Implant Exposure after Immediate Reconstruction for Breast Cancer

Alfred Fitoussi (1), Helene Charitansky (2), Fabien Petitperrin (3), Benoit Couturaud (4)
(1) Centre Du Sein, Paris France,
(2) Department of surgery, Centre Claudius Regaud, Toulouse, France,
(3) Curie Institute, Paris, France,
(4) Curie Institute, Paris, France
https://doi.org/10.19187/abc.2016313-7

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Issue
Vol 3, No 1: February 2016
Submitted
February 28, 2016
Published
March 13, 2016
Keywords:
    implant removal, delayed breast reconstruction, Immediate breast reconstruction
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Abstract

Background: The technique most frequently employed for breast reconstruction, either immediate (IBR) or delayed (DBR), is the insertion of a prosthesis. The placement of a foreign body always carries the risk, albeit small, of peri-prosthetic infection and exposure of the implant that necessitates its removal, signaling the temporary or permanent failure of the reconstruction.

Methods: We retrospectively analyzed data of 738 consecutive patients immediate implant-only breast reconstructions between 1989 and 2005 in order to evaluate the contributing factors of failure.

Results: Our statistical analysis identified 3 statistically significant risk factors of implant extrusion: irradiation (P = 0.01), post-operative chemotherapy (P = 0.03), and the use of non- Becker expanders (P = 0.02).

Conclusions: It is important, especially for the multidisciplinary breast cancer team members, to be aware of these factors in order to make the optimal decision for immediate reconstruction after mastectomy and the suggested techniques. The patients should also be aware, as part of a shared medical decision, of the risks and their frequency before accepting IBR.

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Authors

Alfred Fitoussi
Centre Du Sein, Paris France
alfred.fitoussi@gmail.com (Primary Contact)
Helene Charitansky
Department of surgery, Centre Claudius Regaud, Toulouse, France
Fabien Petitperrin
Curie Institute, Paris, France
Benoit Couturaud
Curie Institute, Paris, France
1.
Fitoussi A, Charitansky H, Petitperrin F, Couturaud B. Implant Exposure after Immediate Reconstruction for Breast Cancer. Arch Breast Cancer [Internet]. 2016 Mar. 13 [cited 2024 Dec. 26];3(1):3-7. Available from: https://archbreastcancer.com/index.php/abc/article/view/72
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Copyright (c) 2016 Alfred Fitoussi, Helene Charitansky, Fabien Petitperrin, Benoit Couturaud

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