Pier Luigi Santi
University of Genova, Italy
Title: Breast reconstruction using scaffold synthetic or biological
Biography
Biography: Pier Luigi Santi
Abstract
Immediate breast reconstruction has become a standard of care following mastectomy for cancer.Breast surgery affects the daily and the social life of a woman as well as her job and her relationships. Implant reconstruction (expander or prosthesis) permits a rapid recovery, fewer days of hospitalization, less morbidity' and it suit the most part of patients.The positionament of a mammary prosthesis or expander, after the mastectomy, is generally associated to the use of biological or synthetic scaffold to enhance lateral breast shape and provide total coverage of the prosthesis.After trying some differentmaterials we have activated a case-control study using data collected from January 1,2012 to December 31 2013 by enrolling 206 immediate breast reconstructions performed in 196 patients using a polyester mesh. No significant differences between two groups occurred for early postoperative complications, major complications that required surgical revision, volume or width of the prosthesis. The use of the scaffold from an aesthetic point of view has greatly improved breast shape especially in the lateral side. We are currently trying anacellular tissue matrixsupport from bio bank used as foil or mesh to check the speed of integration with the subcutaneous tissue in the lateral portion of the reconstructed breast.