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'Reverse expansion': A new technique of breast reconstruction with autologous tissue

Fabiocchi, L
Semprini, G
Cattin, F
Dellachiesa, L
Fogacci, T
Samorani, D
Published in Journal of Plastic, Reconstructive & Aesthetic Surgery. 2017, vol. 70, no. 11, p. 1537-1542
Abstract The treatment for breast cancer is sometimes long and requires a multidisciplinary approach. In 2010, in our centre, we began to perform fat grafting for breast reconstruction using the so-called 'reverse expansion' technique. This consists of the insertion of a skin expander during mastectomy, in its expansion and then in its gradual deflation in the surgical theatre during fat grafting. We performed a complete breast reconstruction in 57 patients by reverse expansion. We harvested fat from the fat excess areas using a normal liposuction cannula. From each patient, an average of 640 ccs of was collected and then centrifuged in a 4000-rpm centrifuge for 3 min. The obtained adipocytes were then injected in the operated breast using a normal lipofilling cannula. We injected an average of 318.05 ccs of adipocytes for each patient each time. The average number of sessions per patient was 3.6. Reverse expansion can be a safe and effective technique for breast reconstruction in all the breast cancer patients.
Keywords Adipose Tissue/transplantationAdultBreast Neoplasms/surgeryFemaleFollow-Up StudiesHumansMammaplasty/methodsMastectomyMiddle AgedPatient SatisfactionRetrospective StudiesTime FactorsTissue Expansion/methodsTransplantationAutologous
PMID: 28779906
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Research group Troubles de mémoire et maladie d'Alzeimer (935)
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FABIOCCHI, L et al. 'Reverse expansion': A new technique of breast reconstruction with autologous tissue. In: Journal of Plastic, Reconstructive & Aesthetic Surgery, 2017, vol. 70, n° 11, p. 1537-1542. doi: 10.1016/j.bjps.2017.07.001 https://archive-ouverte.unige.ch/unige:111279

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Deposited on : 2018-11-21

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