MOC-PSSM CME Article: Breast Reconstruction

Sigurdson, Leif; Lalonde, Donald H.

doi:10.1097/01.prs.0000294668.32874.18

Cited by 30 publications

(34 citation statements)

References 114 publications

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“…5 Although these findings gave silicone implants promise for the future advancement of breast reconstructive surgery, inaccurate and biased media reporting have created negative perceptions regarding their use. 6 Sigurdson and Lalonde reported that a systematic review of 24 studies by a US court-ordered national science panel concluded that there is no association between silicone implants and connective tissue disease. 6 However, these studies notwithstanding, recent studies strongly suggest an increase in acute large cell lymphoma with prosthetic implants.…”

Section: History Of Breast Reconstructionmentioning

confidence: 99%

“…In general, autologous reconstruction as compared with prosthetic reconstruction, provides a more natural-feeling breast and avoids the use of a foreign body. 6,12 Research is advancing quickly and developing a myriad of approaches and techniques to reconstruct breasts that are more esthetically pleasing and associated with fewer complications and donor site morbidities. Microsurgical breast reconstruction is a modality that involves the use of remote soft tissues and their integral neurovasculature to reconstruct the distant mastectomy site.…”

Section: Breast Reconstruction Autologousmentioning

confidence: 99%

“…7 Patients requesting reconstruction to maintain their body image should be made aware that the reconstructed breast will not look exactly like their natural breast. 6 Faced with such knowledge, the patient should make a decision whether or not to pursue reconstruction, and specifically which type of surgery she would prefer. 7 The decision to get immediate breast reconstruction versus delayed reconstruction or avoiding reconstruction altogether has been related to patient demographics.…”

Section: Disparities and Psychologic Effects Of Mastectomymentioning

confidence: 99%

“…1 Furthermore, many autologous reconstruction operations may be performed without modification of the contralateral breast to restore symmetry and contour, as is often difficult to achieve with the use of implants. 6 The most popular autologous reconstruction utilizes the TRAM flap (pedicled or free). The TRAM flap is most useful in patients with small-sized to normal-sized breasts and those who may have breast ptosis.…”

Section: Breast Reconstruction Autologousmentioning

confidence: 99%

“…5 This expansion of autologous tissue use has allowed for the development of a wide array of surgical options, ie, transverse rectus abdominis myocutaneous (TRAM) flap, superficial inferior epigastric artery (SIEA) perforator flap, deep inferior epigastric perforator (DIEP) flap, thoracodorsal artery perforator flap, and others. 6 In addition to physicians using the body's tissues to reconstruct the anatomy, prosthetic alloplastic materials were implanted or injected to alter or restore the shape and size of the breast. 5 The silicone breast implant was introduced in 1962 and has steadily evolved since.…”

Section: History Of Breast Reconstructionmentioning

confidence: 99%

See 4 more Smart Citations

Breast reconstruction: current and future options

Paul

Prendergast

Nicholson

et al. 2011

BCTT

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Abstract:When initiated by the devastating diagnosis of cancer, post ablative breast restoration has at its core the goal of restoring anatomic normalcy. The concepts of body image, wholeness, and overall well-being have been introduced to explain the paramount psychological influence the breast has on both individuals and society as a whole. Hence, a growing subspecialty has been established to recreate or simulate the lost breast. At least one third of breast cancer victims consider breast reconstruction. Breast reconstruction post mastectomy may be offered at the time of mastectomy or delayed post mastectomy after adjuvant therapy. This may be utilizing autologous tissues or implants and each has risks and benefits, especially when considering adjuvant therapy. In addition, there has been a move away from a traditional mastectomy to less invasive, but still curative procedures, such as skin-sparing and nipple-sparing mastectomy. These procedures provide the breast envelope to facilitate reconstruction. This paper reviews the primary issues in breast reconstruction, as well as their psychologic, oncologic, and social impact. Keywords: breast restoration, body image, breast reconstruction, mastectomy History of breast reconstructionBreast cancer is the second leading cause of cancer-related death among females in the US, and affects one in eight women in their lifetime.1,2 Advances in medical research have dramatically improved the treatment of this disease over the last 50 years. In addition to chemotherapy and radiation therapy, partial and complete mastectomy of diseased and contralateral breasts has become more frequent. However, these surgical modalities often leave patients with anatomical deformities and altered body image, along with the psychologic impact. 3,4 Breast reconstruction is a dynamic and multidisciplinary approach that has grown into a solution for many breast cancer patients treated with surgery. Breast reconstruction began as a means to reduce chest wall complications and deformities from mastectomy, with the goal to recreate symmetry and contour while avoiding delay in adjuvant cancer treatment.1 Breast reconstruction was introduced over a century ago as a surgical modality for rebuilding the anatomic breast using autologous tissues and prosthetic implants. 2,5

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Section: History Of Breast Reconstructionmentioning

confidence: 99%

Section: Breast Reconstruction Autologousmentioning

confidence: 99%