Nipple or skin-sparing mastectomy flap: can preoperative breast-MRI predict post-operative complications? - Summary - MDSpire
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Can Preoperative Breast MRI Predict Complications After Nipple- or Skin-Sparing Mastectomy?

  • By

  • L. I. Sgaramella

  • A. Pasculli

  • F. P. Prete

  • F. Cofone

  • M. Moschetta

  • M. Maruccia

  • R. Elia

  • M. Telegrafo

  • V. De Ruvo

  • M. Bisceglie

  • M. M. Miccoli

  • F. Palma

  • C. Testini

  • G. Giudice

  • M. Testini

  • A. Gurrado

  • October 13, 2026

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Objective:

To assess whether preoperative MRI skin-flap thickness, using an 8-mm threshold, together with demographic characteristics could predict early postoperative complications after skin- or nipple-sparing mastectomy with implant-based reconstruction.

Approach:
  • Design and setting: Single-center retrospective observational cohort study using a prospective surgical database covering January 2019 through August 2025.
  • Participants: Women with breast cancer or BRCA1/2 mutations who had preoperative breast MRI and underwent skin- or nipple-sparing mastectomy with one- or two-stage implant reconstruction.
  • Comparison: Patients were grouped according to mean preoperative MRI skin-flap thickness below or above 8 mm.
Interpretation:

The supplied context describes the study rationale and methods but does not report results; it therefore does not establish whether MRI thickness predicts complications.

Limitations:
  • The provided article context ends during the surgical-technique description and contains no results or discussion.
  • The study is described as retrospective and single-center.

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