Endoscopy mastectomy and breast reconstruction: Endoscopic breast surgery

1995 ◽  
Vol 19 (1) ◽  
pp. 27-29 ◽  
Author(s):  
Lewis D. Friedlander ◽  
John Sundin ◽  
Norman Bakshandeh
Keyword(s):  
Breast Reconstruction ◽  
Breast Surgery ◽  
Endoscopic Breast Surgery

Trends in oncoplastic breast surgery and breast reconstruction over the past 35 years

2017 ◽  
Vol 24 (3) ◽  
pp. 432-434 ◽  
Author(s):  
Ruffo Freitas-Junior ◽  
Sara Socorro Faria ◽  
Régis Resende Paulinelli ◽  
Edésio Martins
Keyword(s):  
Breast Reconstruction ◽  
Breast Surgery ◽  
Oncoplastic Breast Surgery ◽  
The Past

scholarly journals Adipose-derived stem cells for breast reconstruction after breast surgery – preliminary results

2017 ◽  
Vol 4 (1) ◽  
pp. 35-41 ◽  
Author(s):  
Anastasios Tsekouras ◽  
Dimitrios Mantas ◽  
Diamantis I. Tsilimigras ◽  
Ioannis Ntanasis-Stathopoulos ◽  
Michael Kontos ◽  
...  
Keyword(s):  
Stem Cells ◽  
Breast Reconstruction ◽  
Breast Surgery ◽  
Adipose Derived Stem Cells ◽  
Preliminary Results

Ancillary considerations in breast surgery

2021 ◽  
pp. 1145-1150
Author(s):  
Emily G. Clark ◽  
Melissa A. Mueller ◽  
Gregory R.D. Evans
Keyword(s):  
Breast Reconstruction ◽  
Breast Surgery ◽  
Capsular Contracture ◽  
Acellular Dermal Matrix ◽  
Fat Grafting ◽  
Dermal Matrix ◽  
Oncological Safety ◽  
Acellular Dermal ◽  
Radiographic Changes ◽  
Suspicious Lesions

Debated topics and new and evolving techniques in breast surgery are discussed in this chapter. Antibiotics and the use of closed-suction drains vary among surgeons, but the existing evidence favours discontinuation of antibiotics within 24 hours in most cases, and the indications for drains are limited but include breast reconstruction with acellular dermal matrix (ADM). ADM is a biological tissue substitute with many applications in breast surgery. The product selected and surgical technique used are often case specific; cost and patient anatomy play major roles. Although not suitable for all patients, ADM is an asset to prosthetic breast reconstruction. In addition, ADM is useful in the correction of breast surgery complications, including malpositioning and capsular contracture. It may be combined with fat grafting to mask rippling. Fat grafting, or lipomodelling, is an evolving science with promising results. Technique is critical for good results, and is described in this chapter. Radiographic changes after fat grafting are usually discernible from suspicious lesions, and growing evidence supports the oncological safety of this procedure

scholarly journals Infrared Thermography for DIEP Flap Breast Reconstruction Part II: Analysis of the Results

Proceedings ◽  
2019 ◽  
Vol 27 (1) ◽  
pp. 49 ◽  
Author(s):  
Gunther Steenackers ◽  
Ben Cloostermans ◽  
Filip Thiessen ◽  
Yarince Dirkx ◽  
Jan Verstockt ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Infrared Thermography ◽  
Hot Spots ◽  
Breast Surgery ◽  
Infrared Camera ◽  
Diep Flap ◽  
Flap Surgery ◽  
Qualitative Information ◽  
Thermal Measurements ◽  
The Individual

Dynamic infrared thermography (DIRT) has been used to locate perforating vessels and to assist in reconstructive breast surgery. Qualitative information on the perforating vessels is obtained by analysing the rate and pattern of rewarming of hot spots which are easily registered with an infrared camera. Thermal measurements are made before and during surgery and are compared with the CT-images available before operation. The thermal images can provide the individual influence of each perforator on the flap, as well as the dimensions of the perfused area. We will investigate if the influence of the different dominant perforators can be assessed by dynamic infrared thermography as a useful tool for recostructive DIEP-flap surgery.

scholarly journals Breast Surgery on the Post-operative Well-being of Women: A Prospective Evaluation

2020 ◽  
Author(s):  
Jessica Ranieri ◽  
Federica Guerra ◽  
Dina Di Giacomo
Keyword(s):  
Breast Reconstruction ◽  
Breast Surgery ◽  
Radical Mastectomy ◽  
Psychological Adaptation ◽  
Well Being ◽  
Long Term Effects ◽  
Reconstruction Surgery ◽  
Level Of Satisfaction ◽  
The Impact ◽  
Mental Well Being

Abstract Background. Mammoplasty is the most common surgery that is used for both breast augmentation in healthy women (aesthetic plastic) and breast reconstruction (disease-related plastic) in women who have been diagnosed with and surgically treated for regional breast cancer with radical mastectomy (MRM). When compared to breast reconstruction surgery, aesthetic breast surgery is perceived to result in more favourable aesthetic outcomes.. This study aimed to examine the long-term effects of mammoplasty on the psychological adaptation of women.Methods. A total of 44 30–50-year-old women participated in this study. They were divided into two groups based on the type of breast surgery that they had undergone (augmentation surgery [AS] vs. reconstruction surgery [RS]) and the time that had elapsed since their surgery (≤ 3 years vs. > 3 years). Results. Our findings suggest that the psychological well-being of women who undergo AS declines over time. The women who had undergone AS ≤ 3 and > 3 years earlier did not differ in any of the indicators of emotional functioning. The only exception was their level of satisfaction with their breasts. We examined the impact of mammoplasty on the satisfaction levels and well-being of women who had undergone RS (after MRM). As expected, they were less satisfied with their breasts than those who belonged to the AS group However, this was true only among those who had undergone their surgery ≤ 3 years earlier.Conclusions. In conclusion, our findings underscore the need to provide psychological support to those who have undergone AS and RS. To shorten the adaptation process and enhance their mental well-being, personalised psychological interventions should be provided.

scholarly journals A novel technique for an immediate nipple reconstruction with a rectangle flap in implant-based breast reconstruction

2021 ◽  
Author(s):  
Piotr Pluta ◽  
Janusz Piekarski ◽  
Marek Zadrożny
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Cancer Patients ◽  
Breast Surgery ◽  
Tissue Expander ◽  
Reconstruction Technique ◽  
Nipple Reconstruction ◽  
Breast Cancer Patients ◽  
Alternative Approach ◽  
The Given

IntroductionA nipple reconstruction complements breast mound restoring in postmastectomy breast cancer patients. It positively affects patients' welfare, both in psycho-social and sexual aspects. An immediate nipple reconstruction is an alternative approach to delayed surgery. We describe an original technique for an immediate nipple reconstruction by the use of a modified rectangular flap.Material and methodsOne hundred seventeen nipple reconstructions in 112 breast cancer patients were performed. This technique was used during skin-sparing mastectomy, including 104 implants (88.9%) and 13 tissue-expander (11.1%) breast reconstructions. Synthetic meshes covered with titanium supported lower breast poles in 72 implantations (61.5%); in remaining cases, (38.5%) muscles covered the entire implant. Preoperative chemotherapy was applied in 18.75% of the patients; adjuvant chemo- and hormonal therapy obtained 29.5% and 74.1% of the patients, respectively. Twenty-four patients (21.4%) were irradiated postoperatively.ResultsIn 5 out of 117 surgeries (4.3%), necrosis of the rectangular flap was observed. Twelve months since surgery, two-loss of projection of reconstructed nipple was reported (1.7%). In the twelfth month of observation, of the subgroup of 102 patients with permanent nipple presentation, 93.1% gave a positive opinion regarding the procedure.ConclusionsThe given immediate nipple reconstruction technique performed during a skin-sparing mastectomy and implant/expander-based breast reconstruction was an effective and safe adjunct curative breast surgery.

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