Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2019  |  Volume : 32  |  Issue : 2  |  Page : 528-533

Staged breast reconstruction after mastectomy using tissue expander followed by permanent prosthesis

1 Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of Plastic Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
3 Department of Surgical Oncology, Ministry of Health, El-Obour Insurance Hospital, Kafr El-Sheikh, Egypt

Correspondence Address:
Alaa M. El Shamly El Sayed Shoeib
Department of Surgical Oncology, Ministry of Health, El-Obour Insurance Hospital, Kafr El-Sheikh 33735
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/mmj.mmj_855_17

Rights and Permissions

Objective The aim of this study was to evaluate immediate breast reconstruction after mastectomy, by using tissue expander, followed by insertion of permanent prosthesis, as regards advantages, its complications and patient satisfaction. Background Social and psychological effects of mastectomy on women make breast reconstruction a great challenge for oncoplastic surgeons; hence, staged breast reconstruction depends on tissue expander, and a prosthetic device may provide a good solution for that challenge. Patients and methods This study included 20 patients admitted in Menoufia University Hospitals and El-Obour Insurance Hospital with a diagnosis of breast carcinoma in the 2-year period spanning from January 2015 to February 2017. The studied patients refused autogenous reconstruction, and all of them were classified as early staged breast cancer. The first stage of reconstruction included mastectomy with axillary clearance, submuscular expander insertion, and their regular expansion, whereas in the second stage, the expander was removed and replaced by permanent prosthesis. Results Seroma formation occurred in two patients, wound infection in two patients, one patient had a ruptured implant and another had expander leakage, whereas one patient failed by capsular contracture. All postoperative complications were managed conservatively or by surgical intervention. Conclusion Staged breast reconstruction, by using tissue expander, followed by permanent prosthesis, is an excellent solution in some patients, provided they are carefully selected.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded32    
    Comments [Add]    

Recommend this journal