The largest multicentre data collection on prepectoral breast reconstruction: The iBAG study
Background and Objectives 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’ corre...
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| Veröffentlicht in: | Journal of surgical oncology 2020-10, Vol.122 (5), p.848-860 |
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| creator | Masià, Jaume Salgarello, Marzia Cattelani, Leonardo Parodi, Pier Camillo Ribuffo, Diego Onesti, Maria Giuseppina Berna, Giorgio Cawthorn, Simon J. Bozza, Fernando Duodeci, Stefano Harries, Simon Governa, Maurizio Barmasse, Roberto A. Vidya, Raghavan Sircar, Tapan Deol, Harleen Guzzetti, Tommaso Meggiolaro, Fabrizio Schiavon, Mauro Parmeshwar, Rishikesh Ferguson, Douglas Mortimer, Caroline Manca, Giorgio Thekkinkattil, Dinesh Rathinaezhil, Rathinasabapathy Bhaskar, Pud Roche, Nicola Rivarossa, Alberto De Castro Parga, Gonzalo Massarut, Samuele Polotto, Susanna Di Bartolomeo, Mattia Rampino Cordaro, Emanuele Mura, Sebastiano Adesi, Liliana Barone Marruzzo, Giovanni Dell'Antonia, Francesco Maritan, Monia Saibene, Tania Michieletto, Silvia Cecconi, Claudia Maino, Manuele Clarke, Dayalan Mirandola, Sara Morelli, Lucia Biral, Mario Baraziol, Roberto Zanin, Chiara Gregorelli, Chiara |
| description | Background and Objectives
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.
Methods
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.
Results
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.
Conclusions
The international Braxon Audit Group multicentre data collection represents a milestone in the field of breast reconstruction, extensively improving the knowledge on this procedure. |
| doi_str_mv | 10.1002/jso.26073 |
| format | Article |
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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.
Methods
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.
Results
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.
Conclusions
The international Braxon Audit Group multicentre data collection represents a milestone in the field of breast reconstruction, extensively improving the knowledge on this procedure.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.26073</identifier><identifier>PMID: 32786089</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>acellular dermal matrix ; braxon ; Breast Implants ; Breast Neoplasms - epidemiology ; Breast Neoplasms - surgery ; breast reconstruction ; Breasts ; Data Collection ; Female ; Humans ; Italy - epidemiology ; Mammaplasty - adverse effects ; Mammaplasty - methods ; Mammaplasty - statistics & numerical data ; Mastectomy ; Mastectomy - adverse effects ; Mastectomy - methods ; Mastectomy - statistics & numerical data ; Middle Aged ; Pectoralis Muscles - surgery ; prepectoral ; radiotherapy ; Reconstructive surgery ; Retrospective Studies ; Skin & tissue grafts ; Spain - epidemiology ; United Kingdom - epidemiology</subject><ispartof>Journal of surgical oncology, 2020-10, Vol.122 (5), p.848-860</ispartof><rights>2020 The Authors. Published by Wiley Periodicals LLC</rights><rights>2020 The Authors. Journal of Surgical Oncology Published by Wiley Periodicals LLC.</rights><rights>2020. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4433-2ff849695768b81a0b963ad2925fbcf1f47ea0aa848f0e0c0e3877ee86dc758f3</citedby><cites>FETCH-LOGICAL-c4433-2ff849695768b81a0b963ad2925fbcf1f47ea0aa848f0e0c0e3877ee86dc758f3</cites><orcidid>0000-0003-0141-9586</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjso.26073$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.26073$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,777,781,882,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32786089$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Masià, Jaume</creatorcontrib><creatorcontrib>Salgarello, Marzia</creatorcontrib><creatorcontrib>Cattelani, Leonardo</creatorcontrib><creatorcontrib>Parodi, Pier Camillo</creatorcontrib><creatorcontrib>Ribuffo, Diego</creatorcontrib><creatorcontrib>Onesti, Maria Giuseppina</creatorcontrib><creatorcontrib>Berna, Giorgio</creatorcontrib><creatorcontrib>Cawthorn, Simon J.</creatorcontrib><creatorcontrib>Bozza, Fernando</creatorcontrib><creatorcontrib>Duodeci, Stefano</creatorcontrib><creatorcontrib>Harries, Simon</creatorcontrib><creatorcontrib>Governa, Maurizio</creatorcontrib><creatorcontrib>Barmasse, Roberto A.</creatorcontrib><creatorcontrib>Vidya, Raghavan</creatorcontrib><creatorcontrib>Sircar, Tapan</creatorcontrib><creatorcontrib>Deol, Harleen</creatorcontrib><creatorcontrib>Guzzetti, Tommaso</creatorcontrib><creatorcontrib>Meggiolaro, Fabrizio</creatorcontrib><creatorcontrib>Schiavon, Mauro</creatorcontrib><creatorcontrib>Parmeshwar, Rishikesh</creatorcontrib><creatorcontrib>Ferguson, Douglas</creatorcontrib><creatorcontrib>Mortimer, Caroline</creatorcontrib><creatorcontrib>Manca, Giorgio</creatorcontrib><creatorcontrib>Thekkinkattil, Dinesh</creatorcontrib><creatorcontrib>Rathinaezhil, Rathinasabapathy</creatorcontrib><creatorcontrib>Bhaskar, Pud</creatorcontrib><creatorcontrib>Roche, Nicola</creatorcontrib><creatorcontrib>Rivarossa, Alberto</creatorcontrib><creatorcontrib>De Castro Parga, Gonzalo</creatorcontrib><creatorcontrib>Massarut, Samuele</creatorcontrib><creatorcontrib>Polotto, Susanna</creatorcontrib><creatorcontrib>Di Bartolomeo, Mattia</creatorcontrib><creatorcontrib>Rampino Cordaro, Emanuele</creatorcontrib><creatorcontrib>Mura, Sebastiano</creatorcontrib><creatorcontrib>Adesi, Liliana Barone</creatorcontrib><creatorcontrib>Marruzzo, Giovanni</creatorcontrib><creatorcontrib>Dell'Antonia, Francesco</creatorcontrib><creatorcontrib>Maritan, Monia</creatorcontrib><creatorcontrib>Saibene, Tania</creatorcontrib><creatorcontrib>Michieletto, Silvia</creatorcontrib><creatorcontrib>Cecconi, Claudia</creatorcontrib><creatorcontrib>Maino, Manuele</creatorcontrib><creatorcontrib>Clarke, Dayalan</creatorcontrib><creatorcontrib>Mirandola, Sara</creatorcontrib><creatorcontrib>Morelli, Lucia</creatorcontrib><creatorcontrib>Biral, Mario</creatorcontrib><creatorcontrib>Baraziol, Roberto</creatorcontrib><creatorcontrib>Zanin, Chiara</creatorcontrib><creatorcontrib>Gregorelli, Chiara</creatorcontrib><creatorcontrib>iBAG Working Group</creatorcontrib><title>The largest multicentre data collection on prepectoral breast reconstruction: The iBAG study</title><title>Journal of surgical oncology</title><addtitle>J Surg Oncol</addtitle><description>Background and Objectives
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.
Methods
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.
Results
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.
Conclusions
The international Braxon Audit Group multicentre data collection represents a milestone in the field of breast reconstruction, extensively improving the knowledge on this procedure.</description><subject>acellular dermal matrix</subject><subject>braxon</subject><subject>Breast Implants</subject><subject>Breast Neoplasms - epidemiology</subject><subject>Breast Neoplasms - surgery</subject><subject>breast reconstruction</subject><subject>Breasts</subject><subject>Data Collection</subject><subject>Female</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Mammaplasty - adverse effects</subject><subject>Mammaplasty - methods</subject><subject>Mammaplasty - statistics & numerical data</subject><subject>Mastectomy</subject><subject>Mastectomy - adverse effects</subject><subject>Mastectomy - methods</subject><subject>Mastectomy - statistics & numerical data</subject><subject>Middle Aged</subject><subject>Pectoralis Muscles - surgery</subject><subject>prepectoral</subject><subject>radiotherapy</subject><subject>Reconstructive surgery</subject><subject>Retrospective Studies</subject><subject>Skin & tissue grafts</subject><subject>Spain - epidemiology</subject><subject>United Kingdom - epidemiology</subject><issn>0022-4790</issn><issn>1096-9098</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1kV1rFDEUhoNY7LZ64R-QAW_ai2nPJJl8eCHUoq1S6IX1TgiZzEk7S3ayJjOV_femu7WoIARCOE8ezjkvIa8bOGkA6OkyxxMqQLJnZNGAFrUGrZ6TRanRmksN--Qg5yUAaC34C7LPqFQClF6Q7zd3WAWbbjFP1WoO0-BwnBJWvZ1s5WII6KYhjlU564Tr8orJhqpLaMuPhC6OeUrzFnpXPdiGD2cXVZ7mfvOS7HkbMr56vA_Jt08fb84v66vri8_nZ1e145yxmnqvuBa6lUJ1qrHQacFsTzVtfed847lEC9YqrjwgOECmpERUoneyVZ4dkvc773ruVthvJ7DBrNOwsmljoh3M35VxuDO38d7IloOQogiOHgUp_pjLKsxqyA5DsCPGORvKGYfCtqqgb_9Bl3FOYxmvUJwyxWErPN5RLsWcE_qnZhowD5mZkpnZZlbYN392_0T-DqkApzvg5xBw83-T-fL1eqf8BfwnojQ</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Masià, Jaume</creator><creator>Salgarello, Marzia</creator><creator>Cattelani, Leonardo</creator><creator>Parodi, Pier Camillo</creator><creator>Ribuffo, Diego</creator><creator>Onesti, Maria Giuseppina</creator><creator>Berna, Giorgio</creator><creator>Cawthorn, Simon J.</creator><creator>Bozza, Fernando</creator><creator>Duodeci, Stefano</creator><creator>Harries, Simon</creator><creator>Governa, Maurizio</creator><creator>Barmasse, Roberto A.</creator><creator>Vidya, Raghavan</creator><creator>Sircar, Tapan</creator><creator>Deol, Harleen</creator><creator>Guzzetti, Tommaso</creator><creator>Meggiolaro, Fabrizio</creator><creator>Schiavon, Mauro</creator><creator>Parmeshwar, Rishikesh</creator><creator>Ferguson, Douglas</creator><creator>Mortimer, Caroline</creator><creator>Manca, Giorgio</creator><creator>Thekkinkattil, Dinesh</creator><creator>Rathinaezhil, Rathinasabapathy</creator><creator>Bhaskar, Pud</creator><creator>Roche, Nicola</creator><creator>Rivarossa, Alberto</creator><creator>De Castro Parga, Gonzalo</creator><creator>Massarut, Samuele</creator><creator>Polotto, Susanna</creator><creator>Di Bartolomeo, Mattia</creator><creator>Rampino Cordaro, Emanuele</creator><creator>Mura, Sebastiano</creator><creator>Adesi, Liliana Barone</creator><creator>Marruzzo, Giovanni</creator><creator>Dell'Antonia, Francesco</creator><creator>Maritan, Monia</creator><creator>Saibene, Tania</creator><creator>Michieletto, Silvia</creator><creator>Cecconi, Claudia</creator><creator>Maino, Manuele</creator><creator>Clarke, Dayalan</creator><creator>Mirandola, Sara</creator><creator>Morelli, Lucia</creator><creator>Biral, Mario</creator><creator>Baraziol, Roberto</creator><creator>Zanin, Chiara</creator><creator>Gregorelli, Chiara</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0141-9586</orcidid></search><sort><creationdate>20201001</creationdate><title>The largest multicentre data collection on prepectoral breast reconstruction: The iBAG study</title><author>Masià, Jaume ; Salgarello, Marzia ; Cattelani, Leonardo ; Parodi, Pier Camillo ; Ribuffo, Diego ; Onesti, Maria Giuseppina ; Berna, Giorgio ; Cawthorn, Simon J. ; Bozza, Fernando ; Duodeci, Stefano ; Harries, Simon ; Governa, Maurizio ; Barmasse, Roberto A. ; Vidya, Raghavan ; Sircar, Tapan ; Deol, Harleen ; Guzzetti, Tommaso ; Meggiolaro, Fabrizio ; Schiavon, Mauro ; Parmeshwar, Rishikesh ; Ferguson, Douglas ; Mortimer, Caroline ; Manca, Giorgio ; Thekkinkattil, Dinesh ; Rathinaezhil, Rathinasabapathy ; Bhaskar, Pud ; Roche, Nicola ; Rivarossa, Alberto ; De Castro Parga, Gonzalo ; Massarut, Samuele ; Polotto, Susanna ; Di Bartolomeo, Mattia ; Rampino Cordaro, Emanuele ; Mura, Sebastiano ; Adesi, Liliana Barone ; Marruzzo, Giovanni ; Dell'Antonia, Francesco ; Maritan, Monia ; Saibene, Tania ; Michieletto, Silvia ; Cecconi, Claudia ; Maino, Manuele ; Clarke, Dayalan ; Mirandola, Sara ; Morelli, Lucia ; Biral, Mario ; Baraziol, Roberto ; Zanin, Chiara ; Gregorelli, Chiara</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4433-2ff849695768b81a0b963ad2925fbcf1f47ea0aa848f0e0c0e3877ee86dc758f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>acellular dermal matrix</topic><topic>braxon</topic><topic>Breast Implants</topic><topic>Breast Neoplasms - epidemiology</topic><topic>Breast Neoplasms - surgery</topic><topic>breast reconstruction</topic><topic>Breasts</topic><topic>Data Collection</topic><topic>Female</topic><topic>Humans</topic><topic>Italy - epidemiology</topic><topic>Mammaplasty - adverse effects</topic><topic>Mammaplasty - methods</topic><topic>Mammaplasty - statistics & numerical data</topic><topic>Mastectomy</topic><topic>Mastectomy - adverse effects</topic><topic>Mastectomy - methods</topic><topic>Mastectomy - statistics & numerical data</topic><topic>Middle Aged</topic><topic>Pectoralis Muscles - surgery</topic><topic>prepectoral</topic><topic>radiotherapy</topic><topic>Reconstructive surgery</topic><topic>Retrospective Studies</topic><topic>Skin & tissue grafts</topic><topic>Spain - epidemiology</topic><topic>United Kingdom - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Masià, Jaume</creatorcontrib><creatorcontrib>Salgarello, Marzia</creatorcontrib><creatorcontrib>Cattelani, Leonardo</creatorcontrib><creatorcontrib>Parodi, Pier Camillo</creatorcontrib><creatorcontrib>Ribuffo, Diego</creatorcontrib><creatorcontrib>Onesti, Maria Giuseppina</creatorcontrib><creatorcontrib>Berna, Giorgio</creatorcontrib><creatorcontrib>Cawthorn, Simon J.</creatorcontrib><creatorcontrib>Bozza, Fernando</creatorcontrib><creatorcontrib>Duodeci, Stefano</creatorcontrib><creatorcontrib>Harries, Simon</creatorcontrib><creatorcontrib>Governa, Maurizio</creatorcontrib><creatorcontrib>Barmasse, Roberto A.</creatorcontrib><creatorcontrib>Vidya, Raghavan</creatorcontrib><creatorcontrib>Sircar, Tapan</creatorcontrib><creatorcontrib>Deol, Harleen</creatorcontrib><creatorcontrib>Guzzetti, Tommaso</creatorcontrib><creatorcontrib>Meggiolaro, Fabrizio</creatorcontrib><creatorcontrib>Schiavon, Mauro</creatorcontrib><creatorcontrib>Parmeshwar, Rishikesh</creatorcontrib><creatorcontrib>Ferguson, Douglas</creatorcontrib><creatorcontrib>Mortimer, Caroline</creatorcontrib><creatorcontrib>Manca, Giorgio</creatorcontrib><creatorcontrib>Thekkinkattil, Dinesh</creatorcontrib><creatorcontrib>Rathinaezhil, Rathinasabapathy</creatorcontrib><creatorcontrib>Bhaskar, Pud</creatorcontrib><creatorcontrib>Roche, Nicola</creatorcontrib><creatorcontrib>Rivarossa, Alberto</creatorcontrib><creatorcontrib>De Castro Parga, Gonzalo</creatorcontrib><creatorcontrib>Massarut, Samuele</creatorcontrib><creatorcontrib>Polotto, Susanna</creatorcontrib><creatorcontrib>Di Bartolomeo, Mattia</creatorcontrib><creatorcontrib>Rampino Cordaro, Emanuele</creatorcontrib><creatorcontrib>Mura, Sebastiano</creatorcontrib><creatorcontrib>Adesi, Liliana Barone</creatorcontrib><creatorcontrib>Marruzzo, Giovanni</creatorcontrib><creatorcontrib>Dell'Antonia, Francesco</creatorcontrib><creatorcontrib>Maritan, Monia</creatorcontrib><creatorcontrib>Saibene, Tania</creatorcontrib><creatorcontrib>Michieletto, Silvia</creatorcontrib><creatorcontrib>Cecconi, Claudia</creatorcontrib><creatorcontrib>Maino, Manuele</creatorcontrib><creatorcontrib>Clarke, Dayalan</creatorcontrib><creatorcontrib>Mirandola, Sara</creatorcontrib><creatorcontrib>Morelli, Lucia</creatorcontrib><creatorcontrib>Biral, Mario</creatorcontrib><creatorcontrib>Baraziol, Roberto</creatorcontrib><creatorcontrib>Zanin, Chiara</creatorcontrib><creatorcontrib>Gregorelli, Chiara</creatorcontrib><creatorcontrib>iBAG Working Group</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Masià, Jaume</au><au>Salgarello, Marzia</au><au>Cattelani, Leonardo</au><au>Parodi, Pier Camillo</au><au>Ribuffo, Diego</au><au>Onesti, Maria Giuseppina</au><au>Berna, Giorgio</au><au>Cawthorn, Simon J.</au><au>Bozza, Fernando</au><au>Duodeci, Stefano</au><au>Harries, Simon</au><au>Governa, Maurizio</au><au>Barmasse, Roberto A.</au><au>Vidya, Raghavan</au><au>Sircar, Tapan</au><au>Deol, Harleen</au><au>Guzzetti, Tommaso</au><au>Meggiolaro, Fabrizio</au><au>Schiavon, Mauro</au><au>Parmeshwar, Rishikesh</au><au>Ferguson, Douglas</au><au>Mortimer, Caroline</au><au>Manca, Giorgio</au><au>Thekkinkattil, Dinesh</au><au>Rathinaezhil, Rathinasabapathy</au><au>Bhaskar, Pud</au><au>Roche, Nicola</au><au>Rivarossa, Alberto</au><au>De Castro Parga, Gonzalo</au><au>Massarut, Samuele</au><au>Polotto, Susanna</au><au>Di Bartolomeo, Mattia</au><au>Rampino Cordaro, Emanuele</au><au>Mura, Sebastiano</au><au>Adesi, Liliana Barone</au><au>Marruzzo, Giovanni</au><au>Dell'Antonia, Francesco</au><au>Maritan, Monia</au><au>Saibene, Tania</au><au>Michieletto, Silvia</au><au>Cecconi, Claudia</au><au>Maino, Manuele</au><au>Clarke, Dayalan</au><au>Mirandola, Sara</au><au>Morelli, Lucia</au><au>Biral, Mario</au><au>Baraziol, Roberto</au><au>Zanin, Chiara</au><au>Gregorelli, Chiara</au><aucorp>iBAG Working Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The largest multicentre data collection on prepectoral breast reconstruction: The iBAG study</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J Surg Oncol</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>122</volume><issue>5</issue><spage>848</spage><epage>860</epage><pages>848-860</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background and Objectives
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.
Methods
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.
Results
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.
Conclusions
The international Braxon Audit Group multicentre data collection represents a milestone in the field of breast reconstruction, extensively improving the knowledge on this procedure.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>32786089</pmid><doi>10.1002/jso.26073</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-0141-9586</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-4790 |
| ispartof | Journal of surgical oncology, 2020-10, Vol.122 (5), p.848-860 |
| issn | 0022-4790 1096-9098 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7540676 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | acellular dermal matrix braxon Breast Implants Breast Neoplasms - epidemiology Breast Neoplasms - surgery breast reconstruction Breasts Data Collection Female Humans Italy - epidemiology Mammaplasty - adverse effects Mammaplasty - methods Mammaplasty - statistics & numerical data Mastectomy Mastectomy - adverse effects Mastectomy - methods Mastectomy - statistics & numerical data Middle Aged Pectoralis Muscles - surgery prepectoral radiotherapy Reconstructive surgery Retrospective Studies Skin & tissue grafts Spain - epidemiology United Kingdom - epidemiology |
| title | The largest multicentre data collection on prepectoral breast reconstruction: The iBAG study |
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