An Approach to the Repair of Partial Mastectomy Defects

Clough, Krishna B.; Kroll, Stephen S.; Audretsch, Werner

doi:10.1097/00006534-199908000-00014

Cited by 206 publications

(94 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A disadvantage of the latissimus myocutaneous flap is that the skin it provides is of slightly different color and texture to that of the breast. 41 …”

Section: Delayed Reconstruction Using Autogenous Flapsmentioning

confidence: 99%

Reconstruction of the Breast Conservation Deformity

Slavin

Halperin

2004

Seminars in Plastic Surgery

View full text Add to dashboard Cite

The era of breast conserving treatment of early-stage breast carcinoma has created reconstructive challenges for the plastic surgeon. Although good to excellent cosmetic outcomes occur in the majority of patients, a significant number could benefit from additional reconstructive measures. Because of the need for continuing surveillance following breast-conserving therapy, estimated at 5-10% after fifteen years, plastic surgeons should choose techniques that do not interfere with the detection of recurrent breast carcinoma. Myocutaneous flaps-in particular, the latissimus dorsi and transverse rectus abdominishave fulfilled the reconstructive needs of these patients by providing well-vascularized soft tissue. Postoperative radiological evaluation has demonstrated that these flaps are radiolucent, unlike breast implants that can obscure accurate mammographic interpretation.Myocutaneous flaps have been used for both immediate and delayed reconstruction of post-breast conservation deformities. The delayed approach offers the benefit of an established contour deformity that usually involves cutaneous, parenchymal, and nippleareolar components. Moderate overcorrection of the defect has been advocated in anticipation of ongoing postradiation wound contraction and fibrosis. Immediate reconstruction of lumpectomy and partial mastectomy defects permits wider initial excision of the breast lesion, but can be compromised by positive histological margins. Long-term results suggest stability of the aesthetic outcome following reconstruction of delayed deformities.

show abstract

“…A disadvantage of the latissimus myocutaneous flap is that the skin it provides is of slightly different color and texture to that of the breast. 41 …”

Section: Delayed Reconstruction Using Autogenous Flapsmentioning

confidence: 99%

Reconstruction of the Breast Conservation Deformity

Slavin

Halperin

2004

Seminars in Plastic Surgery

View full text Add to dashboard Cite

show abstract

“…Oncoplastic surgery has been suggested to improve the cosmetic outcome of the primary breast cancer operation without compromising the oncologic results. (10,11,12) There are only a few studies with varying results evaluating the proportion of women wanting to have a reconstruction after mastectomy. An Australian study implies that breast reconstruction after mastectomy is chosen by approximately 10 % of Australian women (13).…”

Section: Introductionmentioning

confidence: 99%

Demand for Plastic Surgical Operations after Primary Breast Cancer Surgery

Meretoja

Suominen

2005

Scand J Surg

View full text Add to dashboard Cite

Background and Aims:The aim of this study is to evaluate the demand for plastic operations after primary breast cancer surgery. In addition, this study aims to increase knowledge on factors affecting the wish of women for breast reconstruction.Material and Methods: A questionnaire was sent to some 111 patients who had undergone either mastectomy or breast conserving surgery. The response rate was 76 %. The questionnaire consisted of 20 structured questions. The data was analysed statistically using the t test and the chi-square test.Results: 28 % of the mastectomized patients wanted a breast reconstruction. Factors found to affect the patient's wish for reconstruction were age ( p <0.001) and whether the patient had received radio-( p <0.05) or chemotherapy ( p <0.05). A difference was found between the mastectomy group and the breast conserving surgery group as to satisfaction in the general ( p <0.05) and the cosmetic ( p <0.05) outcome of the surgery, as well as patient's expectations regarding the outcome ( p <0.01).Conclusions: Rather fewer mastectomized patients wanted a reconstruction. The proportion, however, grew significantly larger in the younger age groups. This study also shows that receiving radio-or chemotherapy seems to predict a woman's choice against a reconstruction. Patients who receive radio-or chemotherapy may consider their illness more severe and life-threatening than those not receiving such treatments.

show abstract

“…To solve this problem, the latissimus dorsi myocutaneous flap (LAT) can be used [3,8,10]. For patients with more advanced tumors, the trans-rectus abdominis myocutaneus flap (TRAM) allows immediate reconstruction of the breast.…”

Section: Introductionmentioning

confidence: 99%