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[Breast reconstruction using a skin expander prostheses following modified radical mastectomy]
R Schmidt1, M Kaufmann, K Engel
1Univ.-Frauenklinik Heidelberg.
Geburtshilfe Und Frauenheilkunde
|October 1, 1988
Summary
Skin expander prostheses are effective for breast reconstruction after mastectomy. Complications occurred in 18% of cases, with prosthesis material loss being most common. Many patients proceeded to a second reconstruction phase.
Area of Science:
- Oncology
- Plastic Surgery
- Reconstructive Surgery
Context:
- 116 breast reconstructions performed between September 1983 and May 1986 at Heidelberg University Gynecological Clinic.
- Procedures followed modified radical mastectomy (89 primary, 27 secondary reconstructions).
- Utilized skin expander prostheses as a key component in the reconstructive process.
Purpose:
- To evaluate the efficacy and complication rates of skin expander prostheses in breast reconstruction post-mastectomy.
- To assess the feasibility of multi-stage breast reconstruction, including secondary and tertiary phases.
- To establish breast reconstruction as a standard surgical rehabilitation component for operable breast cancer.
Summary:
- Skin expander prostheses were used in 116 breast reconstructions post-mastectomy.
- Complications were observed in 18% of cases, primarily prosthesis material loss.
- 82 women underwent a second phase for definitive gel prosthesis replacement, with nipple-areola reconstruction in six cases.
Impact:
- Breast reconstruction using skin expanders is an integral part of surgical rehabilitation for operable breast cancer.
- Demonstrates a viable multi-stage approach for patients where primary conservative procedures are not feasible.
- Highlights the importance of addressing reconstructive needs in the oncological treatment pathway.