keyword
https://read.qxmd.com/read/38074493/localization-of-central-breast-lymphatics-and-predefined-separation-of-lobes-along-the-horizontal-septum
#21
JOURNAL ARTICLE
Elisabeth Würinger
BACKGROUND: The predictable localization of the neurovascular supply along the ligamentous suspension, composed of the horizontal septum, vertical ligaments, and superficial fascia, has increased safety in breast reduction. Lymphatic drainage of the breast has always been described as running close to vascular supply. However, the correlation between the lymphatic course and ligamentous suspension has not yet been considered. This study aimed to visualize the relationship, direction of lymphatic flow, and predefined separation of lobes along the horizontal septum...
December 2023: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/38016381/chest-wall-perforator-flaps-for-partial-breast-reconstruction-after-conservative-surgery-prospective-analysis-of-safety-and-reliability
#22
JOURNAL ARTICLE
Tiago Russell Pinto, Henrique Mora, Bárbara Peleteiro, André Magalhães, Diana Gonçalves, José Luís Fougo
INTRODUCTION: Breast-conserving surgery associated with adjuvant radiotherapy is the state of the art in the surgical treatment of breast cancer. Oncoplastic surgery through dermo-adipose flaps based in perforating arteries (muscle sparing flaps) for partial reconstruction is increasingly used as a good option for avoiding musculocutaneous flaps. In this study we evaluate the outcomes of the use of chest wall perforator flaps in the replacement of partial breast volume. METHODS: A prospective cohort study of female patients that underwent a conservative oncoplastic surgery procedure with partial breast reconstruction using a dermo-adipose flap of perforating arteries of the chest wall was conducted between November 2020 and March 2022 at our centre...
November 23, 2023: Surgical Oncology
https://read.qxmd.com/read/38016264/oncoplastic-breast-reduction-surgery-decreases-rates-of-reoperation-with-no-increased-medical-risk
#23
JOURNAL ARTICLE
Lee H Kilmer, Allan A Weidman, Brent R DeGeorge, John T Stranix, Chris A Campbell
The purpose of this study is to compare the oncologic, medical, and surgical outcomes of lumpectomy versus oncoplastic breast reduction surgery (OBRS) on a national scale. A national insurance-based database was queried for patients who had a lumpectomy with or without a same-day breast reduction by Current Procedural Terminology (CPT) codes. Patients were then matched by obesity, body mass index range, age, region, neoadjuvant chemotherapy, and outcomes were compared. There were 421,455 patients in the lumpectomy group and 15,909 patients in the OBRS group...
November 4, 2023: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://read.qxmd.com/read/37985578/novel-single-centre-experience-evaluation-of-outcomes-post-implementation-of-a-coordinated-combined-breast-reconstruction-service
#24
JOURNAL ARTICLE
Alexander S Armanios, Munyaradzi G Nyandoro, Nisha Jayachitra, Saud Hamza
BACKGROUND: Autologous breast reconstruction services are logistically complex and challenging to implement but have better outcomes than implants. This study aimed to evaluate the effect of implementing a coordinated, low-cost combined breast reconstruction service (0.8 FTE nurse liaison, 0.25 FTE plastic surgeon, two dedicated breast surgeons 0.05 FTE each and protected weekly all-day oncoplastic theatre) on unit productivity and efficiency in reducing wait times for immediate autologous breast reconstruction...
November 20, 2023: ANZ Journal of Surgery
https://read.qxmd.com/read/37973674/implant-based-breast-reconstruction-with-bovine-pericardium-our-approach-using-tutopatch-%C3%A2-and-review-of-literature
#25
JOURNAL ARTICLE
Atilla Adnan Eyuboglu, Ovunc Akdemir, Fatih Aydogan, Mustafa Tonguc Isken
OBJECTIVES: To describe the usage and advantages of bovine pericardium mesh (Tutopatch® ) in breast reconstruction and to compare different mesh materials used in immediate breast reconstruction. METHODS: Our study involved a single-center, retrospective analysis of 103 patients (comprising 114 breasts) who underwent immediate implant-based breast reconstruction using bovine pericardium bovine matrix. The procedures were performed by the same surgical team between April 2018 and May 2023...
November 16, 2023: Aesthetic Plastic Surgery
https://read.qxmd.com/read/37970600/practical-oncoplastic-surgery-techniques-needed-for-practice
#26
JOURNAL ARTICLE
Salvatore M Nardello, Joshua A Bloom, Kerry A Gaffney, Meera Singhal, Sarah Persing, Abhishek Chatterjee
Oncoplastic breast surgery (OPS) is a form of breast conservation surgery that includes immediate breast reconstruction. OPS has previously been shown to be a safe and effective treatment for breast cancer. In a special series on Breast Reconstruction, we aimed to describe oncoplastic breast reconstruction options and the corresponding technical details. Sections were divided by descriptions of OPS specific preoperative workup, volume displacement techniques, volume replacement techniques, and postoperative considerations...
October 25, 2023: Annals of Translational Medicine
https://read.qxmd.com/read/37901052/pushing-the-limits-of-breast-conserving-surgery-with-extreme-oncoplasty
#27
JOURNAL ARTICLE
Berkay Kilic, Suleyman Bademler, Burak Ilhan, Ilknur Yildirim, Seden Kucucuk, Aysel Bayram, Hasan Karanlik
INTRODUCTION: We aimed to report the long-term surgical outcomes of extreme oncoplasty techniques in selected patients with unifocal (UF)/cT3 or multifocal-multicentric tumors (MFMC). MATERIAL AND METHODS: Patients who were initially recommended to have mastectomy underwent extreme oncoplastic breast-conserving surgery (eOBCS) including therapeutic reduction mammoplasty, racquet, and round-block mammoplasty, Grisotti flap, or combined technique were included. Preoperative tumor parameters, clinical outcomes, rate of local recurrence, survival, and patients' satisfaction were assessed...
October 2023: Breast Care
https://read.qxmd.com/read/37900989/reply-to-comment-on-recommendations-for-an-effective-and-safe-extreme-oncoplastic-breast-surgery-combining-multiple-techniques
#28
JOURNAL ARTICLE
Jean-Claude D Schwartz
No abstract text is available yet for this article.
October 2023: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/37900985/recommendations-for-an-effective-and-safe-extreme-oncoplastic-breast-surgery-combining-multiple-techniques
#29
JOURNAL ARTICLE
Gianluca Franceschini
No abstract text is available yet for this article.
October 2023: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/37899450/clinical-study-on-the-thoracodorsal-artery-perforator-flap-in-breast-conserving-reconstruction-of-t2-breast-cancer
#30
JOURNAL ARTICLE
Shuang-Qi Li, Zi-Fang Zheng, Hang Li, Jin-Fan Zhang, Yan Zheng, Li-Sheng Lin
BACKGROUND: Breast-conserving surgery combined with oncoplastic breast surgery has become the standard surgical treatment for early breast cancer. OBJECTIVE: The purpose of this study was to investigate the safety and efficacy of the thoracodorsal artery perforator flap (TDAPF) in breast-conserving reconstruction of T2 breast cancer. METHODS: Thirty patients with T2 breast cancer admitted to our hospital from January 2019 to December 2020 were enrolled to receive pedicled TDAPF for repairing breast defects after breast-conserving surgery...
October 29, 2023: Surgical Innovation
https://read.qxmd.com/read/37893421/portable-negative-pressure-wound-dressing-in-oncoplastic-conservative-surgery-for-breast-cancer-a-valid-ally
#31
JOURNAL ARTICLE
Donato Casella, Daniele Fusario, Anna Lisa Pesce, Marco Marcasciano, Federico Lo Torto, Gianluigi Luridiana, Alessandro De Luca, Roberto Cuomo, Diego Ribuffo
Background and Objectives : The use of oncoplastic techniques has spread widely in the last decade, with an expansion of the indications and demonstration of excellent oncological safety profiles. A potential downside may be the increased complication rates, which could influence the timing of adjuvant therapy. To date, there is increasing evidence that negative pressure therapy on closed wounds can reduce complication rates after surgery. From this perspective, we tested the use of portable negative pressure wound dressings (NPWDs) in oncoplastic surgery to minimize early post-operative admissions to the outpatient clinic and prevent surgical complications...
September 23, 2023: Medicina
https://read.qxmd.com/read/37850204/oncoplastic-breast-reduction-a-systematic-review-of-postoperative-complications
#32
JOURNAL ARTICLE
Katherine C Benedict, Madyson I Brown, Hunter A Berry, Scott M Berry, Robert C O'Brien, Jared M Davis
BACKGROUND: Breast-conserving therapy with oncoplastic reduction is a useful strategy for partial mastectomy defect reconstruction. The most recently published systematic review of oncoplastic breast reduction outcomes from 2015 showed wound dehiscence in 4.3%, hematoma in 0.9%, infection in 2.8%, and nipple necrosis in 0.9% of patients. We performed a systematic review of oncoplastic breast reduction literature, comparing outcomes and complication rates reported over the past 8 years...
October 2023: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/37842527/the-challenging-patient-in-autologous-breast-reconstruction-obesity-breast-ptosis-and-beyond
#33
REVIEW
Edward H Nahabet, Christopher A Crisera
Autologous breast reconstruction has consistently demonstrated excellent patient satisfaction, ideal aesthetic results, and a low risk of complications. With the increasing incidence of breast cancer diagnoses and higher reconstruction rates, surgeons encounter a broader spectrum of patients. Obese patients undergoing breast reconstruction are more likely to experience a surgical complication. While free tissue transfer carries a higher donor site complication rate, implant-based reconstruction carries a higher loss of reconstruction in this population...
September 25, 2023: Gland Surgery
https://read.qxmd.com/read/37821554/a-clinical-analysis-of-prognosis-and-patient-reported-outcomes-of-oncoplastic-breast-conserving-surgery-for-early-breast-cancer-a-retrospective-cohort-study
#34
JOURNAL ARTICLE
J H Ren, Yuanyuan Wang, Xiang Zhang, Qiao Cheng, Kang Wang, Qiang Liu, Renxi Tang, Ling Yang, Junge Gong, Jiawei Xu, Hongyuan Li
PURPOSE: Approximately 25-30% of patients suffer from breast deformity and/or asymmetry after conventional breast-conserving surgery (CBCS). Generally, it is thought that oncoplastic breast-conserving surgery (OBCS) results in an improved cosmetic result; however, studies comparing the prognosis and aesthetic outcomes of CBCS and OBCS in early breast cancer (EBC) are inadequate. METHODS: A total of 143 patients were included in this retrospective cohort study; 53 underwent OBCS and 90 underwent CBCS...
October 11, 2023: Aesthetic Plastic Surgery
https://read.qxmd.com/read/37817927/wise-pattern-split-reduction-incision-to-facilitate-mastectomy-and-direct-to-implant-reconstruction-for-superficial-breast-cancers
#35
JOURNAL ARTICLE
Jean-Claude D Schwartz
The split reduction allows for oncoplastic breast conserving surgery using a modified Wise-pattern closure in ptotic patients with cancers in close proximity to a skin margin. Although cancers involving skin within the Wise pattern are conveniently resected during closure, cancers in close proximity to skin outside the Wise pattern require a modified closure. This modified Wise-pattern closure preserves skin near the inferior pole of the breast which is normally resected and shifts this resection superiorly over the cancer...
October 2023: Plastic and Reconstructive Surgery. Global Open
https://read.qxmd.com/read/37784886/non-animal-stabilized-hyaluronic-acid-nasha-gel-marker-vs-surgical-clips-for-tumor-bed-delineation-in-breast-cancer-using-mr-simulation
#36
JOURNAL ARTICLE
J Yeh, B Harris, M Tacey, E Lau, C Lapuz, D Mathieu, S C Fong, F Foroudi, S P Ng, J Sim, J P Pignol, M W T Chao
PURPOSE/OBJECTIVE(S): Consistent delineation of the tumor bed (TB) after breast conserving surgery (BCS) is critical and remains a challenge with increasing prevalence of oncoplastic surgeries. Clips are generally used to help TB identification on CT-simulation but they are not well identified on MR-simulation. The aim of this study is to assess whether the use of NASHA gel with MR-simulation yields similar interobserver variability (inter-OV) compared to clips with CT-simulation. MATERIALS/METHODS: This prospective single arm feasibility study included patients eligible for BCS...
October 1, 2023: International Journal of Radiation Oncology, Biology, Physics
https://read.qxmd.com/read/37783134/the-king-is-in-the-altogether-radiation-therapy-after-oncoplastic-breast-surgery
#37
REVIEW
Orit Kaidar-Person, Birgitte Vrou Offersen, Trine Tramm, Peer Christiansen, Tine Engberg Damsgaard, Ashutosh Kothari, Philip Poortmans
Breast cancer is the most common malignancy, and the majority of the patients are diagnosed at an early disease stage. Breast conservation is the preferred locoregional approach, and oncoplastic breast conservation surgery is becoming more popular. This narrative review aims to discuss the challenges and uncertainties in target volume definition for postoperative radiation after these procedures, to improve radiation therapy decisions and encourage multidisciplinary.
December 2023: Breast: Official Journal of the European Society of Mastology
https://read.qxmd.com/read/37746279/impact-of-oncoplasty-in-increasing-breast-conservation-rates-post-neo-adjuvant-chemotherapy
#38
JOURNAL ARTICLE
Chaitanyanand B Koppiker, Devaki A Kelkar, Madhura Kulkarni, Shweta Kadu, Mugdha Pai, Upendra Dhar, Chetan Deshmukh, Beenu Varghese, Vaishali Zamre, Nutan Jumle, Nutan Gangurde, Anjali Joshi, Rohini Unde, Rituja Banale, Namrata Namewar, Pooja Vaid, Laleh Busheri, George Thomas, Smeeta Nare, Jerome Pereira, Sunil Badve
INTRODUCTION: The essential goal of neoadjuvant chemotherapy (NACT) is to downstage the primary tumor making it amenable for breast conservation surgery (BCS). However, since the safety of this surgery is paramount, post-NACT breast conservation rates remain low. As per the recommendation of the 2018 Early Breast Cancer Trialists' Collaborative Group (EBCTCG) overview of long-term post-NACT follow-up, we have devised a protocol for imaging, localization, rad-path analysis, and documentation of radiotherapy techniques to ensure the safety of post-NACT breast conservation...
2023: Frontiers in Oncology
https://read.qxmd.com/read/37697322/oncoplastic-breast-conserving-surgery-versus-standard-breast-conserving-surgery-for-early-and-locally-advanced-breast-cancer-a-retrospective-analysis-from-sri-lanka
#39
JOURNAL ARTICLE
Kanchana Wijesinghe, Thilanka Abeywickrama, Yohan Chamara, Sumali De Silva, Sebastianpillai Tharshan, Umesh Jayarajah, Ajith De Silva
BACKGROUND: Breast aesthetics is becoming increasingly important in breast cancer surgery due to changes in patient expectations and greater emphasis been placed on the psychosocial outcomes. Studies have shown no difference in local recurrence risk between mastectomy and breast conserving surgery (BCS) and also a higher overall survival rate after BCS. Breast preservation improves the quality of life substantially compared to mastectomy. Oncoplastic breast-conserving surgery (O-BCS) involves tumour excision whilst overcoming the limitations of standard breast conserving surgery (S-BCS) by allowing larger resection volumes, avoiding deformities with better aesthetic results...
September 11, 2023: BMC Surgery
https://read.qxmd.com/read/37679540/aso-visual-abstract-simultaneous-symmetry-procedure-in-patients-undergoing-oncoplastic-breast-conserving-surgery-an-evaluation-of-patient-desire-and-revision-rates
#40
JOURNAL ARTICLE
Janelle-Cheri Millen, Katherine Jackson, Stacey L Stern, Javier I J Orozco, Crystal E Fancher, Janie Grumley
No abstract text is available yet for this article.
September 7, 2023: Annals of Surgical Oncology
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