Direct-to-Implant vs Tissue Expander Placement in Immediate Breast Reconstruction: A Prospective Cohort Study.

ABSTRACT:

Background

Direct-to-implant (DTI) breast reconstruction after mastectomy has gained increasing popularity. While concerns over ischemic complications related to tension on the mastectomy flap persist, newer techniques and technologies have enhanced safety of this technique.

Objectives

To compare clinical and patient-reported outcomes of DTI and 2-stage tissue expander (TE) reconstruction.

Methods

A prospective cohort design was utilized to compare the incidence of reconstructive failure among patients undergoing DTI and TE reconstruction by unadjusted bivariate and adjusted multivariable logistic regression analyses. Secondary clinical outcomes of interest included specific complications requiring intervention (infection, seroma, hematoma, mastectomy flap necrosis, i

SUBMITTER: Chiang SN 

PROVIDER: S-EPMC11492281 | biostudies-literature | 2024 Jul

REPOSITORIES: biostudies-literature