Innovations in post-cancer breast reconstruction: comparative analysis between autologous grafts and the use of implants
DOI:
https://doi.org/10.5281/zenodo.17626790Keywords:
breast reconstruction, autologous grafts, breast implantsAbstract
This study aims to analyze and compare innovations in post-cancer breast reconstruction using autologous grafts and implants, evaluating their efficacy, safety, and patient satisfaction. A systematic review of the literature was conducted in recognized scientific databases, selecting studies published between 2014 and 2024 that compared both techniques in terms of aesthetic and functional results and complications. The findings indicate that reconstruction with autologous grafts offers better long-term results, with a more natural appearance and a lower rate of reoperations, although it requires more complex and prolonged surgery. In contrast, implants have evolved through new materials and techniques, such as prepectoral reconstruction assisted by acellular dermal matrices, which has reduced complications such as capsular contracture and facilitated recovery. However, concerns remain about the long-term safety of implants, including possible systemic symptoms and the risk of local cancer recurrence. It is concluded that the choice between the two techniques should be individualized, considering clinical factors and patient preferences, with an emphasis on personalizing treatment to optimize functional and aesthetic outcomes.
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