Plastic and Reconstructive Surgery, Global Open (Oct 2021)

Assessing Postsurgical Outcomes with Prepectoral Breast Reconstruction: A Literature Review and Meta-analysis Update

  • Abhishek Chatterjee, MD, MBA,
  • Maurice Y. Nahabedian, MD,
  • Allen Gabriel, MD,
  • Michael Sporck, PharmD-MB,
  • Mousam Parekh, MS,
  • David Macarios, MS, MBA,
  • Jason Hammer, MD, DDS,
  • Steven Sigalove, MD

DOI
https://doi.org/10.1097/GOX.0000000000003825
Journal volume & issue
Vol. 9, no. 10
p. e3825

Abstract

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Background:. Prepectoral implant-based breast reconstruction is an alternative to subpectoral/dual-plane reconstruction. Methods:. This study examined outcomes of prepectoral reconstruction using a meta-analysis of data pooled with data from our previous review. Thirty studies were included. Results:. Explantation, seroma, and infection were the most common complications with no animation deformity reported. Significantly lower odds of infection were observed with prepectoral compared with dual-plane reconstruction. Conclusions:. Current literature suggests that prepectoral reconstruction may be associated with lower rates of postsurgical infections.