scholarly journals Breast reconstruction following modified radical mastectomy using a skin expander

1986 ◽  
Vol 111 (S1) ◽  
pp. S81-S81
Author(s):  
W. Eiermann ◽  
P. Scheidel ◽  
H. Hepp
Keyword(s):  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Modified Radical Mastectomy ◽  
Skin Expander

Modified radical mastectomy with immediate breast reconstruction

1983 ◽  
Vol 72 (5) ◽  
pp. 741
Author(s):  
John C. Kelleher ◽  
L. H Wilkinson ◽  
O. A Peloso ◽  
W. G. Dail
Keyword(s):  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Immediate Breast Reconstruction ◽  
Modified Radical Mastectomy

Breast Reconstruction After Modified Radical Mastectomy

1982 ◽  
Vol 75 (11) ◽  
pp. 1335-1338 ◽  
Author(s):  
HILTON BECKER ◽  
I. KELMAN COHEN ◽  
MICHAEL SCHEFLAN
Keyword(s):  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Modified Radical Mastectomy

Customized 3D Printed Bolus for Breast Reconstruction for Modified Radical Mastectomy (MRM)

2016 ◽  
Vol 27 (4) ◽  
pp. 196 ◽  
Author(s):  
Jin-Suk Ha ◽  
Jae Hong Jung ◽  
Min-Joo Kim ◽  
Mi Jin Jeon ◽  
Won Suk Jang ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Modified Radical Mastectomy ◽  
3D Printed

scholarly journals The impact of immediate breast reconstruction on post-mastectomy lymphedema in patients undergoing modified radical mastectomy

The Breast ◽  
2013 ◽  
Vol 22 (1) ◽  
pp. 53-57 ◽  
Author(s):  
Kyeong-Tae Lee ◽  
Goo-Hyun Mun ◽  
So-Young Lim ◽  
Jai-Kyong Pyon ◽  
Kap-Sung Oh ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Immediate Breast Reconstruction ◽  
Modified Radical Mastectomy ◽  
The Impact

scholarly journals Breast reconstruction following amputation for cancer

2009 ◽  
Vol 66 (6) ◽  
pp. 427-433
Author(s):  
Milan Visnjic ◽  
Predrag Kovacevic ◽  
Ljiljana Paunkovic ◽  
Goran Djordjevic ◽  
Dragana Budjevac ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Late Complications ◽  
Tram Flap ◽  
Primary Reconstruction ◽  
Modified Radical Mastectomy ◽  
Reconstruction Methods ◽  
Acceptable Method ◽  
Flap Elevation

Background/Aim. Today, breast reconstruction is a widely accepted method in the treatment of breast cancer after modified radical mastectomy. Reconstruction methods are associated with an acceptable number of complications and reconstruction favorably impacts quality of life. The aim of the study was to present our experience in breast reconstruction. Methods. We presented here a four-year experience with 84 patients with breast reconstruction after modified radical mastectomy. Results. Implant reconstructions were most common, 44 (52.3%), with primary reconstruction in 31(70.4%) and secondary in 13 (29.5%) women. Lattisimus dorsi flap (LDF) and implant were utilized in 32 (38%) of the patients, with primary reconstruction in 24 (75%) and secondary in 8 (25%) women. Transversal rectus abdominis myocutaneous (TRAM) flap was rarely used - just in 8 (9.5%) patients and only for secondary breast reconstruction. Postoperatively, some early complications such as hematoma, seroma, infections and partial flap necrosis were observed in 10 (11.9%) patients. Late complications, such as implant rejection, hypertrophic scarring and hernias at the flap elevation site, were noted in 10 (11.9%) cases. Implant loss occurred in 5 (5.9%) cases. All the complications were successfully managed, and patients rated their reconstruction as follows: excellent, 49 (59%) cases; very good, 20 (24%), and good, 14 (16.8%). In one case, disease progression was observed 6 months after the primary breast reconstruction. Conclusion. Breast reconstruction is an acceptable method in the treatment of breast cancer in patients in the need for or with already performed mastectomy. The choice of reconstruction approach depends on the breast volume, patient's wish and experience of surgical team. Our results suggest the advantage of breast reconstruction with LDF with implant, since the technique is safe, complications relatively rare and easily manageable, and the results are excellent or very good in each woman.

Immediate Breast Reconstruction following Modified Radical Mastectomy

1984 ◽  
Vol 70 (5) ◽  
pp. 451-454
Author(s):  
Pierluigi Santi ◽  
Pietro Benino ◽  
Angelo Galli ◽  
Cinzia Quondamcarlo
Keyword(s):  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Immediate Breast Reconstruction ◽  
Modified Radical Mastectomy

scholarly journals Well-Being, Depression, and Anxiety following Oncoplastic Breast Conserving Surgery versus Modified Radical Mastectomy Followed by Late Breast Reconstruction

2021 ◽  
Vol 18 (17) ◽  
pp. 9320
Author(s):  
Daciana Grujic ◽  
Cătălina Giurgi-Oncu ◽  
Cristina Oprean ◽  
Zorin Crăiniceanu ◽  
Ica Secoșan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Clinical Symptoms ◽  
Clinical Care ◽  
Statistical Significance ◽  
Radical Mastectomy ◽  
Well Being ◽  
Breast Conserving Surgery ◽  
Modified Radical Mastectomy ◽  
Group I

Breast cancer requires complex clinical care. Well-being is an intricate concept, encompassing physical, functional, emotional, and social aspects. Background: This study aims to evaluate the relationship between the type of surgery our patients underwent and the timing of the reconstructive surgery with physical, emotional, social, and functional well-being. Furthermore, through our research we tried to identify potential mental health comorbidities in patients with breast cancer, clinical symptoms, and well-being in women with breast cancer, depending on the type of required surgery. Methods: The study included 69 women diagnosed with breast cancer, in stages I to III, divided in two groups: I—patients with oncoplastic breast-conserving surgery and contralateral correction surgery, for symmetry reasons; II—patients who underwent modified radical mastectomy and late breast reconstruction with contralateral symmetrisation. We evaluated socio-demographic aspects, alongside depression, anxiety, stress (DASS 21), and well-being (FACT-B). Data were statistically processed; statistical significance was set at p < 0.05. Results: Clinical elements of depression, anxiety, and stress were noted in both groups, without statistical significance (p > 0.05). Significant differences were found regarding psycho-emotional (p = 0.035) and functional well-being (p = 0.001), with higher scores for group I. The chi-square test indicated statistically significant differences (at p < 0.01) between the groups, regarding the frequency of scores on items B4 and B9 (FACT-B items, related to feminine aesthetics and desirability), with evidently higher scores in group I than in group II. Conclusions: The state of well-being, as well as the items related to femininity and sexuality had higher values in the group of women treated by oncoplastic conservative surgery compared to late reconstruction after modified radical mastectomy.

scholarly journals Injury in axillary thoracic duct

Mastology ◽  
2020 ◽  
Vol 30 (Suppl 1) ◽  
Author(s):  
Juliana Ferreira de Lima ◽  
Bruna Anderson ◽  
Antônio Carlos Toshihiro Nisida ◽  
Fabiano Cataldi Engel ◽  
Luiz Henrique Gebrim
Keyword(s):  
Breast Reconstruction ◽  
Thoracic Duct ◽  
Radical Mastectomy ◽  
Immediate Breast Reconstruction ◽  
Axillary Lymph ◽  
Modified Radical Mastectomy ◽  
Medium Chain Triglycerides ◽  
Medium Chain ◽  
Lymphatic Fistula ◽  
Axillary Region

Introduction: In adults, the lymph flow through the thoracic duct presents about 4 liters a day; therefore, its injury may lead to accumulation in the pleural cavity, causing acute and chronic changes in pulmonary function. However, if less frequent, such an accumulation can still be observed in surgery, as was the case of the patient reported in this study. The injuries are not so frequent and may be caused by neoplasms or during surgical procedures in in the thoracic region and trauma, such as esophagectomy, mediastinal and pleuropulmonary surgeries. The early recognition and adequate therapy for the fistula in the thoracic duct prevent secondary nutrient and lymphocyte depletion. Clinical diagnosis is mostly based on high chest drain output, accompanied by the milky aspect. Besides, computed tomography, lymphoscintigraphy and lymphoangiography are possible methods for diagnosis. The clinical series about injuries in the duct after thoracic surgeries report that 25% to 50% of the cases present the spontaneous closure of the fistula only with conservative measures, such as the introduction of parenteral nutrition or enteral diet with medium-chain triglycerides. The persistence of the fistula leads to the need for clinical-surgical treatment. Objective: To report the case of rare post-surgery complication in a patient submitted to modified radical mastectomy (left) with immediate breast reconstruction. Results: Forty-eight year old woman born in Santana do Parnaíba – SP, diagnosed with left-breast cancer, invasive breast carcinoma histological type, Luminal B, submitted to modified radical mastectomy (left) (Madden technique), with immediate breast reconstruction. The intraoperative period showed major impairment in left axillary lymph nodes involving lymph vessels and nodes. In the postoperative period, she presented high drainage in the suction drain, with milky aspect, in the left axillary region. Then came the hypotheses of surgical complications, such as secondary infection, seroma, and thoracic duct injury, or in some branch. The biochemical analysis of the milky fluid showed high concentration of triglycerides, and cytology described the presence of proteinaceous material and macrophages. A conservative conduct was chosen, with adjustment of hyperproteic, hypoglycific diet, rich in medium-chain triglycerides. Twenty days after tha diagnostic hypothesis, the patient underwent lymphoscintigraphy, which did not show the fistula. She evolved with gradual output reduction until the removal of the drain, and was discharged from the hospital in good conditions. At the time, the patient continues with the adjuvant treatment for breast neoplasm. Conclusion: Post-surgical lymphatic fistula in the axillary region is a rare complication; however, its early diagnosis and treatment is essential in order to prevent complications, such as malnutrition and worsened immunological status.

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