We have located links that may give you full text access.
Ultrasound guided lipofilling as a suggested method for implant salvage in implant based breast reconstruction: A case report.
BACKGROUND: Implant based reconstruction is one of the well-established methods to restore shape and volume after total mastectomy. Exposure of an implant is a serious complication that could lead to failure of the whole process of breast reconstruction. There are no uniform guidelines on the management of such complication. Several methods have been described including antibiotic irrigation, implant replacement and flap coverage. This case report describes the use of ultrasound guided lipofilling for implant salvage in case of an exposed non-infected implant.
CASE PRESENTATION: A 29-year-old patient with T3N1 post neoadjuvant chemotherapy breast cancer underwent skin sparing mastectomy and immediate subpectoral implant based reconstruction. She presented a week post hospital discharge with an exposed non infected silicone implant. Antibiotic irrigation and secondary sutures were done with satisfactory wound healing within eight days. However, ultrasound examination revealed a sizeable area where the implant was in direct contact with the skin. Utrasound guided lipofilling was done in the same setting as contralateral mastopexy to achieve symmetry. The patient had a smooth postoperative course. She was referred to radiation therapy department where she received adjuvant chest wall irradiation according to her pathological result. Follow up after radiation therapy by clinical and ultrasound examination revealed no implant related complications.
CONCLUSION: Lipofilling is a very useful tool that could help in cases of an uninfected exposed implant. It could also be used primarily as an adjunct procedure to implant based reconstruction to optimize the outcome.
CASE PRESENTATION: A 29-year-old patient with T3N1 post neoadjuvant chemotherapy breast cancer underwent skin sparing mastectomy and immediate subpectoral implant based reconstruction. She presented a week post hospital discharge with an exposed non infected silicone implant. Antibiotic irrigation and secondary sutures were done with satisfactory wound healing within eight days. However, ultrasound examination revealed a sizeable area where the implant was in direct contact with the skin. Utrasound guided lipofilling was done in the same setting as contralateral mastopexy to achieve symmetry. The patient had a smooth postoperative course. She was referred to radiation therapy department where she received adjuvant chest wall irradiation according to her pathological result. Follow up after radiation therapy by clinical and ultrasound examination revealed no implant related complications.
CONCLUSION: Lipofilling is a very useful tool that could help in cases of an uninfected exposed implant. It could also be used primarily as an adjunct procedure to implant based reconstruction to optimize the outcome.
Full text links
Related Resources
Trending Papers
Heart failure with preserved ejection fraction: diagnosis, risk assessment, and treatment.Clinical Research in Cardiology : Official Journal of the German Cardiac Society 2024 April 12
Proximal versus distal diuretics in congestive heart failure.Nephrology, Dialysis, Transplantation 2024 Februrary 30
Efficacy and safety of pharmacotherapy in chronic insomnia: A review of clinical guidelines and case reports.Mental Health Clinician 2023 October
World Health Organization and International Consensus Classification of eosinophilic disorders: 2024 update on diagnosis, risk stratification, and management.American Journal of Hematology 2024 March 30
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app