The largest multicentre data collection on prepectoral breast reconstruction

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...

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Autor: Masià, Jaume|||0000-0003-0141-9586
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:238558
Acceso en línea:https://ddd.uab.cat/record/238558
https://dx.doi.org/urn:doi:10.1002/jso.26073
Access Level:acceso abierto
Palabra clave:Acellular dermal matrix
Braxon
Breast reconstruction
Prepectoral
Radiotherapy
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spelling The largest multicentre data collection on prepectoral breast reconstructionThe iBAG studyMasià, Jaume|||0000-0003-0141-9586Acellular dermal matrixBraxonBreast reconstructionPrepectoralRadiotherapyIn 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.Universitat Autònoma de Barcelona 22020-01-0120202020-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/238558https://dx.doi.org/urn:doi:10.1002/jso.26073reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2385582026-06-06T12:50:31Z
dc.title.none.fl_str_mv The largest multicentre data collection on prepectoral breast reconstruction
The iBAG study
title The largest multicentre data collection on prepectoral breast reconstruction
spellingShingle The largest multicentre data collection on prepectoral breast reconstruction
Masià, Jaume|||0000-0003-0141-9586
Acellular dermal matrix
Braxon
Breast reconstruction
Prepectoral
Radiotherapy
title_short The largest multicentre data collection on prepectoral breast reconstruction
title_full The largest multicentre data collection on prepectoral breast reconstruction
title_fullStr The largest multicentre data collection on prepectoral breast reconstruction
title_full_unstemmed The largest multicentre data collection on prepectoral breast reconstruction
title_sort The largest multicentre data collection on prepectoral breast reconstruction
dc.creator.none.fl_str_mv Masià, Jaume|||0000-0003-0141-9586
author Masià, Jaume|||0000-0003-0141-9586
author_facet Masià, Jaume|||0000-0003-0141-9586
author_role author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Acellular dermal matrix
Braxon
Breast reconstruction
Prepectoral
Radiotherapy
topic Acellular dermal matrix
Braxon
Breast reconstruction
Prepectoral
Radiotherapy
description 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.
publishDate 2020
dc.date.none.fl_str_mv 2
2020-01-01
2020
2020-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
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https://dx.doi.org/urn:doi:10.1002/jso.26073
url https://ddd.uab.cat/record/238558
https://dx.doi.org/urn:doi:10.1002/jso.26073
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
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instname:Universitat Autònoma de Barcelona
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