Oxidized Regenerated Cellulose with post breast surgery reconstruction

1. Fibrillar & Breast Sx
Kusuma Chinaroonchai, M.D.
4 Dec 2013

3. Introduction
BCS is improved QoL of early stage of CA
breast.
OPP (Oncologic procedure) is the best to
optimise oncologic safety and cosmetic
outcomes.

4. Patients & Methods
1004 patients undergoing OPP for breast
cancer
Feb 2007 to Apr 2012

10. Results
Improved cosmetic results
more breast symmetry and contour
ORC determines post op seroma >> need
repeated aspiration

11. Results
2 cases found allergic reaction
6 Mths post op USG breast found small round
hyperechoic components with free fluid anechoic
accumulation perechoic, non-mobile, avascular,
and adherent (Hyperechoic, non mobile,
avascular and adherent to the parenchymal tissue
planes).

12. Discussion
Fibrillar@: Oxidized
regenerated cellulose
(ORC)
Local hemostatic properties
Invitro bactericidal
properties.

13. Discussion
Previous used to wrap mold cartilage graft in primary
rhinoplasty
Action of ORC for breast reconstruction
Filler in volume defect
Ripatative action for healing : modulate MMP, absorb
free O2 radical and stabilise growth factor
Induce fibrogenesis : permanent filler

17. Thank You
for
Your attention
Your attention
Your attention