Pectoral Fascia Preservation in Oncological Mastectomy to Reduce Complications and Improve Reconstructions: A Systematic Review.

摘要: Excision of the pectoral fascia (PF) is routinely performed in oncological mastectomies. Preservation PF may, however, decrease postoperative complication rates for bleeding, infections, and seroma. It may also improve reconstructive outcomes by better prosthesis coverage, thereby reducing implant extrusion improving cosmetic outcomes. Methods A systematic review according to Preferred Reporting Items Systematic Reviews Meta-Analysis principles was performed. Studies describing preservation were searched 3 databases. All studies including more than 10 patients included. The main safety (local recurrence, regional distant metastases, mortality rates), (bleeding, seroma), loss after surgery, following reconstruction. Results Five Three reported on 2 different randomized controlled trials (n = 73, n 244), retrospective case series 203 256). did not affect terms local recurrences, or rates. One study described a significantly lower incidence seroma group. No differences found bleeding complications infections. objective data provided Conclusions literature scarce. Based current evidence, seems oncologically safe while potentially expected that will benefit from preservation, but these lack evidence this topic. Future should provide insight into all aspects preservation.