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Skin-Reducing Mastectomy With Immediate Implant Reconstruction as an Indispensable Tool in the Provision of Oncoplastic Breast Services

  • Reconstructive Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Background

Skin-reducing mastectomy (SRM) is a method of immediate breast reconstruction derived from a Wise breast reduction incision pattern that enables immediate subpectoral implant placement after mastectomy. Its virtue lies in the manner it provides for adequate implant coverage using muscle and a deepithelialized dermal flap, thus reducing the risk of implant extrusion and providing good inframammary contour. Our experience with this technique is elaborated.

Methods

Data was collected from a prospective database in our unit from January 2006 to August 2009. Information was analyzed on indications, complications, cosmetic outcomes, and recurrence rates.

Results

A total of 89 SRMs were performed in 72 patients during the study period. This included 65 SRMs for invasive breast cancer, 7 for in-situ disease, and 17 for risk reduction. Median patient age was 44 years, and follow-up ranged from 5 to 42 months. Complications included capsular contracture in 14 patients, 2 implant infections, and 1 hematoma requiring surgical evacuation. Cosmetic outcomes were graded by patients as good to excellent in 66 (92%). No local recurrences have been detected to date.

Conclusions

Our observations support the use of this technique as a safe, valid, and useful tool in an oncoplastic breast service.

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Authors and Affiliations

  1. Department of General Surgery, New Cross Hospital, The Royal Wolverhampton Hospitals NHS Trust, Wednesfield Road, Wolverhampton, UK

    Amit Nair MS, MRCS, Sahila Jaleel MRCS, Nick Abbott MRCS, Pauline Buxton MRCS & Pilar Matey FRCS

Authors
  1. Amit Nair MS, MRCS
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  2. Sahila Jaleel MRCS
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  3. Nick Abbott MRCS
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  4. Pauline Buxton MRCS
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  5. Pilar Matey FRCS
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Corresponding author

Correspondence to Amit Nair MS, MRCS.

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Nair, A., Jaleel, S., Abbott, N. et al. Skin-Reducing Mastectomy With Immediate Implant Reconstruction as an Indispensable Tool in the Provision of Oncoplastic Breast Services. Ann Surg Oncol 17, 2480–2485 (2010). https://doi.org/10.1245/s10434-010-1058-4

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  • DOI: https://doi.org/10.1245/s10434-010-1058-4

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