Subcutaneous expanders and synthetic mesh for breast reconstruction: Long-term and patient-reported BREAST-Q outcomes of a single-center prospective study

摘要: Summary Recently, prepectoral breast reconstruction is experiencing a revival. Despite the growing body of early reports about subcutaneous reconstruction, literature lacks in long-term results and studies focusing on patient-reported outcomes health-related quality life. Between January 2012 December 2016, patients undergoing mastectomy were enrolled at our institution. We selected diagnosed with cancer or genetic predisposition to cancer, conservative mastectomy, either nipple-sparing skin-sparing willing for tissue expander assisted by synthetic mesh. Exclusion criteria mass index greater than 35 kg/m2 pregnancy. BREAST-Q questionnaire was administered prior surgery after 1 year. Capsular contracture evaluated using Baker scale. Oncological, surgical, esthetic along changes score analyzed over time. One hundred eighty-seven enrolled, an average age 55.5 years. thirty-seven unilateral 50 bilateral procedures performed, accounting total 237 operated breasts. The follow-up period second stage 36.5 months. Postoperative complications that require operation occurred 16 cases (6.7%) (4 wound dehiscence, 2 skin–nipple necrosis, 7 infections, 3 seroma cases). A locoregional recurrence (1.9%) systemic (1.3%). Patients scored high level satisfaction outcome. Overall breasts, psychosocial well-being, sexual well-being all significantly increased (p  Two-stage technique provides preservation pectoralis major muscle acceptable rate complications. confirm satisfactory results, patient comfort.