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Updated: Jul 13, 2026
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
UK survey of partial mastectomy and reconstruction
R M Rainsbury1, N Paramanathan
1Oncoplastic Breast Unit, Royal Hampshire County Hospital, Winchester, Hampshire, UK. RRainsbury@aol.com
Background:
Partial mastectomy and reconstruction can extend the role of breast-conserving surgery, but the frequency of this type of surgery is unknown.
Materials And Methods:
A UK survey was performed to determine the frequency, indications, techniques and outcomes of partial mastectomy and reconstruction.
Results:
Seventy-one of 180 (39%) respondents offered partial mastectomy and reconstruction. Reasons for not offering partial mastectomy and reconstruction included lack of experience (61%), uncertain indications (33%), uncertain benefits (45%) and concerns about oncological safety (22%). Immediate reconstruction was performed by 50% of respondents and perioperative margin analysis was uncommon. Respondents performed volume displacement or volume replacement or both approaches (23%, 18% and 59%). Complications included fat necrosis (68%), haematoma formation (55%), positive margins (46%), infection (41%) and flap loss or poor cosmetic outcome (10%).
Conclusions:
Partial mastectomy and reconstruction is becoming popular in the UK as an alternative to full mastectomy. Safe introduction of this approach in clinical practice will require a clearer understanding of technique selection, safety and clinical outcomes.