Summary
Implant exposure due to cutaneous necrosis is one of the most feared complications
of mastectomy with immediate prosthetic reconstruction. A key issue is to ensure good
blood supply to the skin and complete integrity of the submuscular pocket. The latter
is created with the pectoralis major and supplemented with the serratus anterior,
the rectus abdominis sheat, the obliquus mayor and the pectoralis minor. The main
drawback is that those muscles, when sutured to create a complete pocket, only allow
the setting of small-sized implants.
The authors present the application of polyglycolic mesh in an original fashion, mimicking
the anatomy of the muscles usually employed in pocket creation. The proposed technique
has been denominated Ensured Subpectoral Pocket and has proved to be a valid strategy
in immediate single stage prosthetic breast reconstruction. It allows the setting
of bigger implants without previous tissue expansion while preventing implant displacement.
In addition, it reduces emotional trauma on patients and lowers surgical costs.
Keywords
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Article info
Publication history
Published online: January 25, 2007
Accepted:
November 6,
2006
Received:
April 5,
2006
Identification
Copyright
© 2006 Published by Elsevier Inc.
