title: Immediate breast reconstruction (IBR) with direct, anatomic, extra-projection prosthesis: 102 cases.
abstract: There are different methods described until now for immediate breast reconstruction. Despite the use of autologous flaps considered by many authors, implants are considered as an option by others. A prospective study of 102 clinical cases was designed, including a 1-year follow-up in which glands were reconstructed by immediate breast reconstruction (IBR) with direct, extra projection, anatomic prostheses located in a submuscular pocket after a skin-sparing mastectomy. The prosthesis coverage was made by the muscle in its upper two thirds and by using the skin from the mastectomy in its lower third. The cosmetic results obtained were evaluated according to the volume, form, and symmetry achieved using a linear numeric analogical score. This evaluation had an averaged value of 2.79 +/- 0.8 in our scale from poor (0) to excellent result (4). The overall rate of complications was 15.7% of the cases, with seroma being the most frequent. In conclusion, this preliminary study demonstrates that immediate breast reconstruction with a direct, extra projection, anatomic prosthesis is a good alternative. Nevertheless, more long-term studies with a higher number of patients and using an SF-36 for patient satisfaction are needed to confirm these results.
authors.affiliation: Plastic Surgery and Burns Department, La Paz Hospital, Pso. Castellana 261, 28034 Madrid, Spain.
authors.forename: Jorge M
authors.initials: JM
authors.lastname: Fernandez Delgado
authors.forename: Jose R
authors.initials: JR
authors.lastname: Martínez-Méndez
authors.forename: Javier
authors.initials: J
authors.lastname: de Santiago
authors.forename: Gines
authors.initials: G
authors.lastname: Hernández-Cortes
authors.forename: César
authors.initials: C
authors.lastname: Casado
mesh_terms: D000328:Adult; D018427:Breast Implants; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy / Q000379:methods; D008875:Middle Aged; D011446:Prospective Studies; D012867:Skin; D013997:Time Factors