cancer-2018-posters-abstracts

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Journal of Medical Oncology and Therapeutics | Volume: 3

July 23-25, 2018 | Moscow, Russia

World Cancer Congress

Polyurethane implants in reconstructive breast surgery

Ismagilov Artur Halitovich

and

Kamaletdinov Ilnur Faritovich

Kazan state medical academy of Russian Ministry of Health, Russia

he goal of reconstructive breast surgery following

mastectomy is to restore the maximally symmetrical shape

with the contralateral breast. Majority of patients has some

degree of breast ptosis, which is a physiological phenomenon,

tending to worsen over time. Therefore, to achieve complete

symmetry with a healthy breast, it is necessary to preserve or to

restore the inframammary fold (IMF), to have an excess of the

skin cover and to use anatomical shape implants, which allows

to simulate the ptosis of the reconstructed breast. It should be

noted that around the expander, installed on the first stage of

breast reconstruction, a fibrous capsule is formed and the front

sheet of which must be completely removed in order to increase

the area of the skin cover, which in turn leads to increase a

seroma formation. However, the creation of all these conditions

for the restoration of breast ptosis leads to a risk the anatomical

implant rotation. In turn, themovement of the implant inside the

“free” pocket creates the risk of destruction the reconstructed

IMF and the fold becomes smoothed, that we observed in

6% of cases used textured implants. The lack of sufficient

cover tissues after mastectomy increases the risk of capsular

contracture, which occurs in 14.5% of cases using implants

with a textured surface. To reduce of the above-mentioned

complications, we suggest to reconstruct the ptotic breast

using polyurethane coated anatomical implants, which have

a manufacturer’s warranty of rotation and malposition, which

was confirmed by us. Due to its spongy shell, the implant rapidly

coalesces with surrounding tissues, which not only reduces

seroma formation, but also the risk of capsular contracture to

5.5%, which is significantly lower than that of textured ones.

In summary, we consider polyurethane coated prostheses

as implants of choice in the two-stage breast reconstruction.