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Breast reconstruction

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9 papers 25 to 100 followers
Heath J Charvet, Hakan Orbay, Michael S Wong, David E Sahar
Fat grafting is increasingly popular and is becoming a common practice in plastic surgery for postmastectomy breast reconstruction and aesthetic breast augmentation; however, concerns over the oncologic safety remains a controversial and hot topic among scientists and surgeons. Basic science and laboratory research repeatedly show a potentially dangerous effect of adipose-derived stem cells on breast cancer cells; however, clinical research, although limited, continually fails to show an increase in breast cancer recurrence after breast fat grafting, with the exception of 1 small study on a subset patient population with intraepithelial neoplasm of the breast...
October 2015: Annals of Plastic Surgery
Eric I Chang
No abstract text is available yet for this article.
October 2015: Plastic and Reconstructive Surgery
Jordan Jacobs, Mikkel Børsen-Koch, Gudjon Leifur Gunnarsson, Tina Tos, Elsebeth Siim, Ann Udesen, Lisbet Rosenkrantz Hölmich, Andrew Salzberg, Jørn Bo Thomsen
BACKGROUND: The thoracodorsal artery perforator (TAP) flap is a versatile tool that can be used to reconstruct the breast. The authors use preoperative perforator mapping using color Doppler ultrasonography and present a safe, efficient harvesting technique to demonstrate reliable use of the TAP flap in reconstructive surgery. METHODS: A multicenter, retrospective review was performed on all patients undergoing TAP flap reconstruction from August 2011 to November 2014...
October 2016: Annals of Plastic Surgery
Luís Fernando Ungarelli, Jayme Adriano Farina
No abstract text is available yet for this article.
November 2015: Plastic and Reconstructive Surgery
Justin P Fox, Andrew R Bauder, Cary P Gross, Brigid Killelea, Paris D Butler, Stephen J Kovach
No abstract text is available yet for this article.
October 2015: Plastic and Reconstructive Surgery
Alessandra Bielli, Maria G Scioli, Pietro Gentile, Valerio Cervelli, Augusto Orlandi
Breast cancer remains the most common tumor in women, and new techniques for post- surgical breast reconstruction have been recently introduced. These new procedures include autologous fat grafting with or without the enrichment with autologous stromal vascular fraction (SVF), platelet-derived growth factors and insulin. The reported improvement of fat graft viability with these techniques likely depends on the presence in the SVF of multipotent resident adipose derived-stem cells (ASCs). The clinical advantage derives from the plasticity of ASCs and their ability to generate new functional adipose tissue and vessels...
May 2015: Advances in Clinical and Experimental Medicine: Official Organ Wroclaw Medical University
Amy Alderman, Karol Gutowski, Amy Ahuja, Diedra Gray
LEARNING OBJECTIVES: After reading this article, participants should be able to: 1. Understand the evidence regarding the timing of expander/implant breast reconstruction in the setting of radiation therapy. 2. Discuss the implications of a patient's risk factors for possible outcomes and complications of expander/implant breast reconstruction. 3. Implement proper prophylactic antibiotic protocols. 4. Use the guidelines to improve their own clinical outcomes and reduce complications. SUMMARY: In March of 2013, the Executive Committee of the American Society of Plastic Surgeons approved an evidence-based guideline on breast reconstruction with expanders and implants, as developed by a guideline-specific work group commissioned by the society's Health Policy Committee...
October 2014: Plastic and Reconstructive Surgery
Delphine Héquet, Kevin Zarca, Sylvie Dolbeault, Benoît Couturaud, Charlotte Ngô, Virgine Fourchotte, Anne De La Rochefordière, Jean-Guillaume Féron, Alfred Fitoussi, Catherine Bélichard, Fabien Reyal, Fatima Laki, David Hajage, Brigitte Sigal, Bernard Asselain, Séverine Alran
BACKGROUND: The aims of the study were to investigate the factors associated with not having breast reconstruction following mastectomy and to assess patient satisfaction with information on reconstruction. PATIENTS AND METHODS: We analysed a historical cohort of 1937 consecutive patients who underwent mastectomy at Institut Curie between January 2004 and February 2007. Their sociodemographic and clinicobiological characteristics were recorded in a prospective database...
2013: SpringerPlus
L Martin, J M O'Donoghue, K Horgan, S Thrush, R Johnson, A Gandhi
Tissue expansion with delayed insertion of a definitive prosthesis is the most common form of immediate breast reconstruction performed in the United Kingdom. However, achieving total muscle coverage of the implant and natural ptosis is a key technical challenge. The use of acellular dermal matrices (ADM) to supplement the pectoralis major muscle at the lower and lateral aspects of the breast has been widely adopted in the UK, potentially allowing for a single stage procedure. There is however little published data on the clinical and quality criteria for its use, and no long term follow-up...
May 2013: European Journal of Surgical Oncology
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