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Breast oncoplastic procedure

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https://www.readbyqxmd.com/read/27821330/mastotrainer-new-version-realistic-simulator-for-training-in-breast-surgery
#1
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/27682158/reduction-mammoplasty-using-oxidized-regenerated-cellulose-as-a-filler-in-breast-conservation-surgery
#2
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/27547399/the-role-of-oncoplastic-breast-conserving-treatment-for-locally-advanced-breast-tumors-a-matching-case-control-study
#3
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/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
#4
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
#5
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/27504200/bilateral-breast-reconstruction-with-abdominal-free-flaps-a-single-centre-single-surgeon-retrospective-review-of-55-consecutive-patients
#6
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
https://www.readbyqxmd.com/read/27466815/multiscale-mechano-biological-finite-element-modelling-of-oncoplastic-breast-surgery-numerical-study-towards-surgical-planning-and-cosmetic-outcome-prediction
#7
Vasileios Vavourakis, Bjoern Eiben, John H Hipwell, Norman R Williams, Mo Keshtgar, David J Hawkes
Surgical treatment for early-stage breast carcinoma primarily necessitates breast conserving therapy (BCT), where the tumour is removed while preserving the breast shape. To date, there have been very few attempts to develop accurate and efficient computational tools that could be used in the clinical environment for pre-operative planning and oncoplastic breast surgery assessment. Moreover, from the breast cancer research perspective, there has been very little effort to model complex mechano-biological processes involved in wound healing...
2016: PloS One
https://www.readbyqxmd.com/read/27460720/comparative-study-of-oncoplastic-versus-non-oncoplastic-breast-conserving-surgery-in-a-group-of-211-breast-cancer-patients
#8
L Calì Cassi, G Vanni, G Petrella, P Orsaria, C Pistolese, G Lo Russo, M Innocenti, O Buonomo
OBJECTIVE: Breast conserving surgery (BCS) followed by radiotherapy is the standard of care for most patients with early breast cancers; however, the aesthetic outcomes of this procedure is not always desirable. Oncoplastic breast surgery is an innovative approach that aims at the safe and effective treatment of the cancerous lesion while achieving the best possible aesthetic outcome. The aim of this study was to evaluate and compare oncoplastic and non-oncoplastic procedures. PATIENTS AND METHODS: A retrospective observational study was conducted on a group of patients who underwent oncoplastic or non-oncoplastic breast surgery at the Breast Unit of the University of Rome Tor Vergata...
July 2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27406093/operative-and-oncologic-outcomes-in-9861-patients-with-operable-breast-cancer-single-institution-analysis-of-breast-conservation-with-oncoplastic-reconstruction
#9
Stacey A Carter, Genevieve R Lyons, Henry M Kuerer, Roland L Bassett, Scott Oates, Alastair Thompson, Abigail S Caudle, Elizabeth A Mittendorf, Isabelle Bedrosian, Anthony Lucci, Sarah M DeSnyder, Gildy Babiera, Min Yi, Donald P Baumann, Mark W Clemens, Patrick B Garvey, Kelly K Hunt, Rosa F Hwang
BACKGROUND: Oncoplastic reconstruction is an approach that enables patients with locally advanced or adversely located tumors to undergo breast conserving surgery (BCS). The objectives were to identify the use of BCS with oncoplastic reconstruction (BCS + R) and determine the operative and oncologic outcomes compared with other breast surgical procedures for breast cancer. METHODS: This retrospective cohort study interrogated a single institution's prospectively maintained databases to identify patients who underwent surgery for breast cancer between 2007 and 2014...
October 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27357177/outcomes-after-oncoplastic-breast-conserving-surgery-in-breast-cancer-patients-a-systematic-literature-review
#10
Lucy De La Cruz, Stephanie A Blankenship, Abhishek Chatterjee, Rula Geha, Nadia Nocera, Brian J Czerniecki, Julia Tchou, Carla S Fisher
BACKGROUND: Surgeons have increasingly performed breast-conserving surgery (BCS) utilizing oncoplastic techniques in place of standard lumpectomy for early-stage breast cancer. We assess oncologic outcomes after oncoplastic BCS for T1-T2 breast cancer. METHODS: A systematic literature review identified peer-reviewed articles in PubMed evaluating BCS with oncoplastic reconstruction. Selected studies reported on positive margin rate (PMR), re-excision rate (RR), conversion to mastectomy rate (CMR), overall survival (OS), disease-free survival (DFS), local recurrence (LR), distant recurrence (DR), complication rate, and/or cosmetic outcomes...
October 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27330677/oncoplastic-breast-surgery-what-when-and-for-whom
#11
R Douglas Macmillan, Stephen J McCulley
Oncoplastic surgery is integral to all breast cancer surgeries. The use of an aesthetic approach to breast conservation or mastectomy greatly enhances the range of options that can be offered to women with breast cancer and facilitates better outomes from it. It should be the standard of care. However, a structured approach to selecting appropriate techniques is essential, and although many operative procedures are reported, this article sets out to describe a set of principles and an algorithm by which the what, when and for whom for oncoplastic surgery can be defined...
2016: Current Breast Cancer Reports
https://www.readbyqxmd.com/read/27317039/a-novel-robotic-surgical-technique-for-thyroid-surgery-bilateral-axillary-approach-baa
#12
Jung-Woo Woo, Seo Ki Kim, Inhye Park, Jun Ho Choe, Jung-Han Kim, Jee Soo Kim
INTRODUCTION: Bilateral axillo-breast approach (BABA) robotic thyroidectomy (RT) is proven to be a feasible method for the treatment of well-differentiated thyroid cancers in terms of oncology as well as cosmesis. However, BABA RT causes postoperative sternal discomfort and needs an incision over the nipple areolar area. Here, we suggest a novel robotic surgical technique for thyroid surgery that does not need a breast incision-bilateral axillary approach (BAA). PATIENTS AND METHODS: We recruited 51 patients who were willing to undergo the novel BAA robotic thyroid surgery...
June 17, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27265302/advances-in-the-surgical-treatment-of-breast-cancer
#13
Lei Xing, Qiang He, Yuan-Yuan Wang, Hong-Yuan Li, Guo-Sheng Ren
Breast cancer has become the top malignant neoplasm in Chinese women with an increasing risk of morbidity and mortality. As a crucial part of comprehensive treatment of breast cancer, breast surgical technique is ceaselessly ameliorating and enriching its features. With the purpose of achieving minimal surgical intervention and satisfactory cosmetic results, the trend of mammary surgery is focusing on minimally invasive treatment and aesthetics in the 21st century. This article gives an overview of the most representative surgical procedures, such as breast conservative surgery, sentinel lymph node dissection, oncoplastic technique and breast reconstructive surgery...
June 2016: Chinese Clinical Oncology
https://www.readbyqxmd.com/read/27127152/wire-guided-localization-in-non-palpable-breast-cancer-results-from-monocentric-experience
#14
Stefano Tardioli, Laura Ballesio, Silvia Gigli, Francesca DI Pastena, Valerio D'Orazi, Guglielmo Giraldi, Massimo Monti, Maria Ida Amabile, Vittorio Pasta
BACKGROUND: Breast-conserving surgery (BCS) is considered the gold-standard treatment for early breast cancer. Ultrasound-guided percutaneous biopsy or stereotactic biopsy of a breast lesion allows preoperative histological diagnosis. Various techniques have been proposed for identifying non-palpable breast tumors, but the most popular method is the wire-guided localization (WGL) technique. The aim of this study was to propose an alternative technique for optimizing the WGL procedure, facilitating breast surgery and reducing complications...
May 2016: Anticancer Research
https://www.readbyqxmd.com/read/27065661/patient-reported-outcomes-following-breast-reconstruction-surgery-and-therapeutic-mammoplasty-prospective-evaluation-1%C3%A2-year-post-surgery-with-breast-q-questionnaire
#15
Laxmi Shekhawat, Laleh Busheri, Santosh Dixit, Chaula Patel, Upendra Dhar, Chaitanyanand Koppiker
Breast Cancer (BC) treatment leads to mutilation and destruction of breast shape with negative effects on body image and self-esteem.One of the main goals of reconstructive and oncoplastic breast surgery is to satisfy patients and improve their quality of life (QoL).Therefore, it is important to assess the patient experience post-surgery by means of patient-reported outcome measures (PROMs) that focus on the patient's perception of the surgery and surgical care, as well as psychosocial well-being and physical functioning...
December 2015: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/27060905/current-opinion-on-the-oncoplastic-approach-in-the-usa
#16
Albert Losken, Sameer Kapadia, Francesco M Egro, Kirsten M Baecher, Toncred M Styblo, Grant W Carlson
The management of women with breast cancer who wish to preserve their breasts often includes partial reconstruction at the time of tumor resection. This is referred to as the oncoplastic approach and has been shown to improve outcomes. The purpose of this review was to better understand the current surgeon mindset relative to the oncoplastic approach. A survey was designed to understand demographics and opinions on partial breast reconstruction at the time of tumor resection. This was disseminated to the registered members of the American Society of Breast Surgeons as well the American Society of Plastic Surgeons (ASPS) through an online system and comparisons were made...
July 2016: Breast Journal
https://www.readbyqxmd.com/read/27017246/the-quality-of-preoperative-diagnostics-and-surgery-and-their-impact-on-delays-in-breast-cancer-treatment-a-population-based-study
#17
Kaisu Ojala, Tuomo J Meretoja, Johanna Mattson, Päivi Salminen-Peltola, Suvi Leutola, Marianne Berggren, Marjut H K Leidenius
BACKGROUND AND OBJECTIVES: This study aims to clarify quality of breast cancer surgery in population-based setting. We aim to elucidate factors influencing waiting periods, and to evaluate the effect of hospital volume on surgical treatment policies. Special interest was given to diagnostic and surgical processes and their impact on waiting times. METHODS: All 1307 patients having primary breast cancer surgery at the Helsinki and Uusimaa Hospital District during 2010 were included in this retrospective study...
April 2016: Breast: Official Journal of the European Society of Mastology
https://www.readbyqxmd.com/read/26988623/oncoplastic-breast-conserving-surgery-volume-replacement-vs-volume-displacement
#18
REVIEW
M Noguchi, M Yokoi-Noguchi, Y Ohno, E Morioka, Y Nakano, T Kosaka, T Kurita
Oncoplastic breast conserving surgery (BCS) has emerged as a third option between conventional BCS and mastectomy. Oncoplastic BCS includes two fundamentally different approaches: volume replacement and volume displacement. The former involves partial mastectomy and immediate reconstruction of the breast with the transposition of autologous tissue from elsewhere, while the latter involves partial mastectomy and using the remaining breast tissue to fill the defect resulting from extirpation of the tumor. There are several benefits associated with oncoplastic BCS...
July 2016: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/26956623/breast-segmentectomy-with-rotation-mammoplasty-as-an-oncoplastic-approach-to-extensive-ductal-carcinoma-in-situ
#19
Bartlomiej Szynglarewicz, Adam Maciejczyk, Jozef Forgacz, Rafal Matkowski
BACKGROUND: The aim of this study was to assess the usefulness of the breast segmentectomy with rotation mammoplasty (BSRMP) in conserving therapy for an extensive ductal carcinoma in situ (DCIS) with or without an invasive component. METHODS: Thirty-six women with DCIS visible as large area of microcalcifications distributed out of the retroareolar area regardless of the quadrant were studied prospectively. All the patients underwent BSRMP and axillary procedure (31 sentinel node biopsy, 5 axillary dissection) followed by radiotherapy...
2016: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/26942154/long-term-results-of-oncoplastic-breast-surgery-with-latissimus-dorsi-flap-reconstruction-a-pilot-study-of-the-objective-cosmetic-results-and-patient-reported-outcome
#20
Kyeong-Deok Kim, Zisun Kim, Jung Cheol Kuk, Jaehong Jeong, Kyu Sung Choi, Sung Mo Hur, Gui Ae Jeong, Jun Chul Chung, Gyu Seok Cho, Eung Jin Shin, Hyung Chul Kim, Sang-Gue Kang, Min Hyuk Lee, Cheol Wan Lim
PURPOSE: The goal of oncoplastic breast surgery is to restore the appearance of the breast and improve patient satisfaction. Thus, the assessment of cosmetic results and patient-reported outcomes (PROs) using appropriately constructed and validated instruments is essential. The aim of the present study was to assess the long-term objective cosmetic results and corresponding PROs after oncoplastic breast surgery. METHODS: Cosmetic results were assessed by the patients, a medical panel, and a computer program (BCCT...
March 2016: Annals of Surgical Treatment and Research
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