[Skin-sparing mastectomies: how to avoid skin necrosis?]

Area of Science:

• Oncology
• Plastic Surgery
• Surgical Oncology

Context:

• Skin-sparing mastectomy (SSM) is a preferred technique for early breast cancer and recurrences post-conservative treatment.
• Patients desire immediate, high-quality breast reconstruction following mastectomy.
• SSM preserves crucial skin landmarks, including the inframammary fold and breast mound shape.

Purpose:

• To compare the advantages and disadvantages of skin-sparing mastectomy.
• To discuss indications and clinical scenarios for SSM.
• To outline methods for reducing surgical risks like tissue necrosis and infection.

Summary:

• SSM involves meticulous breast tissue resection while preserving skin flaps for immediate reconstruction.
• Requires a skilled surgical team to avoid complications such as flap necrosis and prosthesis infection.
• Complications can negatively impact cosmetic results and adjuvant therapy delivery.

Impact:

• Improves patient satisfaction through aesthetic outcomes and immediate reconstruction.
• Minimizes risks, enhancing the safety and acceptability of breast cancer surgery.
• Facilitates timely adjuvant treatments by reducing surgical complications.