Breast Cancer
Conditions
Brief summary
The aim of the research is to evaluate clinical outcomes of a two stage muscle sparing prepectoral breast reconstruction using tissue expander (TE) entirely covered by an ADM. The authors aim to report surgical indications, technical tips, clinical and histological outcomes with the final objective of delineate a decision-making algorithm for immediate prosthetic breast reconstruction.
Interventions
breast reconstruction in two-stages using tissue expander entirely wrapped by acellular dermal matrix
Sponsors
Study design
Eligibility
Inclusion criteria
* unilateral or bilateral mastectomy followed by two stage breast reconstruction with subcutaneous tissue expander and Acellular Dermal Matrix (ADM) * risk-reducing mastectomies followed by two stage breast reconstruction with subcutaneous tissue expander and ADM
Exclusion criteria
* partial or total submuscular tissue expander placement, * tissue expander placement in conjunction with latissimus dorsi muscle flap or without ADM, -delayed reconstructions * previous breast surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient satisfaction | 24 months of follow-up | Patients satisfaction will be evaluated through BREAST-Q questionnaire. the results from the questionnaire will be converted into a 0-100 scale with higher values meaning a better outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain Evaluation | 24 months of follow-up | Pain will be assessed trough Visual Analogic Scale (from minimum 0 to maximum 10). Higher values mean worse outcome |
Other
| Measure | Time frame | Description |
|---|---|---|
| Complication rate | 24 months of follow-up | Complication will be recorded and classified with Clavien-Dindo Classification |
Countries
Italy