Article
Surgery
Rachel Pedreira, Ruth Tevlin, Michelle Griffin, Derrick Wan, Arash Momeni
Summary: This study investigates the impact of reconstructive modality on complication severity in breast reconstruction. The results show a significant association between implant-based breast reconstruction and major complications, and autologous breast reconstruction and minor complications.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Surgery
Maxi von Glinski, Nikla Holler, Sherko Kuemmel, Mattea Reinisch, Christoph Wallner, Johannes Maximilian Wagner, Mehran Dadras, Alexander Sogorski, Marcus Lehnhardt, Bjoern Behr
Summary: This study aimed to compare surgical and patient-reported outcomes of Salv-ABR to I/DI-ABR. The results showed that Salv-ABR had higher complication rates and compromised aesthetic outcome and quality of life compared with I/DI-ABR.
ANNALS OF PLASTIC SURGERY
(2023)
Article
Surgery
Malke Asaad, Cedar Slovacek, David Mitchell, Jun Liu, Jesse C. Selber, Mark W. Clemens, Carrie K. Chu, Alexander F. Mericli, Charles E. Butler
Summary: In patients who underwent explantation of implants due to infection in the context of implant-based breast reconstruction, both implant-based and free flap breast reconstruction had similar rates of overall complications. However, implant-based reconstruction had higher rates of infection and reconstructive failures, as well as lower patient-reported satisfaction scores for the breasts.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2022)
Article
Surgery
Paolo Persichetti, Mauro Barone, Rosa Salzillo, Annalisa Cogliandro, Beniamino Brunetti, Silvia Ciarrocchi, Mario Alessandri Bonetti, Stefania Tenna, Michail Sorotos, Fabio Santanelli Di Pompeo
Summary: This study aims to compare the quality of life between deep inferior epigastric perforator flap (DIEP) breast reconstruction surgery and prosthetic reconstruction surgery, with results indicating that DIEP surgery leads to higher satisfaction and better quality of life in the Italian population.
AESTHETIC PLASTIC SURGERY
(2022)
Article
Surgery
Maxi von Glinski, Nikla Holler, Sherko Kuemmel, Christoph Wallner, Johannes Maximilian Wagner, Alexander Sogorski, Felix Reinkemeier, Mattea Reinisch, Marcus Lehnhardt, Bjoern Behr
Summary: This study assessed partner satisfaction with breast reconstruction surgery and compared it to patient satisfaction. The results showed a high correlation between partner satisfaction and patient satisfaction, but partners tend to overestimate patient's psychosocial well-being. Therefore, partner inclusion in regular psycho-oncological support should be encouraged to raise awareness of the high psychological burden of a breast cancer diagnosis and stabilize patients' support system.
AESTHETIC PLASTIC SURGERY
(2023)
Article
Oncology
Rachel Louise O'Connell, Marios Konstantinos Tasoulis, Evguenia Hristova, Victoria Teoh, Ana Agusti, Ann Ward, Catherine Montgomery, Kabir Mohammed, Janet Self, Jennifer Elizabeth Rusby, Gerald Gui
Summary: This study compared satisfaction, aesthetic outcomes, and cancer-related outcomes in women who underwent breast removal surgery with nipple removal and reconstruction versus those who had surgery with preservation of the nipples. The results showed that nipple projection was shorter in the nipple reconstruction group, but there were no significant differences in overall symmetry, satisfaction regarding nipple preservation, or overall nipple satisfaction. The study also found no diagnoses of breast cancer in the long-term follow-up period.
Review
Medicine, General & Internal
Gianluca Sapino, Sherilyn K. Tay, Michele Maruccia, Lloyd Nanhekhan, William Watfa, Gian Piero Mantovani, David Guillier, Pasquale Tedeschi, Russell Bramhall, Pietro Giovanni Di Summa
Summary: The present study aims to systematically summarize the evidence on abdominal-based free flap inset for breast reconstruction and provide principles and classification to guide the surgeon's choice. Four main breast anatomical features, including breast width, breast ptosis, breast projection, and upper pole fullness, were identified as the focus of the insetting technique. This study provides a framework to guide the surgeon's decision-making and optimize the aesthetic outcomes of abdominal-based free flap breast reconstruction.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Jonas A. Nelson, Meghana G. Shamsunder, Paige L. Myers, Thais O. Polanco, Michelle R. Coriddi, Colleen M. McCarthy, Evan Matros, Joseph H. Dayan, Joseph J. Disa, Babak J. Mehrara, Andrea L. Pusic, Robert J. Allen
Summary: This study compared patient-reported outcomes between autologous breast reconstruction (ABR) and implant-based breast reconstruction (IBR) patients using propensity score matching. The results showed no significant differences in breast satisfaction and well-being between ABR and IBR patients who did not receive radiotherapy.
ANNALS OF SURGICAL ONCOLOGY
(2022)
Article
Surgery
Ajla Sabitovic, Hannah Trostrup, Tine Engberg Damsgaard
Summary: This study conducted a meta-analysis of previously published studies and found that neoadjuvant chemotherapy (NACT) does not significantly impact the complication rate after breast reconstruction in breast cancer patients. In terms of minor complications, single-stage direct-to-implant (DTI) appears to be a safer procedure than two-staged tissue expander/implant (TE/I).
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Oncology
Joshua A. Bloom, Shivani A. Shah, Emily A. Long, Abhishek Chatterjee, Bernard T. Lee
Summary: For patients with locally advanced breast cancer who require post-mastectomy radiation therapy, staged autologous reconstruction is more cost-effective than implant reconstruction.
ANNALS OF SURGICAL ONCOLOGY
(2023)
Review
Medicine, General & Internal
Mahdi Malekpour, Fatemeh Malekpour, Howard Tz-Ho Wang
Summary: Implant-based reconstruction is the most commonly used method for breast reconstruction, while autologous breast reconstruction requires advanced microsurgical skills and anatomical understanding. The choice of reconstruction is made by the patient after discussing all available options with the plastic surgeon. The advantages, disadvantages, and long-term oncologic outcomes of each technique are reviewed.
WORLD JOURNAL OF CLINICAL CASES
(2023)
Review
Surgery
Nargiz Seyidova, Keith Anderson, Ahid Abood
Summary: This study compared patients' satisfaction with aesthetic outcomes following muscle or fasciocutaneous free flap reconstruction to the lower limb, with patients who underwent fasciocutaneous flap reconstruction being more satisfied with flap texture. However, there were no significant differences in other aspects of satisfaction between the two groups, highlighting the importance of aesthetic restoration in lower limb reconstruction.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2021)
Article
Oncology
Seung-Jun Lee, Yun-Jung Yang, Dong-Won Lee, Seung-Yong Song, Dae-Hyun Lew, Eun-Jung Yang
Summary: This study aimed to determine if preoperative sarcopenia is associated with a higher complication rate in patients undergoing autologous free-flap breast reconstruction. After adjustment, preoperative sarcopenia was found to be significantly associated with higher rates of recipient site infection and hematoma.
FRONTIERS IN ONCOLOGY
(2023)
Article
Surgery
Jung-Ju Huang, Eva Yu-Hsuan Chuang, David Chon-Fok Cheong, Bong-Sung Kim, Frank Chun-Shin Chang, Wen-Ling Kuo
Summary: The study investigated the feasibility and aesthetic outcome of free perforator flap breast reconstruction via small lateral chest wall incision after R-NSM. Results showed that patients in the R-NSM group had smaller scars and better aesthetic outcomes in terms of breast symmetry and scar visibility, indicating potential benefits of this approach compared to C-NSM.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
Article
Surgery
Maxi von Glinski, Nikla Holler, Sherko Kuemmel, Mattea Reinisch, Christoph Wallner, Johannes Maximilian Wagner, Mehran Dadras, Alexander Sogorski, Marcus Lehnhardt, Bjoern Behr
Summary: This cross-sectional study comprehensively analyzed autologous and implant-based breast reconstruction procedures, and found that despite the high probability of secondary procedures for aesthetic improvement, autologous breast reconstruction (ABR) was associated with higher patient satisfaction compared to implant-based breast reconstruction (IBR). IBR patients experienced more major complications, while ABR patients had better breast sensitivity. In bilateral reconstruction, IBR tended to have superior aesthetic results. Therefore, the laterality of reconstruction should be considered in the decision-making process.
FRONTIERS IN SURGERY
(2022)
Review
Surgery
Pathik Aravind, Salih Colakoglu, Myan Bhoopalam, Ahmed Ibrahim, David Mathes, Christodoulos Kaoutzanis, Marc Mureau, Sashank Reddy
Summary: This study systematically reviewed the characteristics of perforators in deep inferior epigastric perforator (DIEP) flap breast reconstruction and found that a single dominant perforator and medial row perforators may be associated with a higher risk of fat necrosis. Adopting a standardized perforator selection algorithm could help surgeons make operative decisions and improve postoperative outcomes.
JOURNAL OF RECONSTRUCTIVE MICROSURGERY
(2023)
Article
Oncology
Anouk H. Eijkelboom, Linda de Munck, C. Willemien Menke-van der Houven Van Oordt, Mireille J. M. Broeders, Desiree H. J. G. van den Bongard, Luc J. A. Strobbe, Marc A. M. Mureau, Marc B. Lobbes, Pieter J. Westenend, Linetta B. Koppert, Agnes Jager, Ester J. M. Siemerink, Jelle Wesseling, Helena M. Verkooijen, Marie-Jeanne T. F. D. Vrancken Peeters, Marjolein L. Smidt, Vivianne C. G. Tjan-Heijnen, Sabine Siesling
Summary: This study compared the treatments and time intervals between treatments of breast cancer patients diagnosed during and before the COVID-19 pandemic, and the number of treatments started during and before the pandemic. The results showed that patients diagnosed during the transition period were less likely to receive neo-adjuvant chemotherapy for stage I, stage II, and hormone receptor+/HER2- tumors compared to 2018/2019. The time between diagnosis and first treatment decreased for patients diagnosed during the lockdown period. Additionally, there was an increase in the number of neo-adjuvant endocrine therapies and surgeries starting in week 14 of 2020, while the number of adjuvant chemotherapies decreased in week 15 and increased in week 22.
BREAST CANCER RESEARCH AND TREATMENT
(2023)
Article
Surgery
Babette E. Becherer, Ingrid Hopper, Rodney D. Cooter, Benoit Couturaud, Uwe von Fritschen, Erin Mullen, A. Graeme B. Perks, Andrea L. Pusic, Birgit Stark, Marc A. M. Mureau, Hinne A. Rakhorst
Summary: For the first time, independent, national, registry-based data from four breast implant registries were combined, which is a powerful step forward in optimizing international breast implant monitoring, evidence-based decision-making, and patient safety.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Surgery
Babette E. Becherer, Erik A. Heeg, Danny A. Young-Afat, Marie-Jeanne T. F. D. Vrancken Peeters, Hinne A. Rakhorst, Marc A. M. Mureau
Summary: In this population-based study in the Netherlands, the incidence of unplanned revision surgery was lower in immediate implant-based breast reconstruction using a direct-to-implant approach compared to a two-stage approach. Additionally, more breasts were reconstructed within the planned number of operations in the direct-to-implant group.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Article
Surgery
Marloes E. Clarijs, Noelle J. M. C. Vrancken Peeters, Sophie A. F. van Dongen, Linetta B. Koppert, Andrea L. Pusic, Marc A. M. Mureau, Bianca F. M. Rijken
Summary: This systematic review compared patient-reported outcomes (PROs) and complication rates after nipple-sparing mastectomy (NSM) and skin-sparing mastectomy (SSM). The study found that NSM resulted in higher scores in sexual and psychosocial well-being, with no differences in overall complication rates between the two groups. Therefore, the decision for NSM or SSM should be made on an individual basis, considering factors such as patient preferences and safety.
PLASTIC AND RECONSTRUCTIVE SURGERY
(2023)
Letter
Surgery
J. X. Harmeling, T. A. Bruins, B. E. Becherer, M. J. Hoornweg, M. Harmsen, M. A. M. Mureau, H. A. Rakhorst
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Surgery
Yara Lynn Blok, Jaco Suijker, Monique P. van den Tol, Carmen C. van der Pol, Marc A. M. Mureau, Jos A. van der Hage, Nicole M. A. Krekel
Summary: This study investigated the techniques and opinions of Dutch plastic surgeons and oncological breast surgeons regarding the preservation of pectoral fascia (PF) during mastectomy. The results showed that approximately one in five plastic surgeons and breast surgeons routinely preserve the PF, and even more surgeons preserve the PF in specific cases. There were significant differences in surgical techniques and opinions regarding PF preservation among the surgeons. Future studies should clarify the impact of PF preservation on oncological safety, complication rates, postoperative pain, cosmetic outcomes, and patient satisfaction.
JOURNAL OF SURGICAL RESEARCH
(2023)
Article
Surgery
J. Xavier Harmeling, Leonie A. E. Woerdeman, Ezgi Ozdemir, Michael Schaapveld, Hester S. A. Oldenburg, Cecile P. M. Janus, Nicola S. Russell, Linetta B. Koppert, Inge M. Krul, Flora E. van Leeuwen, Marc A. M. Mureau
Summary: There is no increased risk of adverse outcomes for breast reconstruction after previous chest radiotherapy for Hodgkin lymphoma (HL). These findings are important for counseling patients and making shared decisions about breast reconstruction.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Article
Public, Environmental & Occupational Health
Sri K. Devarakonda, Reinier Timman, Paul F. Bouvy, Arvind Oemrawsingh, Inge Apon, Marc A. M. Mureau, Linetta B. Koppert, Leonieke W. Kranenburg
Summary: This study aimed to explore the trends in emotional functioning and psychosocial wellbeing of breast cancer survivors, as well as the demographic and treatment characteristics that may influence these trends. The findings showed a decline in psychosocial wellbeing and a steady improvement in emotional functioning over time. Women who underwent breast reconstruction experienced a more significant improvement in emotional functioning, while women with no partner or children showed a marginal decline in psychosocial wellbeing.
Article
Medicine, Research & Experimental
F. P. Tange, P. S. Verduijn, B. G. Sibinga Mulder, L. van Capelle, S. Koning, C. Driessen, M. A. M. Mureau, A. L. Vahrmeijer, J. R. van der Vorst
Summary: This study aims to reduce the occurrence of fat necrosis by using ICG-NIR-FA technology to evaluate the perfusion of DIEP flaps. A total of 280 females undergoing autologous breast reconstruction with DIEP or msTRAM flaps will be randomly assigned to the intervention or control group. The main endpoint of the study is the difference in clinically relevant fat necrosis between the two groups evaluated at two weeks and three months after reconstruction.
CONTEMPORARY CLINICAL TRIALS COMMUNICATIONS
(2023)
Article
Oncology
Dave T. Hamersma, Kay Schreuder, Gijs Geleijnse, Erik Heeg, Matteo Cellamare, Marc B. I. Lobbes, Marc A. M. Mureau, Linetta B. Koppert, Helle Skjerven, Jan F. Nygard, Catharina G. M. Groothuis-Oudshoorn, Sabine Siesling
Summary: The aim of this study was to compare breast cancer care quality indicators (QIs) between Norway and the Netherlands using federated analytics. Data from breast cancer patients in both countries were retrieved and assessed using European Society of Breast Cancer Specialists (EUSOMA) QIs. The study found that both countries scored high on the QIs, but differences were observed in the use of MRI and proportion of patients receiving single surgery.
BREAST CANCER RESEARCH AND TREATMENT
(2023)
Article
Surgery
Anthony M. Tonsbeek, Caroline A. Hundepool, Liron S. Duraku, Aniel Sewnaik, Marc A. M. Mureau
Summary: This study compared the postoperative outcomes of pectoralis major myocutaneous (PMMC) and myofascial (PMMF) flaps for partial hypopharyngeal defect reconstruction. It was found that PMMF flaps had non-inferior results compared to PMMC flaps in terms of postoperative complications and also had some inherent advantages. Therefore, PMMF flaps can be considered as a reliable choice for reconstruction.
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
(2023)
Article
Dentistry, Oral Surgery & Medicine
Kira S. van Hof, Marlies Wakkee, Aniel Sewnaik, Aimee F. Herkendaal, Lisa Tans, Hetty Mast, Renate R. van den Bos, Marc A. M. Mureau, Marinella P. J. Offerman, Robert J. Baatenburg de Jong
Summary: The purpose of this retrospective study was to describe the medical outcomes, patient-reported outcomes, and costs of different treatments for early stage lip SCC. The study findings showed that Mohs micrographic surgery (MMS) had the best outcomes and lowest costs among the treatments evaluated.
Article
Health Care Sciences & Services
N. J. M. C. Vrancken Peeters, Z. L. R. Kaplan, M. E. Clarijs, M. A. M. Mureau, C. Verhoef, T. van Dalen, O. Husson, L. B. Koppert
Summary: This study examined the long-term effects of axillary treatments on health-related quality of life in breast cancer patients. Except for axillary lymph node dissection (ALND) with axillary radiotherapy, other axillary treatments showed no significant impact on physical and psychosocial wellbeing. Patients who received ALND with radiotherapy experienced a significant decrease in physical and psychosocial wellbeing postoperatively.
QUALITY OF LIFE RESEARCH
(2023)
Article
Surgery
E. R. Eijsink, J. X. Harmeling, M. A. M. Mureau, E. M. L. Corten
Summary: This study examined the factors influencing plastic surgeons' choice of breast implants and found substantial variation in the weighing of these factors among different surgeons. It also revealed that the choice of breast implants is not solely based on scientific evidence, but brand reputation plays a significant role. Therefore, it is crucial for patients to have comprehensive knowledge about all aspects of breast implants during shared decision making.
