TY - JOUR
T1 - The largest multicentre data collection on prepectoral breast reconstruction
T2 - The iBAG study
AU - Masià, Jaume
AU - Salgarello, Marzia
AU - Cattelani, Leonardo
AU - Parodi, Pier Camillo
AU - Ribuffo, Diego
AU - Onesti, Maria Giuseppina
AU - Berna, Giorgio
AU - Cawthorn, Simon J.
AU - Bozza, Fernando
AU - Duodeci, Stefano
AU - Harries, Simon
AU - Governa, Maurizio
AU - Barmasse, Roberto A.
AU - Vidya, Raghavan
AU - Sircar, Tapan
AU - Deol, Harleen
AU - Guzzetti, Tommaso
AU - Meggiolaro, Fabrizio
AU - Schiavon, Mauro
AU - Parmeshwar, Rishikesh
AU - Ferguson, Douglas
AU - Mortimer, Caroline
AU - Manca, Giorgio
AU - Thekkinkattil, Dinesh
AU - Rathinaezhil, Rathinasabapathy
AU - Bhaskar, Pud
AU - Roche, Nicola
AU - Rivarossa, Alberto
AU - De Castro Parga, Gonzalo
AU - Massarut, Samuele
AU - Polotto, Susanna
AU - Di Bartolomeo, Mattia
AU - Rampino Cordaro, Emanuele
AU - Mura, Sebastiano
AU - Adesi, Liliana Barone
AU - Marruzzo, Giovanni
AU - Dell'Antonia, Francesco
AU - Maritan, Monia
AU - Saibene, Tania
AU - Michieletto, Silvia
AU - Cecconi, Claudia
AU - Maino, Manuele
AU - Clarke, Dayalan
AU - Mirandola, Sara
AU - Morelli, Lucia
AU - Biral, Mario
AU - Baraziol, Roberto
AU - Zanin, Chiara
AU - Gregorelli, Chiara
N1 - Funding Information:
The authors thank IIB and INPECS societies to have monitored the study project and for the constant participation and support in data collection and analysis.
Publisher Copyright:
© 2020 The Authors. Journal of Surgical Oncology Published by Wiley Periodicals LLC
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - Background and Objectives: In the last years, prepectoral breast reconstruction has increased its popularity, becoming a standard reconstructive technique by preserving pectoralis major anatomy and functionality. Nevertheless, the lack of solid and extensive data negatively impacts on surgeons’ correct information about postoperative complication rates and proper patient selection. This study aims to collect the largest evidence on this procedure. Methods: A multicentre retrospective audit, promoted by the Barcelona Hospital, collected the experience of 30 centers on prepectoral breast reconstruction with Braxon ADM. The study had the scientific support of INPECS and IIB societies which provided the online database Clinapsis. Results: A total of 1450 procedures were retrospectively collected in a 6-year period. Mean age 52.4 years, BMI 23.9, follow-up 22.7 months. Reconstruction was carried out after a tumor in 77.1% of the cases, 20.1% had prophylactic surgery, 2.8% had revisions. Diabetes, smoke, and immunosuppression had an influence on complications occurrence, as well as implant weight. Capsular contracture was associated with postoperative radiotherapy, but the overall rate was low (2.1%). Complications led to implant loss in 6.5% of the cases. Conclusions: The international Braxon Audit Group multicentre data collection represents a milestone in the field of breast reconstruction, extensively improving the knowledge on this procedure.
AB - Background and Objectives: In the last years, prepectoral breast reconstruction has increased its popularity, becoming a standard reconstructive technique by preserving pectoralis major anatomy and functionality. Nevertheless, the lack of solid and extensive data negatively impacts on surgeons’ correct information about postoperative complication rates and proper patient selection. This study aims to collect the largest evidence on this procedure. Methods: A multicentre retrospective audit, promoted by the Barcelona Hospital, collected the experience of 30 centers on prepectoral breast reconstruction with Braxon ADM. The study had the scientific support of INPECS and IIB societies which provided the online database Clinapsis. Results: A total of 1450 procedures were retrospectively collected in a 6-year period. Mean age 52.4 years, BMI 23.9, follow-up 22.7 months. Reconstruction was carried out after a tumor in 77.1% of the cases, 20.1% had prophylactic surgery, 2.8% had revisions. Diabetes, smoke, and immunosuppression had an influence on complications occurrence, as well as implant weight. Capsular contracture was associated with postoperative radiotherapy, but the overall rate was low (2.1%). Complications led to implant loss in 6.5% of the cases. Conclusions: The international Braxon Audit Group multicentre data collection represents a milestone in the field of breast reconstruction, extensively improving the knowledge on this procedure.
KW - acellular dermal matrix
KW - braxon
KW - breast reconstruction
KW - prepectoral
KW - radiotherapy
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U2 - 10.1002/jso.26073
DO - 10.1002/jso.26073
M3 - Article
SN - 0022-4790
VL - 122
SP - 848
EP - 860
JO - Journal of Surgical Oncology
JF - Journal of Surgical Oncology
IS - 5
ER -