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https://www.readbyqxmd.com/read/27914261/reducing-implant-loss-rates-in-immediate-breast-reconstructions
#1
L Darragh, A Robb, C M Hardie, S McDonald, P Valand, J M O'Donogue
UK best practice guidelines for oncoplastic breast reconstruction were published in 2012. Implant-based reconstruction quality indicator (QI) targets for readmission, return to theatre and implant loss rates were set at 5% by 3 months, along with guidance to achieve these targets. The aims of this study were to quantify complication rates following implant-based reconstruction before and after the implementation of the guidelines. A retrospective audit of 86 patients with 106 implants in the 12 months to June 2013 was performed, C1...
November 30, 2016: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/27908586/standard-wide-local-excision-or-bilateral-reduction-mammoplasty-in-large-breasted-women-with-small-tumours-surgical-and-patient-reported-outcomes
#2
R Di Micco, R L O'Connell, P A Barry, N Roche, F A MacNeill, J E Rusby
INTRODUCTION: Oncoplastic breast surgery is used to extend the role of breast-conserving surgery (BCS) to women with an unfavourable tumour to breast volume ratio. However, large-breasted women with a relatively small breast cancer may be offered bilateral reduction mammoplasty (BRM) despite being suitable for standard BCS as the more complex surgery may have advantages in terms of patient satisfaction and reduced adverse effects of radiotherapy. PATIENT AND METHODS: This retrospective study evaluated surgical and patient-reported outcome measures (PROMs) in large-breasted women with early (<3 cm) breast cancer, who have undergone unilateral standard BCS or BRM...
November 17, 2016: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27872528/evaluation-of-surgical-outcomes-of-oncoplasty-breast-surgery-in-locally-advanced-breast-cancer-and-comparison-with-conventional-breast-conservation-surgery
#3
Ashutosh Chauhan, Mala Mathur Sharma, Kishore Kumar
The purpose of this study was to compare early oncologic outcomes of oncoplastic breast surgery and conventional breast conservation surgery in patients of locally advanced breast cancer. A single-center, prospective, non-randomized study enrolled select cases of locally advanced breast cancer (TNM T3/T4, N0/1/2) who after neoadjuvant chemotherapy, were considered for breast conservation surgery with oncoplasty techniques. The specimen volume resected, the mean margins and mean closest margin obtained were noted...
December 2016: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27826466/buttock-reconstruction-in-sarcoma-surgery-an-esthetic-sigmoidplasty-closure-for-large-circular-defects-using-double-opposing-skin-flaps
#4
Corné P G Nel, Mahendra Daya
BACKGROUND: Large defects arising from extirpation surgery of buttock sarcomas requiring adjuvant radiotherapy are best closed with flap surgery. The traditional solutions are derived from an approach to pressure sores, which were designed for the ischial, sacral, or trochanteric areas, and have now been adapted for true buttock defects. This invariably destroys the esthetics of the buttock. We describe a novel technique of sigmoidplasty, which preserves most of the esthetic features...
October 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27821330/mastotrainer-new-version-realistic-simulator-for-training-in-breast-surgery
#5
G Zucca-Matthes, Gail Lebovic, Marcos Lyra
The "Mastotrainer" was introduced as a new concept of simulators for use in surgical training. Simulators of this type are critical as the use of cadavers is limited or prohibited in some countries. The Mastotrainer has proved very useful in training various surgical techniques, with the first version of the simulator being focused on breast augmentation and reconstruction following mastectomy. This current project explores use of a new version of the surgical simulator that can facilitate a broader spectrum of procedures in the training of breast surgeons as well as plastic and reconstructive surgeons in order to achieve better outcomes...
November 4, 2016: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/27718437/extreme-oncoplastic-breast-surgery-a-case-report
#6
Daniele Bordoni, Pierfrancesco Cadenelli, Giuseppe Falco, Nicola Rocco, Paola Manna, Ariel Tessone, Matteo Ornelli, Cesare Magalotti
INTRODUCTION: So called "extreme oncoplastic surgery" is emerging as a new promising concept in breast cancer surgery allowing successful breast conservation in selected patients with multicentric tumors. PRESENTATION OF CASE: We report the case of a 48-year-old woman presenting with a multicentric breast cancer and successfully treated with an oncoplastic technique consisting in three radical lumpectomies followed by breast reshaping and simultaneous contralateral symmetrization...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27699027/replacement-of-the-tumor-bed-following-oncoplastic-breast-conserving-surgery-with-immediate-latissimus-dorsi-mini-flap
#7
Gül Alço, Sefik Igdem, Sait Okkan, Maktav Dincer, Dauren Sarsenov, Ahmet Serkan Ilgun, Filiz Agacayak, Filiz Elbüken, Tulay Ercan, Derya Selamoglu, Vahit Ozmen
The aim of the present study was to evaluate the geographic variability of the tumor bed following oncoplastic breast-conserving surgery (OP-BCS), and to assess its relevance for radiotherapy planning. In this prospective study, pre- and postoperative computerized tomography (CT) scans of 22 patients with early-stage breast cancer were fused. The preoperative gross tumor volume or excisional biopsy cavity were contoured under the guidance of preoperative radiological images. Postoperative lumpectomy cavities were contoured under the guidance of surgical clips...
October 2016: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/27682158/reduction-mammoplasty-using-oxidized-regenerated-cellulose-as-a-filler-in-breast-conservation-surgery
#8
Gianluca Franceschini, Alejandro Martin Sanchez, Giuseppe Visconti, Alba Di Leone, Sabatino D'Archi, Antonino Mulè, Angela Santoro, Marzia Salgarello, Riccardo Masetti
: Oncoplastic surgery of the breast has generated great excitement over the past years and has become an integrated component of the surgical treatment of breast cancer. Oncoplastic procedures (OPP) associate the best surgical oncologic principles to achieve wide tumor-free margins with the best principles of plastic surgery to optimize cosmetic outcomes. So, a number of conventional mammoplasty techniques have been adapted to allow reconstruction of resection defects with parenchymal flaps using a variety of different approaches...
2016: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/27647991/oncoplastic-reduction-mammoplasty-for-breast-cancer-in-women-with-macromastia-long-term-aesthetic-functional-and-satisfaction-outcomes
#9
Mustafa Emiroglu, Cem Karaali, Semra Salimoglu, Ismail Sert, Cengiz Aydın
AIM OF THE STUDY: Despite the increase in studies concerning oncoplastic reduction mammoplasty (ORM), data showing long-term aesthetic and patient satisfaction for ORM in patients with macromastia remain limited. Therefore, this study evaluated the long-term results of tumorectomy and concomitant bilateral ORM for early-stage breast cancer patients with macromastia in terms of cosmesis, patient satisfaction, and functional outcomes. MATERIAL AND METHODS: Retrospective data of patients with macromastia undergoing ORM for breast cancer between 1996 and 2011 were examined and evaluated regarding the aesthetic results, patient satisfaction, and functional outcomes...
2016: Contemporary Oncology Współczesna Onkologia
https://www.readbyqxmd.com/read/27644928/-modern-surgical-treatment-of-breast-cancer-3rd-breast-cancer-consensus-conference
#10
György Lázár, Attila Bursics, Zoltán Farsang, László Harsányi, Csaba Kósa, Róbert Maráz, Zoltán Mátrai, Attila Paszt, Gábor Pavlovics, Róbert Tamás
Therapy for breast cancer today is characterised by ever more precise diagnostic methods and ever more effective oncological treatments, a trend which will certainly continue into the future. Breast preservation and the application of oncoplastic principles are increasingly popular. A sentinel lymph node biopsy in the surgical treatment of the axilla is primary, with the indication for axillary block dissection (ABD) narrowing and radiation therapy becoming an alternative to ABD in certain cases. This publication summarises our recommendations on the surgical treatment of breast cancer based on the content of the 3rd Breast Cancer Consensus Conference and considering the latest international studies and professional recommendations...
September 2016: Magyar Sebészet
https://www.readbyqxmd.com/read/27639373/phase-ii-trial-of-hypofractionated-vmat-based-treatment-for-early-stage-breast-cancer-2-year-toxicity-and-clinical-results
#11
Fiorenza De Rose, Antonella Fogliata, Davide Franceschini, Piera Navarria, Elisa Villa, Cristina Iftode, Giuseppe D'Agostino, Luca Cozzi, Francesca Lobefalo, Pietro Mancosu, Stefano Tomatis, Marta Scorsetti
BACKGROUND: To report toxicity and early clinical outcomes of hypofractionated simultaneous integrated boost (SIB) approach with Volumetric Modulated Arc Therapy (VMAT) as adjuvant treatment after breast-conserving surgery. METHODS: Patients presenting early-stage breast cancer were enrolled in a phase II trial. ELIGIBILITY CRITERIA: age > 18 years old, invasive cancer or ductal carcinoma in situ (DCIS), Stage I-II (T < 3 cm and N ≤ 3), breast-conserving surgery without oncoplastic reconstruction...
September 17, 2016: Radiation Oncology
https://www.readbyqxmd.com/read/27579720/-3rd-hungarian-breast-cancer-consensus-conference-surgery-guidelines
#12
György Lázár, Attila Bursics, Zoltán Farsang, László Harsányi, Csaba Kósa, Róbert Maráz, Zoltán Mátrai, Attila Paszt, Gábor Pavlovics, Róbert Tamás
Therapy for breast cancer today is characterised by ever more precise diagnostic methods and ever more effective oncological treatments, a trend which will certainly continue in the future. Breast preservation and the application of oncoplastic principles are increasingly popular. A sentinel lymph node biopsy in the surgical treatment of the axilla is primary, with the indication for axillary block dissection (ABD) narrowing and radiation therapy becoming an alternative to ABD in certain cases. This publication summarises our recommendations on the surgical treatment of breast cancer based on the content of the 2nd Breast Cancer Consensus Conference and considering the latest international studies and professional recommendations...
September 2016: Magyar Onkologia
https://www.readbyqxmd.com/read/27563564/oncoplastic-central-quadrantectomies
#13
REVIEW
Vittorio Pasta, Valerio D'Orazi, Raffaele Merola, Federico Frusone, Maria Ida Amabile, Alessandro De Luca, Rosanna Buè, Marco Monti
Tumors localized in the central quadrant (centrally located breast tumors) have always represented a challenge for the surgeon because of the critical aesthetical matters related to the nipple-areola complex (NAC). Many years of experience with breast cancer patients treated by using various oncoplastic techniques, has allowed us to develop the modified hemibatwing for the treatment of central breast tumors, where the NAC is involved. Modified hemibatwing-along with the removal of the NAC-is a useful oncoplastic technique and it represents an ideal option for the treatment of central tumors because it assures oncological safety, a reduced surgical timetable and greater aesthetical results...
August 2016: Gland Surgery
https://www.readbyqxmd.com/read/27550067/immediate-nipple-reconstruction-with-a-c-v-flap-and-areolar-reconstruction-with-an-autograft-of-the-ipsilateral-areola
#14
Younglae Jung, Jeeyeon Lee, Seokwon Lee, Youngtae Bae
BACKGROUND: The authors report a new nipple-areolar complex (NAC) reconstruction technique using an autograft of the ipsilateral areola for breast cancer with nipple invasion. METHODS: A total of 43 patients with breast cancer involving nipple invasion underwent oncoplastic surgery with NAC reconstruction. The nipple was reconstructed with a C-V flap, and the areola was autografted onto the new areola bed after the ipsilateral areola was confirmed to be tumour-free...
August 22, 2016: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/27547399/the-role-of-oncoplastic-breast-conserving-treatment-for-locally-advanced-breast-tumors-a-matching-case-control-study
#15
René Aloisio da Costa Vieira, Guilherme Freire Angotti Carrara, Cristovam Scapulatempo Neto, Mariana Andozia Morini, Maria Mitzi Brentani, Maria Aparecida Azevedo Koike Folgueira
BACKGROUND: Breast conserving surgery (BCS) after neoadjuvant chemotherapy (NC) in patients with locally advanced breast cancer (LABC) is an infrequent procedure. In these patients the association with BCS and oncoplastic surgery (OS) is reported as a possible procedure in case-series, but there are limited case-control studies. METHODS: A matched case-control study evaluated LABC submitted to NC and BCS. We evaluated 78 patients submitted to doxorubicin-cyclophosphamide regimen followed by paclitaxel regimen...
September 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27536488/multidisciplinary-oncoplastic-approach-reduces-infection-in-chest-wall-resection-and-reconstruction-for-malignant-chest-wall-tumors
#16
Haitham H Khalil, Marco N Malahias, Balapathiran Balasubramanian, Madava G Djearaman, Babu Naidu, Melvin F Grainger, Maninder Kalkat
BACKGROUND: Management of complex thoracic defects post tumor extipiration is challenging because of the nature of pathology, the radical approach, and the insertion of prosthetic material required for biomechanical stability. Wound complications pose a significant problem that can have detrimental effect on patient outcome. The authors outline an institutional experience of a multidisciplinary thoracic oncoplastic approach to improve outcomes. METHODS: Prospectively collected data from 71 consecutive patients treated with chest wall resection and reconstruction were analyzed (2009-2015)...
July 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27523925/nipple-sparing-mastectomy-using-a-hemi-periareolar-incision-with-or-without-minimal-medial-lateral-extensions-clinical-outcome-and-patient-satisfaction-a-single-centre-prospective-observational-study
#17
Hiba El Hage Chehade, Hannah Headon, Umar Wazir, Amtul R Carmaichael, Christina Choy, Abdul Kasem, Kefah Mokbel
BACKGROUND: Nipple-sparing mastectomy (NSM) is becoming a viable oncoplastic option. There is debate regarding the best approach that balances oncological safety with aesthetics. In this study, we describe an approach involving a hemi-periareolar incision and evaluate its safety and outcomes. METHODS: Patients treated at single center between 2012 and 2015 were observed prospectively. After a histologically negative subareolar biopsy, immediate reconstruction with implant and acellular dermal matrix was performed after NSM...
July 21, 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/27518043/complications-of-oncoplastic-breast-surgery-involving-soft-tissue-transfer-versus-breast-conserving-surgery-an-analysis-of-the-nsqip-database
#18
Tulin D Cil, Erin Cordeiro
BACKGROUND: Oncoplastic breast surgery (OBS) aims to provide breast cancer patients with optimum oncologic outcomes and excellent cosmesis. We sought to determine if there is a difference in complications associated with OBS involving soft tissue transfer compared with the traditional breast-conserving surgical (BCS) approach. METHODS: Analysis of the American College of Surgeons National Surgical Quality Improvement Program database was performed. Patients with breast cancer who underwent BCS from 2005 to 2014 were included in the study cohort, while patients undergoing concurrent high-risk non-breast surgery, male patients, and those with metastatic disease were excluded...
October 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27509971/applicability-of-oncoplastic-breast-conserving-surgery-in-asian-breast-cancer-patients
#19
GeokHoon Lim, Lea Angela Pineda
BACKGROUND: There are limited studies on oncoplastic breast conserving surgery in Asian women. We aimed to determine the applicability and safety of oncoplastic surgery, highlighting the specific circumstances when it will be most useful and compare our preferred technique with the worldwide practice of oncoplastic approaches. MATERIALS AND METHODS: Breast cancer patients who underwent oncoplastic breast conserving surgery at a single institution from 1st May 201431st March 2015 were included...
2016: Asian Pacific Journal of Cancer Prevention: APJCP
https://www.readbyqxmd.com/read/27504200/bilateral-breast-reconstruction-with-abdominal-free-flaps-a-single-centre-single-surgeon-retrospective-review-of-55-consecutive-patients
#20
Peter McAllister, Isabel Teo, Kuen Chin, Boikanyo Makubate, David Alexander Munnoch
Breast reconstruction using free tissue transfer is an increasingly utilised oncoplastic procedure. The aim was to review all bilateral breast reconstructions using abdominal free flaps by a single surgeon over an 11-year period (2003-2014). A retrospective review was performed on all patients who underwent bilateral breast reconstruction using abdominal free flaps between 2003 and 2014 by the senior author (DAM). Data analysed included patient demographics, indication for reconstruction, surgical details, and complications...
2016: Plastic Surgery International
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