Study to Assess Perfusion and Patient Satisfaction in Nipple-Areola Mastectomy With Immediate Reconstruction
Status:
Completed
Trial end date:
2017-04-17
Target enrollment:
Participant gender:
Summary
The investigators hypothesize that nipple-areola skin sparing mastectomy (NASSM) performed
through an inframammary incision has a superior blood supply relative to a lateral oblique
incision. Moreover, by minimizing complications and optimizing aesthetic outcomes, the
investigators believe it will be associated with significantly higher patient reported
outcome scores. The addition of information gained by use of intraoperative laser-assisted
fluorescent angiography (measured with the Spy Elite imaging device) will reduce complication
rates by directing intraoperative resection of ischemic tissue and limiting the volume of
immediate implant placement in instances where real time imaging would suggest compromised
perfusion. These quantifiable, objective measures will justify the use of NASSM and immediate
implant placement coupled with intraoperative laser-assisted fluorescent angiography in
prosthetic based breast reconstruction despite longer operative times.