Anatomia chirurgiczna gruczołu piersiowego. Unaczynienie, unerwienie, drenaż limfatyczny, budowa dołu pachowego. Część druga.

Cieśla, Sławomir; Wichtowski, Mateusz; Poźniak-Balicka, Róża; Murawa, Dawid

doi:10.5603/njo.2021.0011

Cited by 4 publications

(1 citation statement)

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“…17 Drainage was also described to reach the contralateral side or the ventral nodes and liver (Gerota pathway). 22 Occasionally, clearance parallels perforators of the posterior intercostal vessels, 17 to reach the intercostal nodes along the spine.…”

Section: Introductionmentioning

confidence: 99%

Localization of Central Breast Lymphatics and Predefined Separation of Lobes along the Horizontal Septum

Würinger

2023

Plastic and Reconstructive Surgery - Global Open

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Background: The predictable localization of the neurovascular supply along the ligamentous suspension, composed of the horizontal septum, vertical ligaments, and superficial fascia, has increased safety in breast reduction. Lymphatic drainage of the breast has always been described as running close to vascular supply. However, the correlation between the lymphatic course and ligamentous suspension has not yet been considered. This study aimed to visualize the relationship, direction of lymphatic flow, and predefined separation of lobes along the horizontal septum. Methods: To investigate central drainage, methylene blue was injected subareolarly in five breasts of female cadavers before blunt preparation of the horizontal septum in anatomical studies. To visualize central and peripheral drainage, lymphographin was injected into one of the three different sites in 14 breasts; the dynamic flow of drainage was observed during subsequent septum-based breast reductions in clinical settings. Results: In all anatomical studies, a predefined section of the glandular layers allowed access to central clearance along the stained horizontal septum. Clinical investigations similarly showed clearance along the corresponding part of the ligamentous suspension, most reliably along the horizontal septum. The affected quadrant of the breast, its relation to the nipple-areola complex, and the anterior-posterior axis toward the thoracic wall mainly determine the direction of lymphatic flow. Interconnections along the ligaments may explain the unpredictability of final clearance directions. Conclusions: This study shows the horizontal septum as a guiding structure for central mammary drainage. This may encourage a septum-based approach for refinement of procedures such as oncoplastic, irradiation, and lymphedema treatments.

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Section: Introductionmentioning

confidence: 99%

Localization of Central Breast Lymphatics and Predefined Separation of Lobes along the Horizontal Septum

Würinger

2023

Plastic and Reconstructive Surgery - Global Open

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Pseudoaneurysm formation following core needle biopsy in a patient diagnosed with breast cancer: A case report

Al Mazrouai,

Al Shizawi,

Al Qassabi

et al. 2024

Radiology Case Reports

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Breastfeeding Outcome and Complications in Females With Breast Implants: A Systematic Review and Meta-Analysis

Chen

Zhu

Huynh

et al. 2023

Aesthetic Surgery Journal

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Background Breast augmentation is a commonly performed cosmetic procedure. We set out to determine whether there is any effect on breastfeeding in women after breast implants. Objectives The aim of this study is to perform a systematic review and meta-analysis of the current evidence on breastfeeding outcome and complications in women with breast augmentation. Methods A systematic review was performed in MEDLINE (National Institutes of Health, Bethesda, MD), EMBASE (Elsevier, Amsterdam, the Netherlands), and all evidence-based medicine reviews from their respective inception dates to November 7th, 2022, to assess outcomes of breastfeeding in women with breast implants (PROSPERO ID: CRD42022357909). This review is in accordance with both the Cochrane Handbook for Systematic Review of Interventions and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results Eleven studies (4 prospective and 7 retrospective) in total were included in the review. A total of 8197 out of 9965 (82.25%) patients were successfully able to breastfeed after breast implants. Of five studies that included a control group, 343,793 of 388,695 (88.45%) successfully breastfed. A meta-analysis of 5 comparative studies showed a significant reduction of breastfeeding in women with breast implants, n=393,686, pooled odds ratio = 0.45, 95% confidence interval [0.38,0.53]. Complications described included pain, mastitis, insufficient or excessive lactation, and nipple inversion. Conclusions There may be impairment in ability to breastfeed for women who receive breast implants compared to those without. Additional studies on the topic are needed to further clarify the relationship.

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Anatomia chirurgiczna gruczołu piersiowego. Unaczynienie, unerwienie, drenaż limfatyczny, budowa dołu pachowego. Część druga.

Cited by 4 publications

References 0 publications

Localization of Central Breast Lymphatics and Predefined Separation of Lobes along the Horizontal Septum

Localization of Central Breast Lymphatics and Predefined Separation of Lobes along the Horizontal Septum

Pseudoaneurysm formation following core needle biopsy in a patient diagnosed with breast cancer: A case report

Breastfeeding Outcome and Complications in Females With Breast Implants: A Systematic Review and Meta-Analysis

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