Evidence map›Paper›PMID 39533342›Full record

ArticleWorld journal of surgical oncology2024

Single stage direct -to- implant breast reconstruction following mastectomy (The use of Ultrapro® Mesh).

Maher H Ibraheem, Omnia Mohammed Mohammed Essawy, Inas Moaz, Zakaria Saeed Mohammed Osman, Yomna Sherif Omara, Amr Farouk, Ahmed Amin, Yasmine Hany Abdel Moamen Elzohery, Mohammed Gamal Ahmed Awad

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Article in World journal of surgical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Hot Topics in Implant-Based Breast Reconstruction.Journal of clinical medicine · 2025
    Review
  4. Article
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Maher H IbraheemDepartment of Surgical Oncology, National Cancer Institute, Cairo University, Giza, Egypt. dr.maherhasan@nci.cu.edu.eg.
Omnia Mohammed Mohammed EssawyDepartment of Oncoplastic Breast Surgery, Dar Al-Salam (Harmel) Cancer Hospital, Cairo, Egypt.
Inas MoazEpidemiology and Preventive Medicine Department, National Liver Institute, Menoufia, Egypt.
Zakaria Saeed Mohammed OsmanBaheya Center for Early Detection and Treatment of Breast Cancer, Giza, Egypt.
Yomna Sherif OmaraBaheya Center for Early Detection and Treatment of Breast Cancer, Giza, Egypt.
Amr FaroukBaheya Center for Early Detection and Treatment of Breast Cancer, Giza, Egypt.
Ahmed AminBaheya Center for Early Detection and Treatment of Breast Cancer, Giza, Egypt.
Yasmine Hany Abdel Moamen ElzoheryDepartment of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt. Yasminehany@med.asu.edu.eg.
Mohammed Gamal Ahmed AwadDepartment of Surgical Oncology, National Cancer Institute, Cairo University, Giza, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmediate breast reconstruction (IBR) with direct to implant (DTI) is the preferred method of reconstruction by many surgeons and patients, however, acellular dermal matrix (ADM) and other synthetic meshes are expensive especially in low- and middle-income countries. AIM OF THE WORK: To evaluate the technique, indications, aesthetic outcomes, and short and long-term complications of DTI breast reconstruction performed with Ultrapro®, a low-cost alternative mesh to ADM and other synthetic meshes.

methodsOur study is a prospective cohort study that was conducted on 133 patients who experienced IBR following nipple-sparing mastectomy (NSM) or skin sparing mastectomy (SSM) using silicone implants and Ultrapro® mesh between December 2020 and December 2023. Techniques used were either sub-pectoral or pre-pectoral, evaluating aesthetic outcome, complication rate and patient satisfaction using breast Q questionnaire.

resultsWe included 133 patients (141 breasts) with a median age of 39 years. Mean duration of follow up: 20.364 ± 5.39 months. The sub-pectoral and the pre pectoral techniques were used for 80 breasts and 61 breasts respectively. We used the Ultrapro® mesh in all our patients. Smooth round silicone implants were used. The overall Major complications rate was 16.3%. 8 implants (5.7%) were lost within 6 months post-operatively while 2 implants were removed in the late post-operative period (after 6 months) one due to rupture and the other due to local recurrence. Capsular contracture Baker 3 and 4 was observed in 36 breasts (25%), 31 of them had post mastectomy radiotherapy treatment. 11 (7.8%) were managed by capsulotomies and re-insertion of the same implant. Radiotherapy was a significant risk factors for major complications and capsular contracture with p value of (0.01) and (0.0001) respectively.

conclusionDTI in properly selected patients offers excellent outcomes and patient satisfaction. The complication rate is low and improves with the experience of the surgeon. The Ultrapro® mesh is a safe, low-cost alternative to ADM or other synthetic meshes especially in low socioeconomic countries. Radiotherapy is a significant risk factor for major complications and capsular contractures.

Indexed as

Breast ImplantsBreast NeoplasmsMastectomyPatient SatisfactionSurgical MeshAdultBreast ImplantationFemaleFollow-Up StudiesHumansMammaplastyMiddle AgedPostoperative ComplicationsPrognosisProspective StudiesBreast reconstructionDirect-to-implantUltrapro® mesh

Identifiers

PMID39533342
PMCPMC11559146

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.