Polyglactin Mesh in Immediate Prosthetic Breast Reconstruction: The Ensured Subpectoral Pocket (ESP)

The authors present the application of polyglactin mesh in immediate prosthetic breast reconstruction in an original fashion, mimicking the anatomy of the muscles usually employed in submuscular pocket creation. The proposed technique has been denominated Ensured Subpectoral Pocket and has proved to be a valid strategy in immediate single stage prosthetic breast reconstruction. It allows the setting of bigger implants without previous tissue expansion while preventing implant displacement. In addition, it reduces emotional trauma on patients and lowers surgical costs.