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Related Experiment Video

Updated: Nov 22, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Key Areas for Development in Oncoplastic Breast Reconstruction.

Bianca J Molina1, Rita D Shelby2, Jeffrey E Janis1

  • 1Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

Plastic and Reconstructive Surgery. Global Open
|January 11, 2021
PubMed
Summary

Oncoplastic partial breast reconstruction is crucial for breast cancer patients but underserved in the US. Improvements in legislation, coding, and collaboration are needed for better surgical outcomes.

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Area of Science:

  • Oncoplastic surgery
  • Breast cancer surgery
  • Surgical oncology

Background:

  • Oncoplastic breast reconstruction addresses defects from breast-conserving surgery.
  • A significant number of breast cancer patients could benefit from oncoplastic partial breast reconstruction.
  • Current delivery of breast cancer surgical care may be suboptimal for these patients in the US.

Purpose of the Study:

  • To review current literature on oncoplastic breast reconstruction trends.
  • To identify key areas for improvement in the delivery of oncoplastic breast surgery.
  • To provide an overview of the current landscape of oncoplastic breast reconstruction in the US.

Main Methods:

  • A comprehensive literature search of peer-reviewed articles on oncoplastic breast reconstruction.

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  • Review of current US legislation pertaining to breast reconstruction.
  • Analysis of communications from key surgical societies.
  • Qualitative review to identify areas for improvement.

    • Main Results:

    • Thirty-four resources were included in the analysis.
    • A significant unmet need for oncoplastic breast reconstruction exists, with no accurate patient estimates.
    • Lack of standardized definitions, algorithms, legislative support, and coding/billing practices hinders implementation and research.
    • A need for collaboration among national surgical societies was identified.

    Conclusions:

    • Oncoplastic partial breast reconstruction is a vital component of comprehensive breast cancer care.
    • Enhancements in legislative support, coding, and billing are necessary.
    • Unified communication and initiatives from national societies can improve surgical outcomes for breast cancer patients.