Phuong Viet The Tran, Huong Thien Pham and Thiep Van Tran
Ho Chi Minh City Oncology Hospital, Vietnam
Posters & Accepted Abstracts: J Cancer Sci Ther
Purpose: Implant-based breast reconstruction is an appropriate procedure for post-mastectomy breast cancer patients and other breast diseases. This technique combined with abdominal dermal graft enhances the aesthetic result and decreases the implant complications. Methods: 4 patients (4 breasts) including one prophylactive mastectomy, two phyllodes and one breast cancer patient underwent mastectomy and implant-based breast reconstruction with abdominal dermal graft. Dermal flap was harvested through a curvilinear lower abdominal ellipse. The epidermis was de-epithelialized with the scapel and full thickness skin was harvested. The upper border of the flap was sutured into the lower border of the pectoral major muscle and the lower border was sutured into the IMF to cover the inferior part of the implant. Results: Age of the patients is 39, 32, 48 and 45. Implant sizes are 320g, 253g, 290g and 230g. Follow-up are 14 months, 9 months, 4 months and 1 month. There were no implant losses. One case has skin dehiscence; one case has partial arolar-nipple necrosis. No case with seroma or infection. Conclusions: Implant-based breast reconstruction combined with autologous dermal graft has the advantages of the bioprosthetic mesh without the associated cost. The technique also has low complication rate and could be a good choice for patients in developing countries.
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