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Updated: Jul 6, 2026

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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Breast reconstruction using tissue expanders: assessing patients' needs utilizing a holistic approach.
1Quinn Plastic Surgery Center, Overland Park, KS, USA. cherylaspittler@aol.com
Summary
This study focuses on breast reconstruction using tissue expanders after mastectomy. It highlights the essential role of plastic surgical nurses in guiding patients through pre- and post-operative self-care for successful breast restoration.
Area of Science:
- Oncology
- Plastic Surgery
- Nursing
Background:
- Breast cancer is the most prevalent cancer among women, affecting 1 in 8.
- Many women undergo mastectomy and are candidates for breast reconstruction.
- Breast reconstruction is a common choice for women post-mastectomy.
Purpose of the Study:
- To discuss tissue expansion as a method for breast restoration after mastectomy.
- To identify patient needs during the pre-operative and post-operative phases of reconstruction.
- To explore the role of nurses in facilitating informed decision-making and self-care.
Main Methods:
- Literature review on tissue expansion techniques in breast reconstruction.
- Application of Orem's self-care theory to nursing practice.
- Identification of patient education and support needs.
Main Results:
- Tissue expansion is a viable option for breast restoration post-mastectomy.
- Pre- and post-operative patient education is crucial for successful outcomes.
- Nurses play a key role in supporting patients' self-care abilities.
Conclusions:
- Plastic surgical nurses are integral to the breast reconstruction process.
- Utilizing Orem's self-care model can enhance patient outcomes.
- Informed patients are better equipped to manage self-care during reconstruction.
