Breast reconstruction after mastectomy
- 1 January 1988
- journal article
- review article
- Published by Wiley in Seminars in Surgical Oncology
- Vol. 4 (4), 274-279
- https://doi.org/10.1002/ssu.2980040413
Abstract
The goal of breast reconstruction is to reconstruct breasts which meet the patient's expectations both psychologically and aesthetically, while adhering to the principles of sound oncological management. Breast reconstruction is usually started around 3 to 9 mos after mastectomy. The simplest method of reconstruction uses tissue available after mastectomy and a silicone implant. The recent advances with tissue expansion of the skin of the mastectomy site can permit reconstruction without the use of a flap. The latissimus dorsi flap from the back is a useful source of muscle and skin and the transverse rectus abdominus musculocutaneous flap provides tissue from the lower abdomen enabling breast reconstruction without the use of a silicone implant. Fat and skin from the buttocks may be used in a microsurgical transfer technique. Prophylactic mastectomy and immediate breast reconstruction are still controversial, but are options for the woman who is worried about the development of breast cancer. The reconstruction of the nipple and areola is only done after reconstructed breast symmetry is ascertained.Keywords
This publication has 20 references indexed in Scilit:
- Double-Pedicle Transverse Rectus Abdominis Myocutaneous Flap for Unilateral Breast and Chest-Wall ReconstructionPlastic and Reconstructive Surgery, 1985
- The Psychological Impact of Immediate Breast Reconstruction for Women with Early Breast CancerPlastic and Reconstructive Surgery, 1984
- Experience with the Transverse Lower Rectus Abdominis Operation for Breast ReconstructionPlastic and Reconstructive Surgery, 1983
- Refinements in the Use of the Transverse Abdominal Island Flap for Postmastectomy ReconstructionAnnals of Plastic Surgery, 1983
- Patient Acceptance of Immediate Reconstruction Following MastectomyPlastic and Reconstructive Surgery, 1982
- Breast Reconstruction with a Transverse Abdominal Island FlapPlastic and Reconstructive Surgery, 1982
- Technical Aspects of the Latissimus Dorsi Myocutaneous Flap in Breast ReconstructionAnnals of Plastic Surgery, 1981
- Breast Reconstruction Following MastectomyPlastic and Reconstructive Surgery, 1981
- The Case for Submuscular Implantation of Prostheses in Reconstructive Breast SurgeryAnnals of Plastic Surgery, 1980
- BREAST RECONSTRUCTION AFTER A RADICAL MASTECTOMYPlastic and Reconstructive Surgery, 1978