Mastectomy skin flap necrosis: challenges and solutions

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چکیده

منابع مشابه

Mastectomy skin flap necrosis: challenges and solutions

INTRODUCTION Mastectomy skin flap necrosis (MSFN) has a reported incidence of 5%-30% in the literature. It is often a significant and underappreciated problem. The aim of this article was to review the associated challenges and possible solutions. METHODS A MEDLINE search was performed using the search term "mastectomy skin flap necrosis". Titles and abstracts from peer-reviewed publications ...

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Determinants of optimal mastectomy skin flap thickness.

BACKGROUND There is a limited evidence base to guide surgeons on the ideal thickness of skin flaps during mastectomy. Here the literature relevant to optimizing mastectomy skin flap thickness is reviewed, including anatomical studies, oncological considerations, factors affecting viability, and the impact of surgical technique and adjuvant therapies. METHODS A MEDLINE search was performed usi...

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Saved by De-epithelialization: DIEP Flap Dermal Skin Regeneration Salvage after Mastectomy Skin Flap Loss

BACKGROUND Wound re-epithelialization has been traditionally described to occur from the dermal appendages of the wound edges. As such, the role of the dermal wound bed in re-epithelialization has been questioned. In a patient undergoing breast reconstruction with free tissue transfer, the buried portions of the free flap skin paddle could be either de-epithelialized or deskinned. In case of ma...

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Mastectomy Skin Necrosis: Risk Factors, Prevention, and Management

In the past decade, there has been an increasing focus on both therapeutic and prophylactic mastectomies in the management of breast disease. It has also become the standard of care to offer patients breast reconstruction for appropriate candidates after mastectomy, which often leads to a multidisciplinary partnership between the oncologic surgeon and the reconstructive plastic surgeon. In most...

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Safety of long-term subcutaneous free flap skin banking after skin-sparing mastectomy

BACKGROUND A persistent problem in autologous breast reconstruction in skin-sparing mastectomies is skin restoration after skin necrosis or secondary oncological resection. As a solution to facilitate reconstruction, skin banking of free-flap skin has been proposed in cases where the overlying skin envelope must be resected, as this technique spares the patient an additional donor site. Herein,...

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ژورنال

عنوان ژورنال: Breast Cancer: Targets and Therapy

سال: 2017

ISSN: 1179-1314

DOI: 10.2147/bctt.s81712