Autologous mastectomy reconstruction: Communication among the breast surgery team to maximize aesthetic and oncologic outcome.
autologous
breast
cancer
mastectomy
reconstruction
Journal
The breast journal
ISSN: 1524-4741
Titre abrégé: Breast J
Pays: United States
ID NLM: 9505539
Informations de publication
Date de publication:
09 2020
09 2020
Historique:
received:
01
04
2020
revised:
14
04
2020
accepted:
15
04
2020
pubmed:
18
5
2020
medline:
22
6
2021
entrez:
17
5
2020
Statut:
ppublish
Résumé
Mastectomy breast reconstruction with autologous tissue is challenging. Oncologic and aesthetic goals face previous surgical scars, radiation, chemotherapy, or other comorbidities. We describe a simple approach for autologous mastectomy reconstruction so that breast and plastic and reconstructive surgeons can maximize aesthetic outcomes and minimize wound complications. A retrospective chart review was done on patients who underwent mastectomy and autologous reconstruction. The surgical flight plans were reviewed to delineate an approach, and pre- and postoperative photographs were examined to create a step-by-step process. The most encountered mastectomy and autologous flap reconstruction scenarios were categorized to create a step-by-step process. Successful autologous mastectomy reconstruction to optimize aesthetic outcome and minimize complications requires team communication. Creation of a surgical flight plan using information from the physical examination, MRI and adjunctive imaging, and preoperative photographs is imperative. Thoughtful incision choice and exposure approach are paramount.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1771-1780Informations de copyright
© 2020 Wiley Periodicals LLC.
Références
Kaufman CS. Increasing role of oncoplastic surgery for breast cancer. Curr Oncol Rep. 2019;21(12):111.
Silverstein MJ, Mai T, Savalia N, Vaince F, Guerra L. Oncoplastic breast conservation surgery: the new paradigm. J Surg Oncol. 2014;110(1):82-89.
Heemskerk-Gerritsen BAM, Menke-Pluijmers MBE, Jager A, et al. Substantial breast cancer risk reduction and potential survival benefit after bilateral mastectomy when compared with surveillance in healthy BRCA1 and BRCA2 mutation carriers: a prospective analysis. Ann Oncol. 2013;24(8):2029-2035.
Pollhammer MS, Duscher D, Schmidt M, Huemer GM. Recent advances in microvascular autologous breast reconstruction after ablative tumor surgery. World J Clin Oncol. 2016;7(1):114-121.
Pechter EA. An improved technique for determining bra size with applicability to breast surgery. Plast Reconstr Surg. 2008;121(5):348e-350e.
Kronowitz SJ. Delayed-immediate breast reconstruction: technical and timing. Plast Reconst Surg. 2010;125(2):463-474.