Determining the indications for funnel-assisted implant insertion using a short incision in reconstructive breast surgery
Background In light of increasing demands for the use of a shorter incision during implant-based reconstructive surgery due to a paradigm shift to short-incision mastectomy and prior radiotherapy, as well as concerns about breast implant contamination, the use of funnels during implantation is recom...
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| Format: | Article |
| Language: | English |
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Korean Society for Aesthetic Plastic Surgery
2020-04-01
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| Series: | Archives of Aesthetic Plastic Surgery |
| Subjects: | |
| Online Access: | http://e-aaps.org/upload/pdf/aaps-2020-02040.pdf |
| _version_ | 1818906648765267968 |
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| author | Hyeon Uk Jang So Young Kim |
| author_facet | Hyeon Uk Jang So Young Kim |
| author_sort | Hyeon Uk Jang |
| collection | DOAJ |
| description | Background In light of increasing demands for the use of a shorter incision during implant-based reconstructive surgery due to a paradigm shift to short-incision mastectomy and prior radiotherapy, as well as concerns about breast implant contamination, the use of funnels during implantation is recommended. We aimed to describe our preliminary experiences with funnel-assisted implant insertion and to determine the indications for funnel usage in reconstructive breast surgery. Methods A series of 15 consecutive patients who underwent funnel-assisted implant insertions between March 2018 and January 2019 were included. Funnel-assisted implantation was indicated in patients with a small linear scar (<5 cm) at the mastectomy site and those who previously underwent chest radiotherapy before implant insertion. Results Eight patients (53.3%) previously received radiotherapy, while seven (46.6%) underwent total mastectomy using a short incision. In all mastectomy patients, the mean incision length was 4.73 cm (range, 4.5–5.5 cm), while that of patients who previously received radiotherapy was 4.62 cm. The patients did not develop wound-related complications (e.g., major and minor skin necrosis). At 6- and 12-month follow-ups, no patients showed definite capsular contracture (Baker grade III and IV). Conclusions The study confirmed that the use of a highly durable and elastic funnel enabled reconstructive surgeons to perform “no touch” implantation using a short incision. This technique is beneficial for patients who previously received radiotherapy and reduces the risk of wound-related complications through the use of a shorter skin incision. |
| first_indexed | 2024-12-19T21:42:34Z |
| format | Article |
| id | doaj.art-33b4e0d9175a4888ad0f007330c99958 |
| institution | Directory Open Access Journal |
| issn | 2234-0831 2288-9337 |
| language | English |
| last_indexed | 2024-12-19T21:42:34Z |
| publishDate | 2020-04-01 |
| publisher | Korean Society for Aesthetic Plastic Surgery |
| record_format | Article |
| series | Archives of Aesthetic Plastic Surgery |
| spelling | doaj.art-33b4e0d9175a4888ad0f007330c999582022-12-21T20:04:37ZengKorean Society for Aesthetic Plastic SurgeryArchives of Aesthetic Plastic Surgery2234-08312288-93372020-04-01262576310.14730/aaps.2020.02040699Determining the indications for funnel-assisted implant insertion using a short incision in reconstructive breast surgeryHyeon Uk Jang0So Young Kim Department of Plastic and Reconstructive Surgery, Inje University Sanggye Paik Hospital, Inje University School of Medicine, Seoul, KoreaBackground In light of increasing demands for the use of a shorter incision during implant-based reconstructive surgery due to a paradigm shift to short-incision mastectomy and prior radiotherapy, as well as concerns about breast implant contamination, the use of funnels during implantation is recommended. We aimed to describe our preliminary experiences with funnel-assisted implant insertion and to determine the indications for funnel usage in reconstructive breast surgery. Methods A series of 15 consecutive patients who underwent funnel-assisted implant insertions between March 2018 and January 2019 were included. Funnel-assisted implantation was indicated in patients with a small linear scar (<5 cm) at the mastectomy site and those who previously underwent chest radiotherapy before implant insertion. Results Eight patients (53.3%) previously received radiotherapy, while seven (46.6%) underwent total mastectomy using a short incision. In all mastectomy patients, the mean incision length was 4.73 cm (range, 4.5–5.5 cm), while that of patients who previously received radiotherapy was 4.62 cm. The patients did not develop wound-related complications (e.g., major and minor skin necrosis). At 6- and 12-month follow-ups, no patients showed definite capsular contracture (Baker grade III and IV). Conclusions The study confirmed that the use of a highly durable and elastic funnel enabled reconstructive surgeons to perform “no touch” implantation using a short incision. This technique is beneficial for patients who previously received radiotherapy and reduces the risk of wound-related complications through the use of a shorter skin incision.http://e-aaps.org/upload/pdf/aaps-2020-02040.pdfbreast neoplasmsmastectomyradiotherapy |
| spellingShingle | Hyeon Uk Jang So Young Kim Determining the indications for funnel-assisted implant insertion using a short incision in reconstructive breast surgery Archives of Aesthetic Plastic Surgery breast neoplasms mastectomy radiotherapy |
| title | Determining the indications for funnel-assisted implant insertion using a short incision in reconstructive breast surgery |
| title_full | Determining the indications for funnel-assisted implant insertion using a short incision in reconstructive breast surgery |
| title_fullStr | Determining the indications for funnel-assisted implant insertion using a short incision in reconstructive breast surgery |
| title_full_unstemmed | Determining the indications for funnel-assisted implant insertion using a short incision in reconstructive breast surgery |
| title_short | Determining the indications for funnel-assisted implant insertion using a short incision in reconstructive breast surgery |
| title_sort | determining the indications for funnel assisted implant insertion using a short incision in reconstructive breast surgery |
| topic | breast neoplasms mastectomy radiotherapy |
| url | http://e-aaps.org/upload/pdf/aaps-2020-02040.pdf |
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