Department of Plastic Surgery, Hospital de la Santa Creu i Sant Pau, Universitat Autonoma de Barcelona, Barcelona, Spain.
J Surg Oncol. 2020 Oct;122(5):848-860. doi: 10.1002/jso.26073. Epub 2020 Aug 12.
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.
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.
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.
The international Braxon Audit Group multicentre data collection represents a milestone in the field of breast reconstruction, extensively improving the knowledge on this procedure.
近年来，胸肌前置乳房重建术因其保留胸大肌解剖结构和功能而受到青睐，已成为一种标准的重建技术。然而，缺乏确凿而广泛的数据会对医生对术后并发症发生率和患者选择的正确信息产生负面影响。本研究旨在收集该手术的最大证据。
由巴塞罗那医院发起的多中心回顾性审计，收集了 30 个中心使用 Braxon ADM 进行胸肌前置乳房重建的经验。该研究得到了 INPECS 和 IIB 协会的科学支持，他们提供了在线数据库 Clinapsis。
在 6 年期间共回顾性收集了 1450 例手术。平均年龄 52.4 岁，BMI 23.9，随访 22.7 个月。77.1%的病例是在肿瘤手术后进行的重建，20.1%是预防性手术，2.8%是修复手术。糖尿病、吸烟和免疫抑制对并发症的发生有影响，同时也影响植入物的重量。包膜挛缩与术后放疗有关，但总体发生率较低（2.1%）。并发症导致 6.5%的病例植入物丢失。
国际 Braxon 审计组多中心数据收集代表了乳房重建领域的一个里程碑，广泛提高了对该手术的认识。
