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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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[Breast reconstruction after mastectomy: necessity, evolution, techniques and research goals]
Patricia Esther Engels1,2, Alice Catherine Thuerlimann1, Stephanie Nicole Schulz1
1Service de chirurgie plastique, reconstructive et esthétique, Département de chirurgie, Hôpitaux universitaires de Genève, 1211 Genève 14.
Revue Medicale Suisse
|June 14, 2023
Summary
Breast reconstruction is a key part of breast cancer treatment, offering various surgical options like implant-based or autologous reconstructions. Oncoplastic surgery combines tumor removal with immediate breast reconstruction for optimal outcomes.
Area of Science:
- Oncology
- Plastic Surgery
- Reconstructive Surgery
Context:
- Breast reconstruction is an integral component of modern breast cancer management.
- Surgical options range from partial to total breast resections, including tumorectomy and mastectomy.
- Individualized reconstruction plans consider tumor characteristics, patient preferences, and adjuvant therapies.
Purpose:
- To outline the current landscape of breast reconstruction techniques.
- To highlight the role of oncoplastic surgery in breast cancer treatment.
- To discuss various reconstructive modalities, including implant-based and autologous options.
Summary:
- Breast reconstruction encompasses diverse techniques, including implant-based methods and autologous reconstructions (local flaps, free flaps, fat grafting).
- Oncoplastic surgery integrates tumor resection with immediate breast reconstruction, particularly in tumorectomy cases.
- Treatment decisions are tailored to individual patient factors and tumor pathology.
Impact:
- Facilitates improved aesthetic and psychological outcomes for breast cancer patients.
- Enhances the multidisciplinary approach to breast cancer care.
- Provides a comprehensive overview of reconstructive options for clinicians and patients.
