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器官移植长期效应期刊

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ISSN 打印: 1050-6934

ISSN 在线: 1940-4379

SJR: 0.184 SNIP: 0.485 CiteScore™:: 1.1 H-Index: 39

Indexed in

Advances in Breast Reconstruction After Mastectomy

卷 15, 册 2, 2005, pp. 197-208
DOI: 10.1615/JLongTermEffMedImplants.v15.i2.70
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摘要

Over the past 40 years, surgical reconstruction of the breast following mastectomy has become an important aspect of the cancer patient's rehabilitation process. While the surgical emphasis remains on a cure for the cancer, experience with breast reconstruction has not demonstrated any increased rate of cancer recurrence, even when reconstruction is performed immediately following tumor resection. Advances in surgical technique and biotechnology have made post-mastectomy reconstruction possible. The development of silicone gel and saline-filled implants as well as tissue expanders has revolutionized breast reconstruction. The elucidation of musculocutaneous flaps now provides the surgeon with the ability to transfer adequate quantities of vascularized tissue to reconstruct the surgical defects. The advent of microsurgical techniques has provided an additional reconstructive option, with free tissue transfer allowing the plastic surgeon to move musculocutaneous flaps from remote or distant sites to reconstruct the defect. The option of having the reconstruction immediately following the mastectomy procedure is now available to the patient. When reviewing the anatomy of the breast region, the surgeon must consider the mammary gland, its vascular supply, and its lymphatic system. The surgical techniques involved in reconstruction after mastectomy include the use of breast implants and tissue expansion, as well as reconstruction with autogenous tissues. Reconstruction with autogenous tissues includes the use of latissimus dorsi musculocutaneous flap, transverse rectus abdominus musculocutaneous flap, free flap transfer, as well as nipple-areola reconstruction. Breast reconstruction after mastectomy should be undertaken by a plastic and reconstructive surgeon with considerable training and experience with these diversified procedures.

对本文的引用
  1. Alderman Amy K., Atisha Dunya, Streu Rachel, Salem Barbara, Gay Ashley, Abrahamse Paul, Hawley Sarah T., Patterns and Correlates of Postmastectomy Breast Reconstruction by U.S. Plastic Surgeons: Results from a National Survey [Outcomes Article], Plastic and Reconstructive Surgery, 127, 5, 2011. Crossref

  2. O'Grady Brittney, Surgical Options for Post-Mastectomy Breast Reconstruction, Physician Assistant Clinics, 1, 3, 2016. Crossref

  3. Karanlik Hasan, Igci Abdullah, Surgical Approach in Invasive Breast Cancer, in Breast Cancer, 2019. Crossref

  4. Aydiner Adnan, Bayraktar Soley, Yavuz Ekrem, Sen Fatma, Ibis Kamuran Arslan, Dincer Maktav, Aslay Isık, Cabioğlu Neslihan, Karanlik Hasan, Igci Abdullah, A Review of Local and Systemic Therapy in Breast Cancer, in Breast Disease, 2019. Crossref

  5. Aydiner Adnan, Sen Fatma, Karanlik Hasan, Aslay Isik, Dincer Maktav, İğci Abdullah, A Review of Local and Systemic Therapy in Breast Cancer, in Breast Disease, 2016. Crossref

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