AI Article Synopsis
- Fat grafting is a safe procedure for correcting soft-tissue defects after breast-cancer reconstruction, based on a study of 158 patients who underwent 194 procedures.
- Immediate complications were rare, occurring in only 3.6% of cases, and postoperative mammogram alterations were minimal, indicating low risk.
- The technique may reduce the need for more invasive surgeries, but questions remain about fat absorption and the risk of stimulating dormant tumor cells.
Article Abstract
Background: Fat grafting is largely used to correct soft-tissue defects in any region of the human body. This study analysed its safety when the technique is used to correct defects after breast-cancer reconstruction.
Methods: A total of 158 patients who underwent 194 breast fat grafting procedures were analysed. Almost all patients (98%) had a personal history of breast cancer: conservative surgery or mastectomy with breast reconstruction. In all cases, fat grafting was performed according to the Coleman's technique by a single surgeon.
Results: Immediate complications included liponecrosis and infection in seven cases (3.6%) that required only daily dressings and oral antibiotics administration. In cases of fat grafting after conservative surgery, only four patients (5.9%) showed minor alterations in the postoperative mammograms, consisting of the appearance of benign images.
Conclusion: Breast fat grafting can be a good solution to repair defects after breast-cancer treatment and reconstruction, and can reduce the indication for more extensive surgeries such as myocutaneous flaps. Postoperative complication rates are very low and there is little alteration in follow-up mammograms. Two points remain unclear--how much of the fat is absorbed after grafting and the potential risk of local 'dormant' tumour cells being stimulated to induce a local recurrence.
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| http://dx.doi.org/10.1016/j.bjps.2010.06.024 | DOI Listing |
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