Breast reconstruction after mastectomy for breast cancer

Platt, Jennica; Baxter, Nancy N.; Zhong, Toni

doi:10.1503/cmaj.110513

Cited by 100 publications

(91 citation statements)

References 44 publications

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“…This may be explained by implant reconstructions requiring less complicated operations and shorter operating times, lack of donor‐site morbidity and no requirement for microvascular surgery expertise as in the case of some autologous procedures (DIEP flaps). Complex patient selection and the requirement for preoperative CT (in DIEP flap surgery) also make autologous reconstructions a less attractive reconstructive technique35, 36, 37. ADMs were first reported in 200538.…”

Section: Discussionmentioning

confidence: 99%

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

et al. 2017

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BackgroundBreast reconstruction is an important component of multidisciplinary breast cancer management. The practice of breast reconstruction after mastectomy has evolved significantly in the past decade as a result of both increasing mastectomy rates and advances in reconstructive strategy. These changes have significantly influenced the contemporary surgical management of breast cancer. The aim of this study was to examine trends in breast reconstruction after mastectomy in an Irish population.MethodsData were reviewed from a database of all patients who had mastectomy with or without breast reconstruction at Galway University Hospital, a tertiary breast cancer referral centre, between 2004 and 2014. Trends in breast reconstruction after mastectomy were explored with respect to patient demographics, clinicopathological features, and neoadjuvant and adjuvant therapy.ResultsOf 1303 patients who underwent mastectomy during interval studied, 706 (54.2 per cent) had breast reconstruction after mastectomy. In 629 patients (89·1 per cent), breast reconstruction was performed in the immediate setting. Reconstruction rates increased over time from 20·5 per cent in 2004 to 44·7 per cent in 2014. Reconstruction was more commonly performed in younger patients and those with benign, in situ and early‐stage disease. A negative relationship between radiotherapy and reconstruction was observed. A pedicled flap with or without an implant was the most commonly used reconstructive approach in patients receiving radiotherapy.ConclusionBreast reconstruction after mastectomy has become the standard of care in the surgical treatment of breast cancer. Recent trends show a transition favouring implant‐based approaches.

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Section: Discussionmentioning

confidence: 99%

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

et al. 2017

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“…(2) Breast reconstruction is now an integral part of breast cancer management, (3,4) which aims to create a symmetrical natural-looking breast mound. Since the first attempt at breast reconstruction by Vincent Czerny in 1895, (5) many techniques and methods have evolved to modern-day standards of safety and aesthetics.…”

Section: Introductionmentioning

confidence: 99%

Breast reconstruction rate and profile in a Singapore patient population: a National University Hospital experience

Sim

Soh

Ang

et al. 2018

smedj

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“…Despite having a more appropriate profile for this type of surgery [7,11,18], patient's preferences towards a rapid recovery, no additional scarring and less complicated intervention made us consider a prostheticbased reconstructive procedure.…”

Section: Discussionmentioning

confidence: 99%

Implant salvage in an irradiated breast reconstruction patient with periprosthetic infection and implant exposure

Hernic¹,

Filip²,

Dogaru³

et al. 2015

Arch Clin Cases

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Analysing the trends over the last 2 decades, we can observe a steady increase in the percentage of women who choose to undergo breast reconstruction procedures following mastectomy. This is indisputably attributed to the high quality modern breast cancer multimodality treatment protocols, which currently allow not only for achieving a disease-free status but also for improving on patients' general well-being by restoring one's image and self-esteem. Case report. A 55 year-old non-smoking, former breast cancer female patient, presented to our clinic, in full accordance with the oncological department, requesting a unilateral breast reconstruction procedure. Patient's history revealed a multimodality treatment comprising radio-, chemo-and hormonotherapy following mastectomy. After having signed the informed consent, the patient opted for a two-stage expander-implant reconstruction. Six weeks after expander replacement the patient presented with sudden onset cellulitis on the reconstructed breast accompanied by wound dehiscence and minor implant exposure. Implant salvage was attempted, initially through additional flap dissection and readvancement, afterwards by means of a myocutaneous latissimus dorsi flap and later on in an acceptable manner through a fasciocutaneous locoregional perforator flap using infrared thermal imaging. The reconstructive procedure will be resumed 6 months after surgery when nipple-areolar complex reconstruction and contralateral symmetrisation mammaplasty are envisaged. Conclusion. Whilst a large array of breast reconstruction options are currently available, it is impossible to recur to a one-size fits all procedure from which all breast cancer patients may benefit. Adequate patient selection is regarded as a major contributing factor to overall procedure success.

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Breast reconstruction after mastectomy for breast cancer

Cited by 100 publications

References 44 publications

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

Trends in breast reconstruction practices in a specialized breast tertiary referral centre

Breast reconstruction rate and profile in a Singapore patient population: a National University Hospital experience

Implant salvage in an irradiated breast reconstruction patient with periprosthetic infection and implant exposure

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