Bioprosthetics: Changing the landscape for breast reconstruction?

摘要

Approximately 20% of the 17 000 women undergoing mastectomy annually in the UK proceed with immediate breast reconstruction.1 The commonest type of reconstruction is the two stage Tissue Expander/Implant based operation (37%) followed by use of pedicled myocutaneous flaps either autologous (27%) or with implant (22%).J Difficulties with implant based reconstructions such as capsular contraction or malposition are well documented. Pedicled myocutaneous flaps are popular and versatile' techniques for breast reconstruction but patients can suffer functional deficits and donor site morbidity.