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Oncoplastic and Reconstructive Breast Surgery: A Comprehensive Review.
Bulent Citgez1, Banu Yigit2, Soysal Bas3
1General Surgery, Uskudar University Faculty of Medicine, Memorial Hospital, Istanbul, TUR.
Cureus
|March 7, 2022
Summary
Oncoplastic breast surgery combines cancer removal with cosmetic reconstruction, improving patient quality of life and body image. These techniques offer survival rates equivalent to mastectomy while reducing the need for it.
Area of Science:
- Oncology
- Plastic Surgery
- Surgical Oncology
Background:
- Traditional breast cancer surgery often leads to significant cosmetic defects.
- Advances in oncoplastic surgery aim to improve aesthetic outcomes and patient quality of life.
- Rising awareness and patient numbers necessitate evolving surgical approaches.
Purpose of the Study:
- To review the technical details and outcomes of oncoplastic breast surgery.
- To discuss reconstruction methods, margin management, and complication handling.
- To highlight the benefits of oncoplastic techniques over traditional mastectomy.
Main Methods:
- Review of current oncoplastic and reconstructive breast surgery techniques.
- Discussion of surgical principles, including defect closure and contralateral balancing.
- Analysis of outcomes comparing oncoplastic surgery with mastectomy.
Main Results:
- Oncoplastic surgery allows wide local excision with good cosmetic results.
- It leads to lower mastectomy rates with equivalent survival outcomes.
- Reconstruction techniques, including autologous and implant-based options, enhance outcomes.
Conclusions:
- Oncoplastic and reconstructive surgery minimizes the impact of breast cancer treatment.
- These techniques yield equivalent survival rates and improve psychological well-being.
- Advanced methods achieve superior aesthetic results, enhancing the breast image post-surgery.
