自主乳房重建的挑战:对建议的审查
Lauren M Sinik1, Meredith S Collins1
1Department of Plastic Surgery, University of Kansas Medical Center, Kansas City, KS 66160, USA.
Journal of clinical medicine
|February 24, 2024
概括
自主乳房重建 (ABR) 为乳房切除术患者提供了心理福利. 这项研究探讨了为具有挑战性的患者群体优化ABR,包括那些有不同的BMI和乳腺切除术后放射治疗需求的患者.
科学领域:
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
- 重建性手术是一种重建性手术.
背景情况:
- 乳房重建是乳腺癌治疗的关键组成部分.
- 自主乳房重建 (ABR) 使用患者自己的组织,避免外来植入物.
- 乳房切除术为接受乳房切除术的患者提供了显著的心理社会益处.
研究的目的:
- 讨论挑战性患者群体的审美自主乳房重建问题.
- 审查文献建议,并介绍优化ABR结果的案例经验.
- 扩大自主乳房重建的资格标准.
主要方法:
- 对具有挑战性的ABR案件的管理建议的文献综述.
- 介绍和讨论与特定患者群体的临床经验.
- 分析高/低BMI,大量体重减轻后,乳腺切除后放射治疗和单边重建的患者的结局.
主要成果:
- 自主乳房重建可以在不同的患者群体中成功进行.
- 特定的策略可以优化对具有挑战性的案件的审美结果.
- 以前被认为不是理想候选人的患者可以获得成功的ABR结果.
结论:
- 自主乳房重建对于广泛的患者来说是一个可行的和有益的选择.
- 仔细的患者选择和量身定制的外科手术方法可以提高具有挑战性的ABR病例的结果.
- 这种方法扩大了自主乳房重建的适用性,超出了"理想"的候选人.
更多相关视频
13:35Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
2.6K
04:27Anterior Capsular Reconstruction with Human Dermal Allograft for Irreparable Subscapularis Tears
Published on: May 9, 2025
59
相关概念视频
Assessment of the Mouth
A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
Reinforced Brick Masonry
Reinforced brick masonry is an advanced construction technique that enhances the structural integrity of brick walls by incorporating steel reinforcements. These reinforcements are either placed within the hollow cores of bricks or sandwiched between two layers of masonry, known as wythes, and are then secured in place with grout. Grout is a fluid mixture composed of Portland cement, aggregate, and water, providing the necessary bonding agent for the steel and brick.
To fortify brick walls...
To fortify brick walls...
Masonry Cavity Walls
Cavity walls feature a hollow space between the outer and inner wythes, connected only by corrosion-resistant metal ties. When water seeps through the outer wythe, it descends within this cavity, intercepted by flashing and eventually exiting through weep holes. To enhance moisture resistance, the inner wythe's cavity side often receives damp-proofing, doubling as an air barrier. The cavity can also house insulation to mitigate heat transfer.
Maintaining a clean cavity during construction is...
Maintaining a clean cavity during construction is...
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...
Mitral Valve Prolapse II: Assessment and Management
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
Mortar Joint Deterioration in Masonry
Mortar joint deterioration is a significant concern in masonry structures, with water accumulation in the joints leading to damage from freeze-thaw cycles. The repeated expansion of water during freezing and its melting during thawing develop and propagate cracks in the masonry joints. Eventually, this leads to the spalling of mortar from the joints, loosening masonry units and weakening the structure. The deteriorated mortar joints are also vulnerable to moisture intrusion into the walls.
The...
The...
