sang-Ha
author_facet Yang, Ho Jik
Ko, Geonil
Kim, Joo-Hak
Lee, Jinsun
Oh, Sang-Ha
author_sort Yang, Ho Jik
collection PubMed
description Prepectoral breast reconstruction through a small axillary incision during endoscopic-assisted nipple-sparing mastectomy or robotic nipple-sparing mastectomy is difficult. Cases involving implants covered with an acellular dermal matrix (ADM) are particularly difficult. Therefore, a new delivery technique for ADM-covered implants is needed. The ADM pocket for complete coverage of the implant is made with double-crossed ADMs. The pocket end is open and sutured at the funnel entry. After insetting the ADM pocket at the mastectomy site through an axillary incision, the implant is delivered from a funnel to the ADM pocket by squeezing. Prepectoral breast reconstruction with the new delivery technique for implants covered with ADM pockets proved easy and safe. Our new implant delivery technique could be a good option for prepectoral breast reconstruction after minimal breast surgery.
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spelling pubmed-81916882021-06-11 Implant Delivery Technique for Prepectoral Reconstruction after Endoscopic-assisted Nipple-sparing Mastectomy Yang, Ho Jik Ko, Geonil Kim, Joo-Hak Lee, Jinsun Oh, Sang-Ha Plast Reconstr Surg Glob Open Breast Prepectoral breast reconstruction through a small axillary incision during endoscopic-assisted nipple-sparing mastectomy or robotic nipple-sparing mastectomy is difficult. Cases involving implants covered with an acellular dermal matrix (ADM) are particularly difficult. Therefore, a new delivery technique for ADM-covered implants is needed. The ADM pocket for complete coverage of the implant is made with double-crossed ADMs. The pocket end is open and sutured at the funnel entry. After insetting the ADM pocket at the mastectomy site through an axillary incision, the implant is delivered from a funnel to the ADM pocket by squeezing. Prepectoral breast reconstruction with the new delivery technique for implants covered with ADM pockets proved easy and safe. Our new implant delivery technique could be a good option for prepectoral breast reconstruction after minimal breast surgery. Lippincott Williams & Wilkins 2021-06-10 /pmc/articles/PMC8191688/ /pubmed/34123688 http://dx.doi.org/10.1097/GOX.0000000000003623 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Breast
Yang, Ho Jik
Ko, Geonil
Kim, Joo-Hak
Lee, Jinsun
Oh, Sang-Ha
Implant Delivery Technique for Prepectoral Reconstruction after Endoscopic-assisted Nipple-sparing Mastectomy
title Implant Delivery Technique for Prepectoral Reconstruction after Endoscopic-assisted Nipple-sparing Mastectomy
title_full Implant Delivery Technique for Prepectoral Reconstruction after Endoscopic-assisted Nipple-sparing Mastectomy
title_fullStr Implant Delivery Technique for Prepectoral Reconstruction after Endoscopic-assisted Nipple-sparing Mastectomy
title_full_unstemmed Implant Delivery Technique for Prepectoral Reconstruction after Endoscopic-assisted Nipple-sparing Mastectomy
title_short Implant Delivery Technique for Prepectoral Reconstruction after Endoscopic-assisted Nipple-sparing Mastectomy
title_sort implant delivery technique for prepectoral reconstruction after endoscopic-assisted nipple-sparing mastectomy
topic Breast
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8191688/
https://www.ncbi.nlm.nih.gov/pubmed/34123688
http://dx.doi.org/10.1097/GOX.0000000000003623
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