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Breast reconstruction. Surgical options and patient selection
1Division of Plastic Surgery, Emory University School of Medicine, Atlanta, Georgia.
Cancer
|July 1, 1994
Summary
Breast reconstruction techniques have evolved, with current restrictions on implants favoring autologous tissue methods. This review details various surgical options, their indications, and potential complications for optimal outcomes.
Area of Science:
- Plastic Surgery
- Oncologic Surgery
- Reconstructive Surgery
Background:
- Breast reconstruction has evolved significantly since the 1960s.
- Current restrictions on breast implants increase reliance on autologous tissue reconstruction.
- Refinements in mastectomy technique, including skin preservation, improve breast reconstruction quality.
Purpose of the Study:
- To review various breast reconstruction methods.
- To discuss indications and potential complications of each method.
- To present treatment options for reconstruction, especially after mastectomy for local recurrence.
Main Methods:
- Tissue expansion
- Latissimus dorsi flap reconstruction
- Transverse rectus abdominis musculocutaneous (TRAM) flap
- Free flap reconstruction
Main Results:
- Each method has specific indications and potential complications.
- Skin preservation in mastectomy enhances matching with remaining breast tissue.
- Reconstruction after radiation therapy presents challenges due to impaired wound healing.
Conclusions:
- Autologous tissue reconstruction is increasingly important due to implant restrictions.
- Understanding various techniques, their benefits, and risks is crucial for successful breast reconstruction.
- Management strategies exist to mitigate complications in challenging reconstructive scenarios.