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...

The majority of women who are undergoing mastectomy can also have breast reconstruction. In most breast units, implants and latissimus dorsi flaps can be performed. The more sophisticated transverse rectus abdominis myocutaneous (TRAM) flap-based reconstructions are generally performed by plastic surgeons so that there may be logistic problems in using these techniques for immediate reconstruct...

Objective Breast cancer, the most common malignancy in women, comprises 18% of all female cancers. Mastectomy is an essential intervention to save lives, but it can destroy one's body image, causing both physical and psychological trauma. Reconstruction is an important step in restoring patient quality of life after the mutilating treatment. Material and Methods Tissue expanders and implants ...

BACKGROUND The goal of this study was to evaluate patient satisfaction with four common types of breast reconstruction performed at our institution: latissimus dorsi myocutaneous (LDM) flap reconstruction with or without implants, pedicled transverse rectus abdominis musculocutaneous (TRAM) flap reconstruction, and free deep inferior epigastric perforator (DIEP) flap reconstruction. METHODS A...

Purpose: Skin-sparing mastectomy with immediate reconstruction is a recent major advance in breast reconstruction after radical glandular mastectomy. This study intended to asses its preliminary results in our patients with regards to oncologic safety and aesthetic quality. Patients and methods: Twenty-eight patients with, early-stage invasive breast cancer, diffuse ductal in-situ carcinoma and...

As diagnostic technology has progressed and the understanding of the disease process has evolved, the number of mastectomies performed in the United States has increased. Breast reconstructive techniques have commensurately become more sophisticated along the same timeline. The result is that those facing mastectomy have the potential to simultaneously retain physical beauty and wholeness. Only...

DESCRIPTION A 43-year-old woman presents for a preoperative visit before undergoing a bilateral mastectomy. After consultation, she desires autologous tissue reconstruction with maintenance of her current breast size. On examination , she has a 36C bust and has minimal abdominal subcutaneous tissue.

BACKGROUND The rate of immediate breast reconstruction is rising. Postoperative infections are more frequent in patients who undergo reconstruction. The inflammatory response to a postoperative infection can increase the risk of tumour recurrence in other forms of cancer through the release of proinflammatory mediators. The aim of this study was to assess the relationship between complications ...

QUESTIONS UNDER STUDY With the reduction in breast cancer mortality in recent years the aesthetic outcome after treatment has gained increasing attention. The aim of this study was to assess the outcome quality of our single institution concept of free TRAM flap breast reconstruction with the aim of providing data to assist the patient's decision-making when breast reconstruction is an option. ...

BACKGROUND The use of acellular dermal matrix (ADM) in implant-based immediate breast reconstruction has been increasing. The current ADMs available for breast reconstruction are offered as aseptic or sterile. No published studies have compared aseptic and sterile ADM in implant-based immediate breast reconstruction. The authors performed a retrospective study to evaluate the outcomes of asepti...