Direct-to-Implant or Two-Stage: Reading a Meta-Analysis, a Trial and a Cohort Together
A meta-analysis, a randomised trial and a prospective cohort give three different answers. Selection on the mastectomy flap explains all three.
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Reading the Mastectomy Flap: The Decision That Is Still Open in Theatre
Direct-to-implant is a single-stage operation resting on a judgement made mid-operation. What is assessed, why it cannot be decided beforehand, and what…
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Two-Stage Breast Reconstruction: The Expander-to-Implant Pathway Explained
Expander in, gradual filling, exchange for the implant: what the staged pathway involves, why teams choose it and what can go wrong.
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