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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (02): 123-126. doi: 10.3877/cma.j.issn.1674-3946.2022.02.002

Special Issue:

• Commentaries • Previous Articles     Next Articles

Application status of matrices in implant-based breast reconstruction in China

Shan Guan1, Bing Zhang1, Kaitong Zhang1, Yu Wang1,(), Chaosen Yue1, Ran Cheng1   

  1. 1. Breast Center, Beijing TongRen Hospital, Capital Medical University, Beijing 100176, China
  • Received:2021-09-23 Online:2022-04-26 Published:2022-04-11
  • Contact: Yu Wang
  • Supported by:
    General project of science and technology plan of Beijing Municipal Education Commission(11620178); Special project for clinical medicine development of Beijing Hospital Administration(ZYLX201612)

Abstract:

Implant-based breast reconstruction(IBBR)can reduce or avoid donor site injury and scarring in autologous breast reconstruction. IBBR has become the most common approach in breast reconstruction after mastectomy in recent ten years. With the progress of materials science and the development of breast surgery,mesh-assisted techniques has been widely used in IBBR,for the patients who need to implant larger volume prostheses,artificial materials which combined with pectoral muscles can “extend” muscle tissue and cover the prostheses without tension,and remodeling the fuller sub mammary folds. Matrices have been more applied in China in recent years,further reducing the surgical trauma and increasing the aesthetic outcomes of breast reconstruction. The investigation on the application of matrices in IBBR in China showed that the regional economic conditions and the economic conditions of patients are the main factors for the choice of breast reconstruction and matrices application. In addition,due to the different morphological characteristics of Chinese women's breasts,which is smaller than European and American women,matrices are less used for breast reconstruction with small breasts. The application of matrices in IBBR in China is more individual and regional.

Key words: Breast neoplasms, Breast implantation, Acellular dermal matrix, Titanium-coated polypropylene mesh

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