Breast reconstruction patterns from a Swedish nation-wide survey.

Objectives: The overall aim of the Swedish Breast Reconstruction Outcome Study was to investigate national long-term outcomes after mastectomy with or without breast reconstruction. The current report evaluates breast reconstruction (BR) patterns in Sweden over time.

Materials And Methods: This is a cross-sectional, registry-based study where all women operated with mastectomy 2000, 2005, 2010 were identified (N = 5853).

Implant Based Breast Reconstruction With Acellular Dermal Matrix: Safety Data From an Open-label, Multicenter, Randomized, Controlled Trial in the Setting of Breast Cancer Treatment.

Objective: To evaluate clinical outcomes of using acellular dermal matrix (ADM) with implant based breast reconstructions (IBBRs) in a randomized controlled trial.

Summary Background Data: The use of ADMs in IBBRs is widespread, but link between ADM and complications remain a controversial topic. In view of reports concerning harm, we present 6-months safety data of ADM-assisted IBBR in the setting of breast cancer treatment.

Radiotherapy in implant-based immediate breast reconstruction: risk factors, surgical outcomes, and patient-reported outcome measures in a large Swedish multicenter cohort.

The purpose of this large cohort study was to analyze the effects of prior and postoperative radiotherapy (RT) on surgical outcomes and patient-reported outcome measures (PROMs) in implant-based immediate breast reconstruction (IBR). All breast cancer patients (n = 725, of whom 29 had bilateral IBR) operated with implant-based IBR at four Stockholm hospitals from 2007 to 2011 were included. The median follow-up was 43 months.

A prospective randomized study comparing two different expander approaches in implant-based breast reconstruction: one stage versus two stages.

Background: Implant-based reconstruction is performed in the majority of women offered primary reconstruction for breast cancer.

Methods: Two different expander implants were compared prospectively. The primary endpoint was the number of operations needed in each group to obtain patient satisfaction.

Evaluation of volume and shape of breasts: comparison between traditional and three-dimensional techniques.

There have been many attempts to evaluate the shape, volume, and contour of breasts both before and after operation. To evaluate and compare results objectively in a reproducible, low-cost way is difficult. The aim of this study was to compare three-dimensional techniques with traditional methods in evaluating the volume and shape of breasts.

The latissimus dorsi flap--still a valuable tool in breast reconstruction: report of 32 cases.

Breast reconstruction with a pedicled latissimus dorsi flap (LDF), with or without implants, is an established method. At the Breast Cancer Unit, Huddinge University Hospital, 32 patients with soft tissue deficiencies of the chest such as damaged skin or lack of pectoral muscle after the initial operation, or complications of radiotherapy had breasts reconstructed with a pedicled LDF during the years 2002-2004. We made a retrospective assessment of the results of this procedure, which showed that the pedicled LDF, usually combined with an implant, still should be considered as an option to microsurgery as it is safe, with great satisfaction and few complications.

Early experience with the crescent expander in immediate and delayed breast reconstruction.

Traditional breast expanders have known drawbacks, such as undesirable fullness at the upper pole, inadequate expansion of the residual breast tissue, and poor ptosis of the reconstructed breast. Crescent-shaped expanders are thought to improve the result in that expansion is concentrated at the basal breast pole. The aim of this prospective pilot study was to evaluate our results with the crescent-shaped expander in immediate and delayed breast reconstructions.