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P177 Prepectoral versus subpectoral implant-based breast reconstruction: A systemic review and meta-analysis by E. Ostapenko; L. Nixdorf; Y. Devyatko; R. Exner; K. Wimmer; F. Fitzal is a Medicine article available to read on EtoBox.

What is P177 Prepectoral versus subpectoral implant-based breast reconstruction: A systemic review and meta-analysis about?

Implant-based breast reconstruction (IBBR) remains the standard and most popular option for women undergoing breast reconstruction after mastectomy worldwide. Recently, prepectoral IBBR has resurged in popularity, despite limited data comparing prepectoral with subpectoral IBBR. Methods: A systematic search of PubMed and Cochrane Library from January 1, 2011, to December 31, 2021, was performed following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) reporting guidelines, data were extracted by independent reviewers. Studies that compared prepectoral with subpectoral IBBR for breast cancer were included. Results: Overall, 15 studies with 3101 patients were included in this meta-analysis. Our results showed that patients receiving prepectoral IBBR experienced fewer capsular contractures (odds ratio [OR], 0.54; 95% CI, 0.32-0.92; P = .02), animation deformity (OR, 0.02; 95% CI, 0.00-0.25; P = .002), and prosthesis failure (OR, 0.58; 95% CI, 0.42-0.80; P = .001). There was no significant difference between prepectoral and subpectoral IBBR in overall complications (OR, 0.83; 95% CI, 0.64-1.09; P = .19), seroma (OR, 1.21; 95% CI, 0.59-2.51; P = .60), hem

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Author

E. Ostapenko; L. Nixdorf; Y. Devyatko; R. Exner; K. Wimmer; F. Fitzal

Publisher

Elsevier BV

Published

2023

Language

EN

Field

Medicine (Health Sciences)