Additive manufacturing and tissue engineering to improve outcomes in breast reconstructive surgery

Many women with early breast cancer undergo mastectomy as a consequence of an unfavorable tumor/breast ratio or because they prefer this option to breast conservation. As reported, breast reconstruction offers significant psychological advantages. Several techniques are currently available for the breast oncoplastic surgeon and offer interesting results in terms of aesthetic and patient-reported outcomes, using both breast implants and autologous tissues. On the other hand, advanced methodologies and technologies, such as reverse engineering and additive manufacturing, allow the development of customized porous scaffolds with tailored architectures, biological, mechanical and mass transport properties. Accordingly, the current research dealt with challenges, design methods and principles to develop 3D additively manufactured structures in breast reconstructive surgery.

[1]  F. Pappalardo,et al.  Formal analysis of the surgical pathway and development of a new software tool to assist surgeons in the decision making in primary breast surgery. , 2016, Breast.

[2]  Leopoldo Angrisani,et al.  On the measurement uncertainties of THz imaging systems based on compressive sampling , 2018 .

[3]  E. Wilkins,et al.  Long-term Patient-Reported Outcomes in Postmastectomy Breast Reconstruction , 2018, JAMA surgery.

[4]  Francesco Fabbrocino,et al.  An Embedded Wireless Sensor Network with Wireless Power Transmission Capability for the Structural Health Monitoring of Reinforced Concrete Structures , 2017, Sensors.

[5]  L. Ambrosio,et al.  3d Fiber Deposition Technique to Make Multifunctional and Tailor-Made Scaffolds for Tissue Engineering Applications , 2009 .

[6]  A. Filiberti,et al.  Immediate versus delayed breast reconstruction A psychological answer , 1990, European journal of plastic surgery.

[7]  L. Ambrosio,et al.  Systematic Analysis of Injectable Materials and 3D Rapid Prototyped Magnetic Scaffolds: From CNS Applications to Soft and Hard Tissue Repair/Regeneration , 2013 .

[8]  C. Cooney,et al.  MBN 2016 Aesthetic Breast Meeting BIA-ALCL Consensus Conference Report. , 2018, Plastic and reconstructive surgery.

[9]  M. Catauro,et al.  Further Theoretical Insight into the Mechanical Properties of Polycaprolactone Loaded with Organic–Inorganic Hybrid Fillers , 2018, Materials.

[10]  Christopher Lawrence,et al.  Surgery , 1899, The Lancet.

[11]  E. Wilkins,et al.  Comparison of 2-Year Complication Rates Among Common Techniques for Postmastectomy Breast Reconstruction , 2018, JAMA surgery.

[12]  E. González,et al.  Direct to Implant Reconstruction in Nipple Sparing Mastectomy: Patient Selection by Preoperative Digital Mammogram , 2017, Plastic and reconstructive surgery. Global open.

[13]  Domenico Accardo,et al.  MEMS gyros temperature calibration through artificial neural networks , 2018, Sensors and Actuators A: Physical.

[14]  L. Moja,et al.  Different types of implants for reconstructive breast surgery. , 2016, The Cochrane database of systematic reviews.

[15]  G. Catanuto,et al.  Radiotherapy and breast reconstruction. , 2018, Minerva chirurgica.

[16]  Pan Zhang,et al.  Comparison of immediate breast reconstruction after mastectomy and mastectomy alone for breast cancer: A meta-analysis. , 2017, European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology.

[17]  G. Catanuto,et al.  Conservative mastectomies: an overview. , 2015, Gland surgery.

[18]  H. Wilke,et al.  In vitro and in silico investigations of disc nucleus replacement , 2012, Journal of The Royal Society Interface.

[19]  G. Catanuto,et al.  Surgical decision making in conservative mastectomies. , 2016, Gland surgery.

[20]  Gianfranco Miele,et al.  Harmonic and interharmonic measurements through a compressed sampling approach , 2016 .

[21]  J. Ciurana,et al.  Three-dimensional printed bone scaffolds: The role of nano/micro-hydroxyapatite particles on the adhesion and differentiation of human mesenchymal stem cells , 2017, Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine.

[22]  S. Kroll Immediate versus Delayed Breast Reconstruction: A Critical Comparison , 1998 .

[23]  Massimo Martorelli,et al.  A new method to assess the accuracy of a Cone Beam Computed Tomography scanner by using a non-contact reverse engineering technique. , 2014, Journal of dentistry.

[24]  Massimo Martorelli,et al.  Mechanical and Thermal Properties of Dental Composites Cured with CAD/CAM Assisted Solid-State Laser , 2018, Materials.

[25]  G. Catanuto,et al.  How to optimize aesthetic outcomes in implant-based breast reconstruction , 2017, Archives of Plastic Surgery.

[26]  R. Miranda,et al.  Understanding rare adverse sequelae of breast implants: anaplastic large-cell lymphoma, late seromas, and double capsules. , 2017, Gland surgery.

[27]  P. Ausiello,et al.  Mechanical behavior of bulk direct composite versus block composite and lithium disilicate indirect Class II restorations by CAD-FEM modeling. , 2017, Dental materials : official publication of the Academy of Dental Materials.

[28]  G. Catanuto,et al.  What is the evidence behind conservative mastectomies? , 2015, Gland surgery.

[29]  P. Ausiello,et al.  Reliability of computer designed surgical guides in six implant rehabilitations with two years follow-up. , 2012, Dental materials : official publication of the Academy of Dental Materials.

[30]  V. Roca,et al.  Radon Exposure Assessment for Sewerage System’s Workers in Naples, South Italy , 2013 .

[31]  W. Han,et al.  Oncologic Safety of Immediate Breast Reconstruction for Invasive Breast Cancer Patients: A Matched Case Control Study , 2016, Journal of breast cancer.

[32]  O. Thamm,et al.  Immediate Versus Delayed Breast Reconstruction: Evolving Concepts and Evidence Base. , 2018, Clinics in plastic surgery.