Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant

Purpose of the study. To study the results of prepectoral reconstruction of the mammary gland after subcutaneous mastectomy for cancer with additional covering of the implant with a polypropylene mesh implant. (IPPBR)Materials and methods. Case-series of 6 patients with luminal breast cancer T1–2N0M...

Full description

Bibliographic Details
Main Authors: D. N. Rovenskikh, S. A. Usov, S. V. Petrosyants
Format: Article
Language:Russian
Published: QUASAR, LLC 2020-12-01
Series:Issledovaniâ i Praktika v Medicine
Subjects:
Online Access:https://www.rpmj.ru/rpmj/article/view/629
_version_ 1797874102610952192
author D. N. Rovenskikh
S. A. Usov
S. V. Petrosyants
author_facet D. N. Rovenskikh
S. A. Usov
S. V. Petrosyants
author_sort D. N. Rovenskikh
collection DOAJ
description Purpose of the study. To study the results of prepectoral reconstruction of the mammary gland after subcutaneous mastectomy for cancer with additional covering of the implant with a polypropylene mesh implant. (IPPBR)Materials and methods. Case-series of 6 patients with luminal breast cancer T1–2N0M0 aged from 34 to 47 years. IPPBR was performed after subcutaneous mastectomy (nipple sparing in 2 cases). The anterior surface of implants (Polytech, Germany) was covered with Ethicon/Johnson& Johnson (USA) simple polypropylene mesh. The mesh was fixed with interrupted absorbable sutures to the big pectoral muscle.Results. There was one successfully treated minor complication: limited skin incision necrosis. No other complications or tumor recurrences were registrated during observation period. The aesthetic results (mainly shape and volume breasts symmetry, nipples symmetry after nipple- sparing operation) were estimated as good both by surgeon and all patients. Periprosthetic connective tissue growth was minimal (grade I due to Baker’s scale) in all cases.Conclusion. The first results of the use of a simple mesh polypropylene implant in cases of breast cancer after subcutaneous mastectomy for cancer for the prevention of implant migration are encouraging. The degree of development of periprosthetic scar contracture is minimal.
first_indexed 2024-04-10T01:26:38Z
format Article
id doaj.art-e8a504767c294e11ac5a308443dfc422
institution Directory Open Access Journal
issn 2410-1893
language Russian
last_indexed 2024-04-10T01:26:38Z
publishDate 2020-12-01
publisher QUASAR, LLC
record_format Article
series Issledovaniâ i Praktika v Medicine
spelling doaj.art-e8a504767c294e11ac5a308443dfc4222023-03-13T09:35:01ZrusQUASAR, LLCIssledovaniâ i Praktika v Medicine2410-18932020-12-0174192610.17709/2409-2231-2020-7-4-2350Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implantD. N. Rovenskikh0S. A. Usov1S. V. Petrosyants2ООО «ЕвроМедКлиника плюс»; ФГАОУ ВО «Новосибирский национальный исследовательский государственный университет»ФГКВОУ ВО «Новосибирский военный институт им. генерала армии И.К.Яковлева войск национальной гвардии Российской Федерации»ФГАОУ ВО «Новосибирский национальный исследовательский государственный университет»Purpose of the study. To study the results of prepectoral reconstruction of the mammary gland after subcutaneous mastectomy for cancer with additional covering of the implant with a polypropylene mesh implant. (IPPBR)Materials and methods. Case-series of 6 patients with luminal breast cancer T1–2N0M0 aged from 34 to 47 years. IPPBR was performed after subcutaneous mastectomy (nipple sparing in 2 cases). The anterior surface of implants (Polytech, Germany) was covered with Ethicon/Johnson& Johnson (USA) simple polypropylene mesh. The mesh was fixed with interrupted absorbable sutures to the big pectoral muscle.Results. There was one successfully treated minor complication: limited skin incision necrosis. No other complications or tumor recurrences were registrated during observation period. The aesthetic results (mainly shape and volume breasts symmetry, nipples symmetry after nipple- sparing operation) were estimated as good both by surgeon and all patients. Periprosthetic connective tissue growth was minimal (grade I due to Baker’s scale) in all cases.Conclusion. The first results of the use of a simple mesh polypropylene implant in cases of breast cancer after subcutaneous mastectomy for cancer for the prevention of implant migration are encouraging. The degree of development of periprosthetic scar contracture is minimal.https://www.rpmj.ru/rpmj/article/view/629рак молочной железыподкожная мастэктомияодномоментная препекторальная реконструкциясетчатый полипропиленовый имплантат
spellingShingle D. N. Rovenskikh
S. A. Usov
S. V. Petrosyants
Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
Issledovaniâ i Praktika v Medicine
рак молочной железы
подкожная мастэктомия
одномоментная препекторальная реконструкция
сетчатый полипропиленовый имплантат
title Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
title_full Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
title_fullStr Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
title_full_unstemmed Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
title_short Our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
title_sort our first experience of prepectoral reconstruction of the mammary gland using a mesh polypropylene implant
topic рак молочной железы
подкожная мастэктомия
одномоментная препекторальная реконструкция
сетчатый полипропиленовый имплантат
url https://www.rpmj.ru/rpmj/article/view/629
work_keys_str_mv AT dnrovenskikh ourfirstexperienceofprepectoralreconstructionofthemammaryglandusingameshpolypropyleneimplant
AT sausov ourfirstexperienceofprepectoralreconstructionofthemammaryglandusingameshpolypropyleneimplant
AT svpetrosyants ourfirstexperienceofprepectoralreconstructionofthemammaryglandusingameshpolypropyleneimplant