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Related Concept Videos

Indicators02:39

Indicators

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Certain organic substances change color in dilute solution when the hydronium ion concentration reaches a particular value. For example, phenolphthalein is a colorless substance in any aqueous solution with a hydronium ion concentration greater than 5.0 × 10−9 M (pH < 8.3). In more basic solutions where the hydronium ion concentration is less than 5.0 × 10−9 M (pH > 8.3), it is red or pink. Substances such as phenolphthalein, which can be used to determine the pH of a solution, are...
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Decision Making01:20

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Decision-making is a fundamental cognitive process that involves evaluating alternatives and selecting among them. This process can range from simple choices, such as deciding what to wear, to complex decisions, like choosing a major in college or a career path. The complexity of the decision often dictates the approach we use, which can be broadly categorized into two types: automatic and controlled decision-making.
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Trial and Error and Algorithm01:12

Trial and Error and Algorithm

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A problem-solving strategy is a plan of action used to find a solution. Different strategies have distinct action plans. Trial and error involves trying different solutions until one works. For instance, to fix a broken printer, you might check ink levels, ensure the paper tray isn't jammed, and verify the printer's connection to your laptop. This method can be time-consuming but is commonly used. Thomas Edison, for example, used trial and error to find a suitable filament for the light...
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The process of hypothesis testing based on the P-value method includes calculating the P- value using the sample data and interpreting it.
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Mechanical Ventilation I: Indication and Settings01:29

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Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
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Related Experiment Video

Updated: Feb 6, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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[Mastectomy and immediate reconstruction: Indications, techniques and decision algorithm].

F Rimareix1, B Sarfati1, N Leymarie1

  • 1Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.

Annales De Chirurgie Plastique Et Esthetique
|August 27, 2018
PubMed
Summary
This summary is machine-generated.

Immediate breast reconstruction is now viable for infiltrating carcinomas using advanced techniques. Patient factors and oncological team input are crucial for successful outcomes in breast cancer surgery.

Keywords:
Breast implantImmediate breast reconstructionMastectomie avec conservation de l’aréoleMastectomie avec conservation de l’étui cutanéMastectomie avec réduction de l’étui cutanéNipple sparing mastectomyProthèse mammaireReconstruction mammaire immédiateSkin reducing mastectomySkin sparing mastectomy

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Area of Science:

  • Oncology
  • Plastic Surgery
  • Surgical Oncology

Background:

  • Advances in matrix implant coverage and perforator flap techniques have expanded indications for immediate breast reconstruction.
  • Adjuvant therapies can be safely administered following immediate reconstruction, improving oncological care.
  • The decision-making process for immediate breast reconstruction requires careful consideration of patient morphology and comorbidities.

Purpose of the Study:

  • To present an algorithm for immediate breast reconstruction following therapeutic mastectomy.
  • To guide the selection of reconstruction methods (implants or flaps) based on mastectomy type and patient factors.
  • To facilitate oncoplastic breast surgery in patients with infiltrating carcinomas.

Main Methods:

  • Evaluation of patient morphology and comorbidities.
  • Assessment of tumor location and distance from the nipple-areola complex (NAC).
  • Selection of mastectomy type (conventional, skin-sparing, nipple-sparing) and reconstruction technique (implants, free/pedicled flaps).

Main Results:

  • An algorithm is described to guide immediate breast reconstruction decisions.
  • The approach accommodates therapeutic mastectomy with or without adjuvant radiotherapy.
  • Successful reconstruction is achievable with implants or various flap techniques.

Conclusions:

  • Immediate breast reconstruction is a feasible option for infiltrating breast carcinomas.
  • Multidisciplinary oncological assessment is essential for optimizing patient selection and outcomes.
  • Personalized surgical planning ensures the best oncoplastic approach for each patient.