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Subject Area

Pediatric Surgery

Article Type

Original Study

Abstract

Objective The aim of this study was to evaluate immediate breast reconstruction after mastectomy, by using tissue expander, followed by insertion of permanent prosthesis, as regards advantages, its complications and patient satisfaction. Background Social and psychological effects of mastectomy on women make breast reconstruction a great challenge for oncoplastic surgeons; hence, staged breast reconstruction depends on tissue expander, and a prosthetic device may provide a good solution for that challenge. Patients and methods This study included 20 patients admitted in Menoufia University Hospitals and El-Obour Insurance Hospital with a diagnosis of breast carcinoma in the 2-year period spanning from January 2015 to February 2017. The studied patients refused autogenous reconstruction, and all of them were classified as early staged breast cancer. The first stage of reconstruction included mastectomy with axillary clearance, submuscular expander insertion, and their regular expansion, whereas in the second stage, the expander was removed and replaced by permanent prosthesis. Results Seroma formation occurred in two patients, wound infection in two patients, one patient had a ruptured implant and another had expander leakage, whereas one patient failed by capsular contracture. All postoperative complications were managed conservatively or by surgical intervention. Conclusion Staged breast reconstruction, by using tissue expander, followed by permanent prosthesis, is an excellent solution in some patients, provided they are carefully selected.

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