Application of immediate breast reconstruction with implants after nipple-areola complex-sparing subcutaneous mastectomy for nonpuerperal mastitis
- VernacularTitle:非哺乳期乳腺炎术后即刻假体植入乳房再造术的临床应用
- Author:
Shao-Mei FU
1
;
Chu-Yang YIN
;
Hui SONG
Author Information
1. 复旦大学附属妇产科医院乳腺科
- Keywords:
nonpuerperal mastitis;
subcutaneous mastectomy;
implants;
breast reconstruction
- From:
Chinese Journal of Clinical Medicine
2016;23(3):315-318
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical application value of immediate breast reconstruction with implants after nipple-areola complex-sparing subcutaneous mastectomy for nonpuerperal mastitis .Methods:This study observed 22 women with nonpuerperal mastitis undergoing immediate breast reconstruction with implants after nipple-areola complex-sparing subcutaneous mastectomy from June 2012 to September 2014 .The perioperative results and follow-up records were analyzed . Results:The operation time was 104-132 min (mean 118 min) ,blood loss was 87-119 mL (mean 94 mL ) ,and the time of drainage tube removal was 10-21 d after operation .The length of hospitalization was 10-14 d (mean 12 d) ,and the average expenditure was about 20 000 RMB .There was no wound subcutaneous effusion ,no skin flap necrosis and no ischemia or necrosis in nipple-areola complex .In the evaluation of postoperative breast appearance ,9 cases were excellent ,13 cases were good ,and the excellent and good rate was 100% .All patients were followed up for 4-36 months (median 23 months) after operation .During the follow-up period ,no local recurrence ,breast deformation or fiber cystis contracture were formed .No upper extremity edema or dysfunction were found .Conclusions:Immediate breast reconstruction with implants after nipple-areola complex-sparing subcutaneous mastectomy possesses the advantage of minimal invasion , safety , quick postoperative recovery and simple operation for patients with nonpuerperal mastitis and the appearance of reconstructed breast is optimal .
