Prepectoral Dual-Port Tissue Expander Placement: Can This Eliminate Suction Drain Use?

Annals of Plastic Surgery
Philipp FranckDavid Mark Otterburn

Abstract

The most common method of performing breast reconstruction after a mastectomy is using tissue expanders. Significant drainage that can lead to seromas and possible infection is a common sequela after mastectomies, and therefore, closed suction drains are routinely placed during the initial surgery (Vardanian et al. Plast Reconstr Surg. 2011;128:403-410). Drains, however, are associated with increased pain and discomfort for the patient and have been attributed to an increased infection rate by some authors (Degnim et al. Ann Surg. 2013;258:240-247; Saratzis et al. Clin Breast Cancer. 2009;9:243-246). We report on our experience using a dual-chamber tissue expander placed in the prepectoral space without acellular dermal matrix or other supportive material, which allows for drainage of periprosthetic fluid and avoids drain placement. A retrospective, single-institution review of patients' records was performed for all patients who underwent prepectoral tissue expander placement between January 2018 and June 2019. Patients who had drains placed or who underwent autologous reconstruction in combination with expander placement were excluded. Thirty-nine patients were selected, with a total of 66 expander placements. Demographics in...Continue Reading

References

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Mar 30, 2018·Plastic and Reconstructive Surgery·Kamakshi R ZeidlerTroy A Pittman

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Citations

Aug 10, 2021·Plastic and Reconstructive Surgery. Global Open·Nisha ParmeshwarEsther A Kim

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