Breast Lipomodelling Outcome Following Conservative Breast Cancer Surgery and Reconstructive Surgery in a District Hospital

Lipomodelling has recently become more popular for correcting flaws and asymmetry after oncologic breast cancer treatment [1]. The current evidence on the efficacy of breast reconstruction using lipomodelling following breast cancer treatment is insufficient, and there are no substantial safety issues [2].

For both safety and efficacy, we verified our outcome results against the NICE guidelines. All lipomodelling cases performed in Northumbria Healthcare NHS Foundation Trust between 04/2011 and 04/2013 were analysed retrospectively.

The trial involved 36 patients, with an average volume of fat injected of 113.91mls each session. The Cytori approach had the lowest rate of problems at 11%, compared to 44% and 45% for Coleman and body jet techniques, respectively.

The number of sessions for each patient, the length of hospital stay, and the amount of fat collected and injected in each patient all fulfilled the NICE guidelines criteria.

We didn’t meet the guidelines in the following areas: volume change; no definite tool was used other than clinical assessment; 80 percent of patients had very good and good aesthetic outcomes, compared to NICE’s 87 percent; and aesthetic outcome was absent in 8% of patients, compared to NICE’s 2.7 percent. In terms of safety, we met NICE standards in terms of local recurrence rates of 1%, local infection rates of 1%, pneumothorax, and fat embolism (0 percent ). However, we had a higher rate of liponecrosis (13 percent vs. 3%), as well as liponecrotic cysts (8.33 percent vs. 7%), using the Body jet approach.

Conclusion: Lipomodelling is a safe operation that can be performed at District general hospitals with comparable results after breast cancer surgery.

Author (S) Details

M. Metry
Breast Surgery Department Northumbria Healthcare NHS Trust, UK.

Shaaban
Breast Surgery Department Northumbria Healthcare NHS Trust, UK.

Edgar
Breast Surgery Department Northumbria Healthcare NHS Trust, UK.

Youssef
Breast Surgery Department Northumbria Healthcare NHS Trust, UK.

Mclean
Breast Surgery Department Northumbria Healthcare NHS Trust, UK.

Carr
Breast Surgery Department Northumbria Healthcare NHS Trust, UK.

Sierra
Breast Surgery Department Northumbria Healthcare NHS Trust, UK.

 

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