Autologous and Alloplastic Breast Reconstruction – Overview of Techniques, Indications and Results

Rezai, Mahdi; Darsow, M; Kümmel, Sherko; Krämer, Stefan

doi:10.1159/000118934

Cited by 17 publications

(16 citation statements)

References 92 publications

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“…In conditions of thin soft tissue, combining polyurethane surfacing and surrounding tissue can cause surgical diiculties in case of a necessary change of implants, or it can be a contraindication for reimplanting [2,6]. The illing of the implants with cohesive silicone gel in combination with an enforced coat of the implant leads to signiicantly higher safety of the implants.…”

Section: Development Of Expander and Implant Technologymentioning

confidence: 99%

“…The reconstruction of partial mastectomy defects during breast-conserving surgery and of the whole female breast after mastectomy is an integral part of the surgical treatment of breast cancer [1,2]. If it is necessary for oncologic reasons and if there are contraindications for breast-conserving therapy, methods of breast reconstruction can contribute signiicantly to the restoration of physical integrity, including an improvement of life quality for the afected women.…”

Section: Introductionmentioning

confidence: 99%

“…Breast reconstruction using prosthetic devices (alloplastic reconstruction) is the most commonly performed procedure in women following mastectomy [2]. The goal is to provide an outcome that is predictable and reproducible while minimizing complications and optimizing esthetics.…”

Section: Introductionmentioning

confidence: 99%

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Aspects of Immediate and Delayed Alloplastic Breast Reconstruction After Mastectomy

Friedrich¹,

Kraemer²

2017

Breast Cancer - From Biology to Medicine

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Seventy percent of patients with early breast cancer can be treated by breast-conserving surgery, while the remaining 30% are forced to receive mastectomy. Nearly 30% of these patients choose breast reconstruction. In the last decade, new alternative techniques and improved surgical devices have signiicantly improved techniques for breast reconstruction that especially include immediate or delayed breast reconstruction with silicone implants as an excellent option. In general, implant reconstruction may be single-or two-stage procedures. Single-stage reconstruction is the preferred technique for patients with small breasts and minimal ptosis, while large breasts with ptosis require reduction mastopexy either combined with dermoglandular lap or with titane net for covering the caudal pole of the implant. Thus, excellent cosmetic results can be achieved. Recent studies showed a signiicant survival beneit for postmastectomy irradiation in nodal-positive patients, so that many candidates for breast reconstruction are irradiated with a higher probability of wound-healing complications after breast reconstruction and increased rates of other complications like capsular ibrosis.

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Section: Development Of Expander and Implant Technologymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Aspects of Immediate and Delayed Alloplastic Breast Reconstruction After Mastectomy

Friedrich¹,

Kraemer²

2017

Breast Cancer - From Biology to Medicine

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“…The implementation of these techniques avoids mastectomy and the associated wider reconstructive methods as well as additional complications related to these procedures (38). Safe oncologic and acceptable aesthetic results are provided especially in centrally located breast tumors (39,40).…”

Section: Obs Advantagesmentioning

confidence: 99%

The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment

Emiroğlu¹,

Sert²,

Inal

2015

J Breasth Health

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The aim of this study is to discuss indications, advantages, disadvantages, oncologic and aesthetic results of Oncoplastic Surgery (OBS). Pubmed and Medline database were searched for articles published between 1998 and 2014 for keywords: oncoplastic breast surgery, therapeutic mammoplasty, oncoplastic breast reduction, synchrenous reconstructions. Role of OBS in breast cancer surgery, its aspects to be considered, its value and results have been interpreted. This technique has advantages by providing more extensive tumourectomy, yielding better aesthetic results compared with breast conserving surgery, allowing oncoplastic reduction in breast cancer patients with macromastia, with higher patient satisfaction and quality of life and by being inexpensive due to single session practice. As for its disadvantages are: re-excision is more difficult, risk for mastectomy is higher, it is depent on the Surgeron's experience, it has a risk for delay in adjuvant therapies and its requirement for additional imaging studies during management. Main indications are patients with small tumour / breast volume, macromastia, multifocality, procedures which can disrupt breast cosmesis such as surgeries for upper inner breas tquadrient tumours. Contraindications are positive margin problems after wide excision, diffuse malign microcalsifications, inflammatory breast cancer, history of radiotherapy and patients' preferences. Despite low evidence level, Oncoplastic Breast Surgery seems to be both reliable and acceptable in terms of oncologic and aesthetic aspects. Oncoplastic Breast Surgery increase the application rate of breast conserving surgery by obviating practical limitations and improve the results of breast conserving surgery. Correct patient and technique choice in OBS is vital for optimization of post surgical

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“…The first group includes two-step operations with primary expander dermotension and subsequent endoprosthesis replacement [15][16][17]. The second group of operations includes autografts such as thoracodorsal flap (TDF), TRAM-flap, DIEP-flap, gluteal flap, lateral flap of thigh and Rubens flap.…”

mentioning

confidence: 99%

Biological and Synthetic Mesh Use in Reconstructive Surgery in Patients With Breast Cancer

Ермощенкова¹,

Чиссов²,

Usov³

et al. 2017

Issled. prakt. med. (Print)

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Introduction. In recent years, considerable success has been achieved in complex and combined treatment of breast cancer (BC). Reconstructive plastic surgery plays an important role in the rehabilitation of patients with breast cancer and it is currently considered as the causal treatment of mental disorders caused by loss of femininity and integrity of one's own body. One-step breast reconstruction for cancer treatment makes it possible to use supplementary materials -synthetic and biological implants that can replace muscle autografts and thereby reduce trauma, blood loss, operation time, and thereby help to avoid the defect of donor areas. The authors describe the state of the art at present and demonstrate the results of their own research.

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Autologous and Alloplastic Breast Reconstruction – Overview of Techniques, Indications and Results

Cited by 17 publications

References 92 publications

Aspects of Immediate and Delayed Alloplastic Breast Reconstruction After Mastectomy

Aspects of Immediate and Delayed Alloplastic Breast Reconstruction After Mastectomy

The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment

Biological and Synthetic Mesh Use in Reconstructive Surgery in Patients With Breast Cancer

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