Breast Reconstruction Following Mastectomy; Patient’s Satisfaction

Erić, Mirela; Mihić, N.; Krivokuća, Dragan

doi:10.1080/00015458.2009.11680398

Cited by 10 publications

(6 citation statements)

References 50 publications

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“…In addition to breast conserving treatments, mastectomy can be another important and definitive treatment option for certain patients. However, mastectomy is often associated with substantial psychological, social, and sexual sequelae, as well as significant body image distortion 2–5. Modern breast reconstruction surgery offers a wide range of options with the potential to significantly improve quality of life (QoL) for breast cancer survivors 3, 6–9…”

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confidence: 99%

Novel Oral Anticoagulants in Atrial Fibrillation: A Meta‐analysis of Large, Randomized, Controlled Trials vs Warfarin

Dogliotti

Paolasso

Giugliano

2013

Clinical Cardiology

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Background: Warfarin reduces ischemic stroke in atrial fibrillation, but has numerous limitations. Novel oral anticoagulants provide more predictable anticoagulation with fewer shortcomings. Hypothesis: Novel oral anticoagulants are superior to warfarin to prevent stroke or systemic embolism. Methods: Phase III randomized warfarin-controlled trials enrolling >3000 patients that reported clinical efficacy and safety of novel oral anticoagulants in patients with atrial fibrillation were identified from MEDLINE, Embase, and Cochrane Central Register of Controlled Trials through October 2012. Two reviewers extracted data; differences were resolved by consensus. The end points analyzed were stroke or systemic embolism (primary efficacy composite); all-cause mortality, ischemic stroke, systemic embolism (individually, secondary efficacy); and hemorrhagic stroke, major bleeding (individually, safety). The Mantel-Haenszel method was used to calculate pooled relative risk (RR) and 95% confidence intervals (CI) from fixed-effects (if homogenous) or random-effects models (if heterogeneous). Results: In 5 studies of 51895 patients, the composite of stroke or systemic embolism (RR: 0.82; 95% CI: 0.69-0.98; P = 0.03) and all-cause mortality (RR: 0.91; 95% CI: 0.85-0.96; P = 0.0026, respectively) were reduced with the novel agents. Factor Xa inhibitors significantly reduced the primary composite (RR: 0.84; 95% CI: 0.74-0.94; P = 0.004) and all-cause mortality (RR: 0.91; 95% CI: 0.84 -0.98; P = 0.01). Direct thrombin inhibitor achieved results similar to the overall meta-analysis (drug class-outcome interactions P = 0.47 for primary outcome, P = 1.00 for mortality). Compared with warfarin, novel anticoagulants markedly reduced hemorrhagic stroke (RR: 0.51; 95% CI: 0.41-0.64; P < 0.0001). Conclusions: Novel oral anticoagulants may be superior to warfarin in patients with atrial fibrillation, reducing the composite of stroke or systemic embolism and lowering all-cause mortality. The benefit is largely due to fewer hemorrhagic strokes.

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confidence: 99%

Novel Oral Anticoagulants in Atrial Fibrillation: A Meta‐analysis of Large, Randomized, Controlled Trials vs Warfarin

Dogliotti

Paolasso

Giugliano

2013

Clinical Cardiology

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“…Breast reconstruction should be offered to virtually all women undergoing a mastectomy and is an integral part of the surgical treatment of breast cancer. The benefits of an immediate or delayed breast reconstruction are well recognized, for both emotional and physical well being [4]. Furthermore reconstruction techniques have been shown to be safe with minimal morbidity and no affect on local recurrence rates [5,13].…”

Section: Discussionmentioning

confidence: 99%

Lumbar herniation following extended autologous latissimus dorsi breast reconstruction

2013

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BackgroundReconstructive breast surgery is now recognized to be an important part of the treatment for breast cancer. Surgical reconstruction options consist of implants, autologous tissue transfer or a combination of the two. The latissimus dorsi flap is a pedicled musculocutaneous flap and is an established method of autologous breast reconstruction.Lumbar hernias are an unusual type of hernia, the majority occurring after surgery or trauma in this area. The reported incidence of a lumbar hernia subsequent to a latissimus dorsi reconstruction is very low.Case presentationWe present the unusual case of lumbar herniation after an extended autologous latissimus dorsi flap for breast reconstruction following a mastectomy. The lumbar hernia was confirmed on CT scanning and the patient underwent an open mesh repair of the hernia through the previous latissimus dorsi scar.ConclusionLumbar hernias are a rare complication that can occur following latissimus dorsi breast reconstruction. It should be considered in all patients presenting with persistent pain or swelling in the lumbar region.

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“…Mastectomy is often associated with significant psychological stress due to distorted body image. Predominantly, the purpose of breast reconstruction is to restore the breasts and correct the deformations, thereby facilitating improvement in psychosocial well-being and quality of life in breast cancer survivors [2].…”

Section: Introductionmentioning

confidence: 99%

Automated Detection of Breast Contour in 3D Images of the Female Torso

Zhao¹,

Reece²,

Crosby³

et al. 2013

Proceedings of the 4th International Conference on 3D Body Scanning Technologies, Long Beach CA, USA, 19-20 November 2013

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Stereophotogrammetry is finding increasing use in plastic surgery, both for breast reconstruction after oncological procedures and cosmetic augmentation/reduction. The ability to visualize and quantify morphological features of the breast facilitates pre-operative planning and post-operative outcome assessment. Breast contour is an important attribute for quantitative assessment of breast aesthetics. Based on the detected breast contour, relevant morphological measures such as breast size, shape, symmetry, volume and ptosis can be determined. In this study we present an approach for the automatic contour detection of the lower breast in three-dimensional (3D) images. Our approach employs surface curvature analysis. We first identify the points with the lowest Gaussian curvature within the one-ring neighborhood on the surface mesh, and then apply the random sample consensus (RANSAC) algorithm to non-deterministically estimate the lower breast contour from the set of low curvature points.

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Breast Reconstruction Following Mastectomy; Patient’s Satisfaction

Cited by 10 publications

References 50 publications

Novel Oral Anticoagulants in Atrial Fibrillation: A Meta‐analysis of Large, Randomized, Controlled Trials vs Warfarin

Novel Oral Anticoagulants in Atrial Fibrillation: A Meta‐analysis of Large, Randomized, Controlled Trials vs Warfarin

Lumbar herniation following extended autologous latissimus dorsi breast reconstruction

Automated Detection of Breast Contour in 3D Images of the Female Torso

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