Modified radical mastectomy with immediate breast reconstruction

Area of Science:

• Oncology
• Plastic Surgery
• Surgical Innovation

Background:

• Breast cancer surgery trends are shifting towards less radical procedures.
• Patient concerns regarding appearance and rehabilitation are increasing.
• Anatomical understanding of pectoral nerves is crucial for breast reconstruction.

Purpose of the Study:

• To develop an immediate breast reconstruction technique during modified radical mastectomy.
• To protect pectoral muscle innervation during surgery.
• To improve patient rehabilitation and quality of life after mastectomy.

Main Methods:

• Detailed anatomical study of medial and lateral pectoral nerves.
• Development of a modified radical mastectomy technique incorporating immediate reconstruction.
• Use of submuscular pocket for silicone prosthesis.
• Administration of low-dose heparin sodium to prevent flap necrosis.

Main Results:

• Fifty immediate breast reconstructions were successfully performed in 48 women.
• The technique preserved pectoral muscle innervation.
• The procedure facilitated enhanced patient rehabilitation and quality of life.
• No compromise in the ability to diagnose or treat recurrent breast cancer was observed.

Conclusions:

• The described surgical technique offers a viable option for immediate breast reconstruction after modified radical mastectomy.
• Preserving pectoral nerve innervation and incorporating muscles in reconstruction improves outcomes.
• This approach enhances patient recovery and quality of life without hindering cancer surveillance or treatment.