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Aesthetic Plastic Surgery
Erschienen in: Aesthetic Plastic Surgery 6/2020

21.07.2020 | Review

Breast Implants for Mammaplasty: An Umbrella Review of Meta-analyses of Multiple Complications

verfasst von: Siwei Bi, Ruiqi Liu, Beiyi Wu, Yinzhi Shen, Kaiyu Jia, Kaibo Sun, Jun Gu

Erschienen in: Aesthetic Plastic Surgery | Ausgabe 6/2020

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Abstract

Background

The association of breast implants and complications after mammaplasty has been extensively researched. The aim of this study is to summarize all available results in meta-analysis investigating the association between implants and the incidence of various complications.

Methods

An umbrella review for breast implants and associated complications was performed by searching related reviews from electronic databases including Pubmed, Ovid and CINAHL. We collected and reviewed evidence across meta-analyses of observational and interventional studies of implants and any health outcome. The quality of the reviews was assessed using the AMSTAR tool (A measurement tool to assess systematic reviews).

Results

The research included 92 meta-analyses of 609 studies concerning various areas. Capsular contracture was the most investigated outcome. Radiotherapy, human acellular dermal matrix application, direct-to-implant reconstruction, smooth implant, silicone-filled implant and periareolar incision were significantly associated with higher rates of some of the complications.

Conclusions

This umbrella review provides surgeons with summarized evidence of the association between the complications and implant-related factors in mammaplasty surgery to help surgeons make informed choices in the future.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.​springer.​com/​00266.
Literatur
1.
Albornoz CR, Bach PB, Mehrara BJ, Disa JJ, Pusic AL, McCarthy CM, Cordeiro PG, Matros E (2013) A paradigm shift in U.S. Breast reconstruction: increasing implant rates. Plast Reconstr Surg 131:15–23PubMed
2.
Heidekrueger PI, Sinno S, Hidalgo DA, Colombo M, Broer PN (2018) Current trends in breast augmentation: an international analysis. Aesthet Surg J 38:133–148PubMed
3.
Kaoutzanis C, Winocour J, Unger J, Gabriel A, Maxwell GP (2019) The evolution of breast implants. Semin Plast Surg 33:217–223PubMedPubMedCentral
4.
Frey JD, Salibian AA, Karp NS, Choi M (2019) Implant-based breast reconstruction: hot topics, controversies, and new directions. Plast Reconstr Surg 143:404e–416ePubMed
5.
Dauplat J, Kwiatkowski F, Rouanet P, Delay E, Clough K, Verhaeghe JL, Raoust I, Houvenaeghel G, Lemasurier P, Thivat E, Pomel C (2017) Quality of life after mastectomy with or without immediate breast reconstruction. Br J Surg 104:1197–1206PubMed
6.
Xu F, Sun H, Zhang C, Jiang H, Guan S, Wang X, Wen B, Li J, Li X, Geng C, Yin J (2018) Comparison of surgical complication between immediate implant and autologous breast reconstruction after mastectomy: a multicenter study of 426 cases. J Surg Oncol 118:953–958PubMed
7.
Coroneos CJ, Selber JC, Offodile AC 2nd, Butler CE, Clemens MW (2019) US FDA breast implant postapproval studies: long-term outcomes in 99,993 patients. Ann Surg 269:30–36PubMed
8.
Panayi AC, Agha RA, Sieber BA, Orgill DP (2018) Impact of obesity on outcomes in breast reconstruction: a systematic review and meta-analysis. J Reconstr Microsurg 34:363–375PubMed
9.
Aromataris E, Fernandez R, Godfrey CM, Holly C, Khalil H, Tungpunkom P (2015) Summarizing systematic reviews: methodological development, conduct and reporting of an umbrella review approach. Int J Evid Based Healthc 13:132–140PubMed
10.
Shea BJ, Reeves BC, Wells G, Thuku M, Hamel C, Moran J, Moher D, Tugwell P, Welch V, Kristjansson E, Henry DA (2017) AMSTAR 2: a critical appraisal tool for systematic reviews that include randomised or non-randomised studies of healthcare interventions, or both. BMJ 358:j4008PubMedPubMedCentral
11.
Lee KT, Mun GH (2017) A meta-analysis of studies comparing outcomes of diverse acellular dermal matrices for implant-based breast reconstruction. Ann Plast Surg 79:115–123PubMed
12.
Lee KT, Mun GH (2016) Updated evidence of acellular dermal matrix use for implant-based breast reconstruction: a meta-analysis. Ann Surg Oncol 23:600–610PubMed
13.
Lee K-T, Mun G-H (2015) Prosthetic breast reconstruction in previously irradiated breasts: a meta-analysis. J Surg Oncol 112:468–475PubMed
14.
Pu Y, Mao TC, Zhang YM, Wang SL, Fan DL (2018) The role of postmastectomy radiation therapy in patients with immediate prosthetic breast reconstruction: a meta-analysis. Medicine 97:e9548PubMedPubMedCentral
15.
Lee KT, Mun GH (2017) Optimal sequencing of postmastectomy radiotherapy and two stages of prosthetic reconstruction: a meta-analysis. Ann Surg Oncol 24:1262–1268PubMed
16.
Liu X, Zhou L, Pan F, Gao Y, Yuan X, Fan D (2015) Comparison of the postoperative incidence rate of capsular contracture among different breast implants: a cumulative meta-analysis. PLoS ONE 10:e0116071PubMedPubMedCentral
17.
Wong C-H, Samuel M, Tan B-K, Song C (2006) Capsular contracture in subglandular breast augmentation with textured versus smooth breast implants: a systematic review. Plast Reconstr Surg 118:1224–1236PubMed
18.
Li S, Chen L, Liu W, Mu D, Luan J (2018) Capsular contracture rate after breast augmentation with periareolar versus other two (inframammary and transaxillary) incisions: a meta-analysis. [Review]. Aesthet Plast Surg 42:32–37
19.
Lynch JM, Sebai ME, Rodriguez-Unda NA, Seal S, Rosson GD, Manahan MA (2018) Breast pocket irrigation with antibiotic solution at implant insertion: a systematic review and meta-analysis. Aesthet Plast Surg 42:1179–1186
20.
Drinane JJ, Chowdhry T, Pham TH, Ritter E (2017) Examining the role of antimicrobial irrigation and capsular contracture: a systematic review and meta-analysis. Ann Plast Surg 79:107–114PubMed
21.
Berbers J, van Baardwijk A, Houben R, Heuts E, Smidt M, Keymeulen K, Bessems M, Tuinder S, Boersma LJ (2014) ‘Reconstruction: before or after postmastectomy radiotherapy?’ A systematic review of the literature. Eur J Cancer (Oxford, England: 1990) 50:2752–2762
22.
Tsoi B, Ziolkowski NI, Thoma A, Campbell K, O’Reilly D, Goeree R (2014) Safety of tissue expander/implant versus autologous abdominal tissue breast reconstruction in postmastectomy breast cancer patients: a systematic review and meta-analysis. Plast Reconstr Surg 133:234–249PubMed
23.
Lee KT, Mun GH (2016) Comparison of one-stage vs two-stage prosthesis-based breast reconstruction: a systematic review and meta-analysis. Am J Surg 212:336–344PubMed
24.
Basta MN, Gerety PA, Serletti JM, Kovach SJ, Fischer JP (2015) A systematic review and head-to-head meta-analysis of outcomes following direct-to-implant versus conventional two-stage implant reconstruction. Plast Reconstr Surg 136:1135–1144PubMed
25.
Smith JM, Broyles JM, Guo Y, Tuffaha SH, Mathes D, Sacks JM (2018) Human acellular dermis increases surgical site infection and overall complication profile when compared with submuscular breast reconstruction: an updated meta-analysis incorporating new products(*). J Plast Reconstru Aesthet Surg: JPRAS 71:1547–1556
26.
Ho G, Nguyen TJ, Shahabi A, Hwang BH, Chan LS, Wong AK (2012) A systematic review and meta-analysis of complications associated with acellular dermal matrix-assisted breast reconstruction [Review]. Ann Plast Surg 68:346–356PubMed
27.
Hallberg H, Rafnsdottir S, Selvaggi G, Strandell A, Samuelsson O, Stadig I, Svanberg T, Hansson E, Lewin R (2018) Benefits and risks with acellular dermal matrix (ADM) and mesh support in immediate breast reconstruction: a systematic review and meta-analysis. J Plast Surg Hand Surg 52:130–147PubMed
28.
Wu LH, Zhang MX, Chen CY, Fang QQ, Wang XF, Tan WQ (2018) Breast reconstruction with alloderm ready to use: a meta-analysis of nine observational cohorts. Breast (Edinburgh, Scotland) 39:89–96
29.
Li S, Mu D, Liu C, Xin M, Fu S, Xu B, Li Z, Qi J, Luan J (2019) Complications following subpectoral versus prepectoral breast augmentation: a meta-analysis. Aesthet Plast Surg 43:890–898
30.
Cifuentes I, Dagnino B, Rada GJM (2017) Do textured breast implants decrease the rate of capsular contracture compared to smooth implants? Medwave 17:e7020PubMed
31.
Ramos-Gallardo G, Cuenca-Pardo J, Rodríguez-Olivares E, Iribarren-Moreno R, Contreras-Bulnes L, Vallarta-Rodríguez A, Kalixto-Sanchez M, Hernández C, Ceja-Martinez R, Torres-Rivero CJ (2017) Breast implant and anaplastic large cell lymphoma meta-analysis. J Invest Surg 30:56–65PubMed
32.
Thompson PA, Prince HM (2013) Breast implant-associated anaplastic large cell lymphoma: a systematic review of the literature and mini-meta analysis. Curr Hematol Malig Rep 8:196–210PubMed
33.
Keech JA Jr (1997) Anaplastic T-cell lymphoma in proximity to a saline-filled breast implant. Plast Reconstr Surg 100:554–555PubMed
34.
Leberfinger AN, Behar BJ, Williams NC, Rakszawski KL, Potochny JD, Mackay DR, Ravnic DJ (2017) Breast implant-associated anaplastic large cell lymphoma: a systematic review. JAMA Surg 152:1161–1168PubMed
35.
Loch-Wilkinson A, Beath KJ, Magnusson MR, Cooter R, Shaw K, French J, Vickery K, Prince HM, Deva AKJAsj (2019) Breast implant-associated anaplastic large cell lymphoma in Australia: a longitudinal study of implant and other related risk factors. Aesthet Surg J 40:838–846
36.
Sheena Y, Smith S, Dua S, Morgan M, Ramakrishnan VJP, Surgery R (2019) Letter to the editor regarding “Current risk estimate of breast implant-associated anaplastic large cell lymphoma in textured implants”. Plast Reconstr Surg 145:446e
37.
Cardoso M, Wyld L, Rubio I, Leidenius M, Curigliano G, Cutuli B, Marotti L, Biganzoli L (2019) EUSOMA position regarding breast implant associated anaplastic large cell lymphoma (BIA-ALCL) and the use of textured implants. Breast 44:90–93PubMed
38.
Rieger UM, Mesina J, Kalbermatten DF, Haug M, Frey HP, Pico R, Frei R, Pierer G, Luscher NJ, Trampuz A (2013) Bacterial biofilms and capsular contracture in patients with breast implants. Br J Surg 100:768–774PubMed
39.
Stevens WG, Nahabedian MY, Calobrace MB, Harrington JL, Capizzi PJ, Cohen R, d’Incelli RC, Beckstrand M (2013) Risk factor analysis for capsular contracture: a 5-year Sientra study analysis using round, smooth, and textured implants for breast augmentation. Plast Reconstr Surg 132:1115–1123PubMed
40.
Headon H, Kasem A, Mokbel K (2015) Capsular contracture after breast augmentation: an update for clinical practice. Arch Plast Surg 42:532–543PubMedPubMedCentral
41.
Jeong TK, Han JW, Min KH (2018) Treatment of capsular contracture after breast augmentation with serial fat grafting and implantation. Arch Aesthet Plast Surg 24:68–71
42.
Panettiere P, Marchetti L, Accorsi D (2009) The serial free fat transfer in irradiated prosthetic breast reconstructions. Aesthet Plast Surg 33:695–700
43.
Roca GB, Graf R, da Silva FR, Salles G Jr, Francisco JC, Noronha L, Maluf I Jr (2014) Autologous fat grafting for treatment of breast implant capsular contracture: a study in pigs. Aesthet Surg J 34:769–775PubMed
44.
Moyer HR, Pinell-White X, Losken A (2014) The effect of radiation on acellular dermal matrix and capsule formation in breast reconstruction: clinical outcomes and histologic analysis. Plast Reconstr Surg 133:214–221PubMed
45.
Song J, Zhang X, Liu Q, Peng J, Liang X, Shen Y, Liu H, Li H (2014) Impact of neoadjuvant chemotherapy on immediate breast reconstruction: a meta-analysis. PLoS ONE 9:e98225PubMedPubMedCentral
46.
Colwell AS, Taylor EM (2020) Recent advances in implant-based breast reconstruction. Plast Reconstr Surg 145:421e–432ePubMed
47.
Urban C, Rietjens M, Veronesi U, Petit JY (2013) Oncoplastic and reconstructive breast surgery. Springer, Milano, pp 253–258
48.
Ibrahim AM, Koolen PG, Ganor O, Markarian MK, Tobias AM, Lee BT, Lin SJ, Mureau MA (2015) Does acellular dermal matrix really improve aesthetic outcome in tissue expander/implant-based breast reconstruction? Aesthet Plast Surg 39:359–368
49.
Gabriel A, Maxwell GP (2018) AlloDerm RTU integration and clinical outcomes when used for reconstructive breast surgery. Plast Reconstr Surg Glob Open 6:e1744PubMedPubMedCentral
50.
Burns PB, Rohrich RJ, Chung KC (2011) The levels of evidence and their role in evidence-based medicine. Plast Reconstr Surg 128:305PubMedPubMedCentral
51.
McKenzie JE, Beller EM, Forbes AB (2016) Introduction to systematic reviews and meta-analysis. Respirology 21:626–637PubMed
Metadaten
Titel
Breast Implants for Mammaplasty: An Umbrella Review of Meta-analyses of Multiple Complications
verfasst von
Siwei Bi
Ruiqi Liu
Beiyi Wu
Yinzhi Shen
Kaiyu Jia
Kaibo Sun
Jun Gu
Publikationsdatum
21.07.2020
Verlag
Springer US
Erschienen in
Aesthetic Plastic Surgery / Ausgabe 6/2020
Print ISSN: 0364-216X
Elektronische ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-020-01866-0

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