Ismagilov , A. K., Kamaletdinov, I. F., Dobrov , V. S., & Karasev , V. E. (2025). Evaluation of the Effectiveness of the Original Method in Preventing Implant Extrusion during Two-Stage Breast Reconstruction. Voprosy Onkologii, 71(3), OF–2284. https://doi.org/10.37469/0507-3758-2025-71-3-OF-2284

Abstract

Introduction. Diastasis of the edges of the postoperative wound, which occurs in up to 20 % of cases of two-stage breast reconstruction, is a serious complication that can lead to the need to remove the implant. Therefore, there is a demand in breast surgery for the development and implementation of surgical methods that allow for the prevention of this complication.

Aim. To improve the results of two-stage breast reconstruction using endoprostheses by using the Ismagilov A. Kh. method, which is aimed at preventing the development of diastasis of the edges of the postoperative wound.

Materials and Methods. Between 2022 and 2024, 92 patients underwent the second stage of breast reconstruction involving replacing the expander with an implant. This was performed to prevent diastasis of the wound edges using the original method developed by Ismagilov A. Kh., et al. This method involves using the anterior leaf of the endoprosthesis capsule. The effectiveness of this method was further evaluated.

Results. During the postoperative period, four patients (4.34 %) experienced scar failure, characterised by a divergence of the skin wound edges ranging from 0.5 to 1.5 cm in width. This finding is significantly lower compared to the literature (p < 0.05 %).

Conclusion. Using the developed method to strengthen the postoperative wound is an effective way to prevent diastasis and endoprosthesis extrusion.

https://doi.org/10.37469/0507-3758-2025-71-3-OF-2284

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