Implant Delivery Technique for Prepectoral Reconstruction after Endoscopic-assisted Nipple-sparing Mastectomy

Ho Jik Yang; Geonil Ko; Joo-Hak Kim; Jinsun Lee; Sang-Ha Oh

doi:10.1097/GOX.0000000000003623

Implant Delivery Technique for Prepectoral Reconstruction after Endoscopic-assisted Nipple-sparing Mastectomy

Plast Reconstr Surg Glob Open. 2021 Jun 10;9(6):e3623. doi: 10.1097/GOX.0000000000003623. eCollection 2021 Jun.

Authors

Ho Jik Yang¹, Geonil Ko¹, Joo-Hak Kim¹, Jinsun Lee², Sang-Ha Oh³

Affiliations

¹ Department of Plastic and Reconstructive Surgery, Chungnam National University Hospital, Daejeon, South Korea.
² Department of General Surgery, College of Medicine, Daejeon, South Korea.
³ Department of Plastic and Reconstructive Surgery, College of Medicine, Daejeon, South Korea.

Abstract

Prepectoral breast reconstruction through a small axillary incision during endoscopic-assisted nipple-sparing mastectomy or robotic nipple-sparing mastectomy is difficult. Cases involving implants covered with an acellular dermal matrix (ADM) are particularly difficult. Therefore, a new delivery technique for ADM-covered implants is needed. The ADM pocket for complete coverage of the implant is made with double-crossed ADMs. The pocket end is open and sutured at the funnel entry. After insetting the ADM pocket at the mastectomy site through an axillary incision, the implant is delivered from a funnel to the ADM pocket by squeezing. Prepectoral breast reconstruction with the new delivery technique for implants covered with ADM pockets proved easy and safe. Our new implant delivery technique could be a good option for prepectoral breast reconstruction after minimal breast surgery.