文献综述和最佳位置的指南在植入式乳房重建的最佳位置
Caroline A King1, Monika K Masanam2, Eleni A Tousimis3
1Department of Surgery, Tufts Medical Center, Boston, MA, USA.
Gland surgery
|September 13, 2023
概括
选择前胸前和后胸前乳房重建取决于患者的因素. 决策算法帮助外科医生选择植入物放置的理想平面,以优化结果并最大限度地减少并发症.
科学领域:
- 整形外科 整形外科 整形外科
- 乳房重建 乳房重建
- 外科手术决策 - - 进行外科手术的决策
背景情况:
- 选择胸前或胸后植入物安置的准则是有限的.
- 术前风险评估和术后片评估对于成功的乳房重建至关重要.
研究的目的:
- 开发用于直接植入 (DTI) 乳腺重建的临床决策算法.
- 在乳头节省乳房切除术 (NSM) 中,根据患者的特征和所需结果,指导植入物放置平面的选择.
主要方法:
- 进行了全面的文献审查.
- 基于患者的因素,手术技术和结果开发了算法.
主要成果:
- 胸前重建适合乳房较小,想要缩小的患者,低瘤,较小的植入物,或接受乳房切除术后放射治疗 (PMRT) 的患者,旨在减少动画形.
- 对于更大的乳房而言,不需要改变尺寸的目标,或是为了最大限度地减少纹和需要脂肪移植的需要,推进行逆向胸部重建.
结论:
- 精心进行手术前和手术后的评估对于植入式乳房重建至关重要.
- 决策算法有助于选择最佳的手术技术,以改善审美效果和减轻并发症.
更多相关视频
08:153D Planning and Printing of Patient Specific Implants for Reconstruction of Bony Defects
Published on: August 4, 2020
6.5K
13:35Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
2.7K
相关概念视频
Handwashing I: Introduction and Types of Equipment
Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated.
Anatomical Positions
In anatomy, several standard anatomical positions are used as references for describing the position and orientation of different body parts. These positions help provide a common frame of reference when discussing anatomical structures. The anatomical position is the standard reference point for describing the body's position and orientation. In this position:
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
The body is upright, facing forward, and standing erect.
The feet are parallel and flat on the floor.
The arms are hanging by the...
Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Cavity Drainage and Flashings in Masonry walls
Typically, a cavity wall consists of two wythes separated by a gap of at least 2 inches, which may contain insulation while still maintaining a minimum clear space of 1 inch to facilitate adequate drainage. Advanced methods like the insertion of a continuous drainage mat can further reduce this space while ensuring effective moisture expulsion.
Weep holes, strategically placed at the base of the cavity, are critical for draining accumulated water. These openings are created by leaving head...
Weep holes, strategically placed at the base of the cavity, are critical for draining accumulated water. These openings are created by leaving head...
Development of Human Microbiota
The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Development of the Oral Microbiota
The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
