The peri-areolar incision—gateway to the breast!

Shrotria, S.

doi:10.1053/ejso.2001.1051

Cited by 23 publications

(16 citation statements)

References 4 publications

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“…The incisions used to perform SSM are based on the consideration of several parameters, including: breast size and ptosis, areola size, location of the tumour, position of biopsy sites, need for axillary intervention, choice of reconstructive technique and the preference of the surgeon. Many patients are suitable for a peri-areolar approach and the only breast skin excised is the (NAC) [3,11] (Fig. 1).…”

Section: Surgical Considerationsmentioning

confidence: 99%

Oncological and aesthetic considerations of skin-sparing mastectomy

Patani

Mokbel

2007

Breast Cancer Res Treat

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Section: Surgical Considerationsmentioning

confidence: 99%

Oncological and aesthetic considerations of skin-sparing mastectomy

Patani

Mokbel

2007

Breast Cancer Res Treat

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“…Deri koruyucu mastektomide (Skin Sparing Mastectomy) amaç olabildiğince fazla cilt dokusunu geride bırakarak NAK ile birlikte meme dokusu diseksiyonudur (8,9). İlerleyen dönemde hasta isteğine göre NAK rekonstrüksiyonu düşünülebilir.…”

Section: Profi̇lakti̇k Mastektomi̇ Tekni̇kleri̇unclassified

Profilaktik Mastektomide Meme Rekonstrüksiyonu

Serel¹,

Alpat²,

Çerkez³

et al. 2013

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Kadınlarda morbidite ve mortalite nedenlerinden bașı çeken meme kanserinin; artan toplumsal bilinç, BRCA1 ve BRCA2 gen mutasyon analizlerinin hız kazanması ve risk azaltıcı stratejilerin geliștirilmesiyle bazı olgularda önlenebilir olduğu netlik kazanmıștır. Yüksek risk tașıdığı tespit edilen bu hastalarda risk azaltıcı tekniklerden profilaktik mastektominin bilateral uygulandığı olgularda meme kanseri gelișme riskini yaklașık %85-90 düșürdüğü gösterilmiștir.Gelișen gen analizleri ile erken yașta tespit edilen ve vücut görünümünün bütünlüğüne önem veren yüksek riskli bu populasyonun profilaktik mastektomi sonrasında meme rekonstrüksiyonu isteği giderek artmaktadır. Ancak profilaktik mastektomi sonrası meme rekonstrüksiyonu bazı özellikler tașımaktadır. Bu nedenle hastalar multidisipliner bir yöntemle incelenmeli; cerrahi ișlemin zamanlaması, uygulanacak mastektomi tipi, (her hasta için kișiselleștirilmiș) rekonstrüksiyon seçenekleri, olușabilecek komplikasyonlar ameliyat öncesi ayrıntılarıyla konușulmalıdır. Bu çalıșmada profilaktik mastektomi sonrası rekonstrüksiyonunun önemi ve farklılıkları açıklanmıștır.Anahtar Sözcükler: Meme kanseri, BRCA 1-2, Profilaktik, Mastektomi, Meme rekonstrüksiyonu, İmplant, Otolog It has become evident that breast cancer; the leading cause of morbidity and mortality in women; can be prevented in some cases due to the increasing social awareness, BRCA1 and BRCA2 gene mutation analysis and developing risk reduction strategies. Prophylactic mastectomy, which happens to be one of those strategies, is found to reduce the risk of cancer development by 85-90 % in high-risk patients. Analysis of the genes leaves the surgeons with a population at an early age that gives importance to the integrity of the body image and demands breast reconstruction as soon as possible. However; breast reconstruction after prophylactic mastectomy bears some distinct features. For this reason, a multidisciplinary approach should be followed and the timing of surgical procedure, type of mastectomy to be applied, reconstruction options for each patient, possible complications should be discussed in details before the surgery. This study defines the differences and the importance of reconstruction after prophylactic mastectomy.

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Section: Introductionmentioning

confidence: 99%

“…Historically, in breast cancer surgery, simultaneously ensuring treatment effect, shrinking excision scope and attending to the cosmetic effect has been important (6). To improve the aesthetic results for female patients undergoing breast cancer surgery, surgical techniques have been developed to render scars less noticeable (7,8).In China, the majority of patients with breast cancer are treated with modified radical surgery using discontinuous silk suture, which leaves a very noticeable scar (9). A study on cosmetic surgery identified that 50% of patients reported that the extent of the visual scar greatly affected their self-assessment of the outcome (10).…”

mentioning

confidence: 99%

Retrospective observational cohort study on cosmetic outcome of using Ti‑Ni memory alloy wire for intradermal suture following mastectomy in patients with breast cancer

Qin

Sun

et al. 2017

Oncol Lett

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Abstract. The method of suturing for incisions is crucial for the comprehensive treatment of clinical patients with breast cancer. Suturing is considered a major part of post-surgical recovery and may serve as a marker for evaluation of surgical outcome. The present study aimed to establish an effective means of suturing for patients who received modified radical surgery that helps to improve the cosmetic outcome of the incision. Enrolled patients were divided into an active and a control group. Ti-Ni memory alloy wire for intradermal suture in the active group and silk for interruption suture in the control group were applied to assess the different prognosis-associated factors. The Vancouver Scar Scale (VSS) was used to evaluate the wound size and the recovery time of the scars. The association between diabetes and the number of days of wound healing was also analyzed. The results indicated that the mean VSS score of the active group was decreased compared with that of the control group (P<0.001). The VSS scores of four main features (vascularity, pigmentation, pliability and height) between the two groups also statistically differed (P<0.001). Furthermore, the mean number of days of wound healing was significantly decreased for the active group compared with that for the control group (P=0.0026) in the patients with diabetes. In addition, the usage of Ti-Ni memory alloy wire was able to decrease the mean number of wound healing days between patients with diabetes and their non-diabetic counterparts (P=0.7009). The present study indicated that intradermal suture offers improved cosmetic outcome for patients undergoing mastectomy with or without axillary surgery. This technique may be useful for preventing scar overgrowth and for facilitating the recovery process in patients with diabetes. IntroductionIn 1882, Halsted pioneered the radical resection of the breast. Breast surgery methods have changed since and clinicians commonly perform breast-conserving surgery. However, the optimal approach for radical resection remains controversial (1). Along with social progress and improvements in the quality of life, patients with cancer, particularly patients with breast cancer have increasing requirements for the function and cosmetic outcome following surgery (2,3). A previous study identified that 61% of patients reported that the opinions of their partners of the scars were important to them (4). The way an incision is closed and managed post-operatively affects cosmetic outcome (5). Historically, in breast cancer surgery, simultaneously ensuring treatment effect, shrinking excision scope and attending to the cosmetic effect has been important (6). To improve the aesthetic results for female patients undergoing breast cancer surgery, surgical techniques have been developed to render scars less noticeable (7,8).In China, the majority of patients with breast cancer are treated with modified radical surgery using discontinuous silk suture, which leaves a very noticeable scar (9). A study on cosmetic surgery identified ...

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The peri-areolar incision—gateway to the breast!

Cited by 23 publications

References 4 publications

Oncological and aesthetic considerations of skin-sparing mastectomy

Oncological and aesthetic considerations of skin-sparing mastectomy

Profilaktik Mastektomide Meme Rekonstrüksiyonu

Retrospective observational cohort study on cosmetic outcome of using Ti‑Ni memory alloy wire for intradermal suture following mastectomy in patients with breast cancer

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