Permanent expanders represent the second generation of tissue expanders. From January 1986 to Decemher 1989 we used 119 permanent expanders in immediate reconstruction of the breast after subcutaneous or modified radical mastectomy (32 cases) and in delayed reconstruction after modified radical or radical mastectomy or quadrantectomy (55 cases). The longest follow-up was 36 months. The Becker or Gibney implants were placed under the muscles. When the pectoralis major muscle was injured or lacking we transposed a flap from the latissimus dorsi. The injection dome was not removed in order to maintain the advantages of overexpansion and deflation. The complications were infection (6%), extrusion of the implant (4,9%) incorrect positioning of the implant (15%), malfunctioning of the filling port (1,6%). The 16 patients with contraction of the capsule were treated by overexpansion which was maintained for 3-12 weeks and then reduced with satisfactory final results. The advantages are the need for only one operation, the possibility of non-surgical treatment of contraction of the capsule, the low incidence of this complication and the fact that the volume of the reconstructed breast can subsequently be modified.
|Translated title of the contribution||Use of permanent expanders in immediate and delayed breast reconstruction|
|Number of pages||5|
|Journal||Rivista Italiana di Chirurgia Plastica|
|Publication status||Published - 1992|
ASJC Scopus subject areas