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Autologous Breast Reconstruction

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https://www.readbyqxmd.com/read/29146071/comparison-among-the-levels-of-patients-satisfaction-according-to-the-surgical-technique-used-in-breast-reconstruction-after-mastectomy
#1
Lucía Gómez-Escolar Larrañaga, Julio Delgado Martínez, José María Miguelena Bobadilla
BACKGROUND: It has been proved that a breast reconstruction after a mastectomy has a great psycho-social impact on patients. For this reason, it is increasingly done in a greater percentage of cases. There are two major groups of reconstructive techniques: a reconstruction with implants and a reconstruction with autologous tissue of the patient. In order to make a more objective assessment of the results, it is important to know how satisfied these patients are with the results. Therefore, we performed a study using Q-BREAST, the aim of which is to analyze the satisfaction of mastectomized patients according to the different surgical reconstruction techniques...
November 13, 2017: Cirugía Española
https://www.readbyqxmd.com/read/29145033/is-chronic-postsurgical-pain-surgery-induced-a-study-of-persistent-postoperative-pain-following-breast-reconstruction
#2
Randy S Roth, Ji Qi, Jennifer B Hamill, Hyungjin M Kim, Tiffany N S Ballard, Andrea L Pusic, Edwin G Wilkins
BACKGROUND: Chronic postsurgical pain (CPSP) is a reported risk for women undergoing breast reconstruction, but it remains unclear that such persistent pain is induced by reconstructive surgery. To address this concern, this prospective cohort study examined the prevalence of and risk factors associated with CPSP among women undergoing breast reconstruction. MATERIALS AND METHODS: Women (n = 1996) recruited for the Mastectomy Reconstruction Outcomes Consortium (MROC) Study were assessed preoperatively and at two-years postoperatively for relevant medical/...
November 13, 2017: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/29131778/adventures-and-misadventures-in-plastic-surgery-and-soft-tissue-implants
#3
Dana J Lin, Tony T Wong, Gina A Ciavarra, Jonathan K Kazam
Soft-tissue augmentation and implants are increasingly seen by the radiologist as more techniques emerge for a variety of indications and locations. Some surgical and implant procedures are performed for purely cosmetic reasons in otherwise healthy patients seeking to improve their body image, and some are performed for reconstruction after cancer or other chronic illnesses. Abdominoplasty, liposuction, and autologous fat grafting can be performed for abdominal and gluteal contouring. Injection of liquid injectable silicone has historically been fraught with legal issues, although it continues to be used for augmentation in a variety of anatomic locations...
November 2017: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/29122498/a-single-centre-retrospective-proof-of-concept-review-of-salvage-of-infected-or-exposed-implant-breast-reconstructions-with-explantation-and-one-stage-free-flap-replacement
#4
Russell J Bramhall, Izaro Hernan, Paul A Harris
INTRODUCTION: Implant-based breast reconstruction has relatively high complication rates. Removal of infected implants and immediate autologous reconstruction is a safe single-stage procedure that preserves the native breast skin envelope. METHODS: A single-centre, retrospective proof-of-concept review of all salvage procedures performed for acute/chronic infected or exposed implant-based reconstructions by a single surgeon over a 6-year period. RESULTS: We present 13 cases of a particularly difficult subgroup of acute/chronic infection/extrusion over a 6-year period...
October 18, 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29107433/-use-of-indocyanine-green-angiography-in-oncological-and-reconstructive-breast-surgery
#5
S Struk, J-F Honart, Q Qassemyar, N Leymarie, B Sarfati, H Alkhashnam, C Mazouni, F Rimareix, F Kolb
The Indocyanine green (ICG) is a soluble dye that is eliminated by the liver and excreted in bile. When illuminated by an near-infrared light, the ICG emits fluorescence in the near-infrared spectrum, which can be captured by a near-infrared camera-handled device. In case of intravenous injection, ICG may be used as a marker of skin perfusion. In case of interstitial injection, it may be useful for lymphatic network mapping. In oncological and reconstructive breast surgery, ICG is used for sentinel lymph node identification, to predict mastectomy skin flap necrosis, to assess the perfusion of free flaps in autologous reconstruction and for diagnosis and treatment of upper limb secondary lymphedema...
October 26, 2017: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29098159/one-stage-immediate-breast-reconstruction-a-concise-review
#6
REVIEW
Nicolò Bertozzi, Marianna Pesce, Pierluigi Santi, Edoardo Raposio
Background: One-stage direct-to-implant immediate breast reconstruction (IBR) is performed simultaneously with breast cancer resection. We explored indications, techniques, and outcomes of IBR to determine its feasibility, safety, and effectiveness. Material and Methods: We reviewed the available literature on one-stage direct-to-implant IBR, with or without acellular dermal matrix (ADM), synthetic mesh, or autologous fat grafting. We analyzed the indications, preoperative work-up, surgical technique, postoperative care, outcomes, and complications...
2017: BioMed Research International
https://www.readbyqxmd.com/read/29095189/venous-thromboembolism-after-surgical-treatment-of-breast-cancer
#7
Arash Momeni, Justin P Fox
BACKGROUND: Venous thromboembolism (VTE) remains a serious complication after the surgical treatment of breast cancer. Contemporary guidelines limit VTE chemoprophylaxis to the period of hospitalization. We conducted this study to evaluate the frequency of postdischarge VTE among surgically treated breast cancer patients and identify patient level factors associated with postdischarge VTE. METHODS: Using Arkansas, Florida, Nebraska, and New York state inpatient databases, we conducted a retrospective cohort study of adult women who underwent surgical treatment for breast cancer between October 1, 2008, and September 30, 2013...
October 31, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29080664/indications-and-controversies-for-nonabdominally-based-complete-autologous-tissue-breast-reconstruction
#8
REVIEW
Dries Opsomer, Koenraad van Landuyt
Autologous breast reconstruction can be challenging in mastectomy patients who are not eligible for a deep inferior epigastric artery perforator flap reconstruction. Depending on body habitus, alternative donor sites for free flap transfer can be found on the back, the thighs, and in the gluteal area. These alternative flaps can demand a higher level of expertise, which should be mastered by the modern day reconstructive microsurgeon. The flap choice should be tailored individually to each patient and should not be limited by the difficulty of the surgery...
January 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29080663/indications-and-controversies-for-abdominally-based-complete-autologous-tissue-breast-reconstruction
#9
REVIEW
Blake D Murphy, Isabel Kerrebijn, Jian Farhadi, Jaume Masia, Stefan O P Hofer
This article reviews the indications and controversies in abdominally based autologous breast reconstruction. The evidence regarding these indications and controversies will be appraised and summarized. Finally, we will provide a summary of our approach and technique for the patient undergoing autologous breast reconstruction using abdominally based free flaps.
January 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29080662/indications-and-controversies-for%C3%A2-complete-and-implant-enhanced-latissimus-dorsi-breast-reconstructions
#10
REVIEW
Oren P Mushin, Paige L Myers, Howard N Langstein
This article describes the use of implant-enhanced and total-autologous latissimus dorsi myocutaneous flaps in breast reconstruction. It addresses the indications for use of this reconstruction alternative, which have recently been expanded thanks to the advent of high-volume fat grafting. Given its straightforward dissection, reliable vascular pedicle, variety of approaches, and potential for excellent aesthetic results, use of latissimus dorsi flaps may be considered among first-line options in selected patients...
January 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29080657/neoadjuvant-chemotherapy-for-breast-cancer-treatment-and-the-evidence-based-interaction-with-immediate-autologous-and-implant-based-breast-reconstruction
#11
REVIEW
Jordi Riba, Santiago Escriva de Romani, Jaume Masia
This article aims to determine the impact of neoadjuvant chemotherapy on immediate breast reconstruction by assessing their compatibility for oncological safety and the incidence and management of postoperative complications. A review of scientific publications published between 2009 and 2017 was undertaken. The relationship between neoadjuvant chemotherapy and immediate breast reconstruction was analyzed to compile and assess the potential interaction between the procedures. The search was limited to English language publications, but there were no limiting factors at the level of study typology...
January 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29080656/patient-centered-breast-reconstruction-based-on-health-related-quality-of-life-evidence
#12
REVIEW
Jennica Platt, Toni Zhong
The article summarizes the available evidence regarding clinical decision making in breast reconstruction from the patient perspective of satisfaction and health-related quality of life. A review of generic and specific patient reported outcome measures is provided. Important components of breast reconstruction care are compared, such as timing of reconstruction, autologous and implant-based reconstruction, and the use of nipple-sparing and skin-sparing mastectomy. This evidence-based summary will be useful to guide clinicians when discussing breast reconstruction with their patients...
January 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29080655/radiation-therapy-and-immediate-breast-reconstruction-novel-approaches-and-evidence-base-for-radiation-effects-on-the-reconstructed-breast
#13
REVIEW
Marlene Sue-Fen See, Jian Farhadi
Patients who undergo breast reconstruction experience higher complication rates if they have had a history of radiotherapy. However, implant-based reconstruction confers significantly higher complication and reconstruction failure rates compared with autologous reconstruction. This article analyses the factors that contribute to the complications of the different breast reconstruction modalities and the strategies described to mitigate these problems.
January 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29080652/indications-and-controversies-in-total-breast-reconstruction-with-lipomodeling
#14
REVIEW
Emmanuel Delay, Andreea Carmen Meruta, Samia Guerid
Complete breast reconstruction with fat grafting is an appealing technique because it does not add scars or use flaps, is autologous, and has the secondary benefit of liposuction. It is a multiple stage surgery and usually requires balancing of the contralateral breast. After using this technique since 2001, the authors narrowed the indications, the ideal candidate being a patient with small breasts and enough donor sites for up to 4 or 5 lipomodeling sessions. Breast reconstruction with fat grafting alone in total breast reconstruction has very limited indications, because lipomodeling in combination with other autologous reconstruction gives very nice results...
January 2018: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/29071492/sensation-of-the-autologous-reconstructed-breast-improves-quality-of-life-a-pilot-study
#15
Anouk J M Cornelissen, Jop Beugels, Sander M J van Kuijk, Esther M Heuts, Shai M Rozen, Aldona J Spiegel, René R W J van der Hulst, Stefania M H Tuinder
PURPOSE: The number of breast cancer survivors continues to grow. Due to refinements in operating techniques, autologous breast reconstruction has become part of standard care. Impaired sensation remains a debilitating side effect with a significant impact on the quality of life. Microsurgical nerve coaptation of a sensory nerve has the potential to improve sensation of the reconstructed breast. This study investigates the effect of improved sensation of the reconstructed breast on the quality of life in breast cancer survivors...
October 25, 2017: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29068969/positive-effect-of-incubated-adipose-derived-mesenchymal-stem-cells-on-microfat-graft-survival
#16
Jong Woo Choi, Sung-Chan Kim, Eun-Jung Park, Ju-A Lee, Woo Shik Jeong
Autologous fat grafting is commonly used for soft tissue augmentation, but its unpredictably high resorption rate remains a major limitation. Although adipose-derived mesenchymal stem cells (ASCs) are an attractive candidate for enhancing graft retention, their poor posttransplantation viability limits their application. The authors aimed to evaluate the effect of incubated ASCs on microfat graft survival in an immunocompromised mouse model. Lipoaspirates for microfat injection were collected from the wasted lower abdominal adipose tissues of 5 patients who had undergone breast reconstructive surgery with an abdominal flap...
October 24, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29068921/evidence-based-clinical-practice-guideline-autologous-breast-reconstruction-with-diep-or-pedicled-tram-abdominal-flaps
#17
COMPARATIVE STUDY
Bernard T Lee, Jayant P Agarwal, Jeffrey A Ascherman, Stephanie A Caterson, Diedra D Gray, Scott T Hollenbeck, Seema A Khan, Lauren D Loeding, Raman C Mahabir, Archibald S Miller, Galen Perdikis, Jaime S Schwartz, Beth A Sieling, Achilles Thoma, Judith A Wolfman, Jean L Wright
The American Society of Plastic Surgeons commissioned a multistakeholder Work Group to develop recommendations for autologous breast reconstruction with abdominal flaps. A systematic literature review was performed and a stringent appraisal process was used to rate the quality of relevant scientific research. The Work Group assigned to draft this guideline was unable to find evidence of superiority of one technique over the other (deep inferior epigastric perforator versus pedicled transverse rectus abdominis musculocutaneous flap) in autologous tissue reconstruction of the breast after mastectomy...
November 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29068920/five-steps-to-internal-mammary-vessel-preparation-in-less-than-15-minutes
#18
Nicholas T Haddock, Sumeet S Teotia
BACKGROUND: Modern breast reconstruction often involves microvascular reconstruction. The most common recipient vessels are the internal mammary artery and vein. Recently, there has been great focus on efficiency, but much of this emphasis has been directed to faster flap harvest or recovery protocols for expeditious discharge. An equally important aspect is internal mammary vessel preparation. METHODS: Breast reconstruction was performed in 415 patients (715 breasts) using autologous tissue (850 flaps) from 2012 to 2016...
November 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29068900/reply-comparison-of-complications-with-tissue-expander-immediate-implant-and-autologous-breast-reconstruction-after-nipple-sparing-mastectomies
#19
Jordan D Frey, Mihye Choi, Ara A Salibian, Nolan S Karp
No abstract text is available yet for this article.
October 13, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29068898/comparison-of-complications-with-tissue-expander-immediate-implant-and-autologous-breast-reconstruction-after-nipple-sparing-mastectomies
#20
Stefano Bonomi, Laura Sala, Umberto Cortinovis
No abstract text is available yet for this article.
October 13, 2017: Plastic and Reconstructive Surgery
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