Capsular contracture in breast reconstruction: A systematic review and meta-analysis

Registro completo de metadados
MetadadosDescriçãoIdioma
Autor(es): dc.contributorAddenbrooke's Hospital-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorRUSH Medical College-
Autor(es): dc.contributorAnschutz Medical Center-
Autor(es): dc.contributorUniversity of Colorado Anschutz Medical Campus-
Autor(es): dc.creatorChristodoulou, Neophytos-
Autor(es): dc.creatorSecanho, Murilo-
Autor(es): dc.creatorKokosis, George-
Autor(es): dc.creatorMalgor, Rafael D.-
Autor(es): dc.creatorWinocour, Julian-
Autor(es): dc.creatorYu, Jason W.-
Autor(es): dc.creatorMathes, David W.-
Autor(es): dc.creatorKaoutzanis, Christodoulos-
Data de aceite: dc.date.accessioned2025-08-21T16:51:26Z-
Data de disponibilização: dc.date.available2025-08-21T16:51:26Z-
Data de envio: dc.date.issued2025-04-29-
Data de envio: dc.date.issued2024-10-31-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1016/j.bjps.2024.08.057-
Fonte completa do material: dc.identifierhttps://hdl.handle.net/11449/308812-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/308812-
Descrição: dc.descriptionBackground: Capsular contracture after implant-based breast reconstruction is not an uncommon problem and affects reconstruction outcomes. It can be influenced by various factors, such as the plane of implant placement, implant surface and implant type. This systematic review and meta-analysis aimed to evaluate how the abovementioned risk factors can affect capsular contracture rates. Methods: A systematic review and meta-analysis was performed. PubMed MEDLINE, EMBASE (OvidSP) and Cochrane Library were searched. Comparison groups included subpectoral versus prepectoral implant placement, smooth versus textured implants and saline versus silicone implants. Odds ratios (ORs) were calculated for capsular contracture for each group. The level of evidence was evaluated using the Oxford Centre for Evidence-Based Medicine. Results: Twenty-three studies met the inclusion criteria. Sixteen studies compared subpectoral versus prepectoral implant placement, with no statistically significant differences in capsular contracture rates [OR, 1.21; 95% confidence interval (95% CI), 0.75–1.95; P = 0.44]. Five studies compared smooth versus textured implants, with no statistically significant differences in capsular contracture rates (OR, 0.99; 95% CI, 0.50–1.93; P = 0.97). Two studies compared saline versus silicone implants for capsular contracture. Patients receiving saline implants had significantly lower capsular contracture rates than silicone implants (OR, 0.19; 95% CI, 0.08–0.43; P < 0.0001). Conclusions: Implant-based breast reconstruction using saline implants demonstrated reduced capsular contracture rates compared to silicone implants. However, no significant differences were observed in capsular contracture rates between subpectoral versus prepectoral implant placement and smooth versus textured implants.-
Descrição: dc.descriptionAddenbrooke's Hospital, Hills Road-
Descrição: dc.descriptionSão Paulo State University – UNESP-
Descrição: dc.descriptionDivision of Plastic and Reconstructive Surgery Department of Surgery RUSH Medical College-
Descrição: dc.descriptionDivision of Vascular Surgery and Endovascular Therapy University of Colorado Anschutz Medical Center-
Descrição: dc.descriptionDivision of Plastic and Reconstructive Surgery University of Colorado Anschutz Medical Campus-
Descrição: dc.descriptionSão Paulo State University – UNESP-
Formato: dc.format131-143-
Idioma: dc.languageen-
Relação: dc.relationJournal of Plastic, Reconstructive and Aesthetic Surgery-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectCapsular contracture-
Palavras-chave: dc.subjectImplant-based breast reconstruction-
Palavras-chave: dc.subjectSaline implants-
Palavras-chave: dc.subjectSilicone implants-
Palavras-chave: dc.subjectSmooth implants-
Palavras-chave: dc.subjectTextured implants-
Título: dc.titleCapsular contracture in breast reconstruction: A systematic review and meta-analysis-
Tipo de arquivo: dc.typevídeo-
Aparece nas coleções:Repositório Institucional - Unesp

Não existem arquivos associados a este item.