Assessment and planning for oncoplastic and reconstructive breast surgery: a review and a proposed chart

被引:11
作者
Agrawal A. [1 ]
机构
[1] Cambridge University Hospitals, Cambridge Breast Unit, Box 97, Cambridge
关键词
Breast; Implant; Mammaplasty; Oncoplastic; Perforator; Reconstructive;
D O I
10.1007/s00238-016-1221-7
中图分类号
学科分类号
摘要
Assessment for oncoplastic and reconstructive breast surgery (ORBS) can be time-consuming and subjective with a prolonged learning curve. Further, lack of recognition of options may lead to loss of patient choices whether available locally or not. This article reviews and incorporates essential variables into an author-designed chart with components of clinic consultation (“History” and “Examination”) that classify individual cases into one of the three complexities: high, average and low. Based on these complexities, decision-making processes are discussed in order to achieve, safely and realistically, both subjective and objective (anticipated versus achieved) goals of ORBS. This article by summarising literature around common ORBS variables attempts to streamline decision-making process as well as charts out variables to facilitate audit of decision-making and case selection process. Level of Evidence: Not ratable © 2016, Springer-Verlag Berlin Heidelberg.
引用
收藏
页码:321 / 330
页数:9
相关论文
共 46 条
[1]  
Rainsbury D., Oncoplastic breast reconstruction: guidelines for best practice, (2012)
[2]  
Mukesh M., Harris E., Jena R., Evans P., Coles C., Relationship between irradiated breast volume and late normal tissue complications: a systematic review, Radiother Oncol, 104, 1, pp. 1-10, (2012)
[3]  
Mukesh M.B., Barnett G., Cumming J., Wilkinson J.S., Moody A.M., Wilson C., Wishart G.C., Coles C.E., Association of breast tumour bed seroma with post-operative complications and late normal tissue toxicity: results from the Cambridge Breast IMRT trial, Eur J Surg Oncol, 38, 10, pp. 918-924, (2012)
[4]  
Salzberg C.A., Ashikari A.Y., Koch R.M., Chabner-Thompson E., An 8-year experience of direct-to-implant immediate breast reconstruction using human acellular dermal matrix (AlloDerm), Plast Reconstr Surg, 127, 2, pp. 514-524, (2011)
[5]  
Israeli R., Feingold R.S., Acellular dermal matrix in breast reconstruction in the setting of radiotherapy, Aesthet Surg J, 31, pp. 51S-64S, (2011)
[6]  
Schmitz M., Bertram M., Kneser U., Keller A.K., Horch R.E., Experimental total wrapping of breast implants with acellular dermal matrix: a preventive tool against capsular contracture in breast surgery?, J Plast Reconstr Aesthet Surg, 66, 10, pp. 1382-1389, (2013)
[7]  
Stump A., Holton L.H., Connor J., Harper J.R., Slezak S., Silverman R.P., The use of acellular dermal matrix to prevent capsule formation around implants in a primate model, Plast Reconstr Surg, 124, 1, pp. 82-91, (2009)
[8]  
Myckatyn T.M., Cavallo J.A., Sharma K., Gangopadhyay N., Dudas J.R., Roma A.A., Baalman S., Tenenbaum M.M., Matthews B.D., Deeken C.R., The impact of chemotherapy and radiation therapy on the remodeling of acellular dermal matrices in staged, prosthetic breast reconstruction, Plast Reconstr Surg, 135, 1, pp. 43e-57e, (2015)
[9]  
Taghizadeh R., Moustaki M., Harris S., Roblin P., Farhadi J., Does post-mastectomy radiotherapy affect the outcome and prevalence of complications in immediate DIEP breast reconstruction? A prospective cohort study, J Plast Reconstr Aesthet Surg, 68, 10, pp. 1379-1385, (2015)
[10]  
Hamdi M., Larsen M., Craggs B., Vanmierlo B., Zeltzer A., Harvesting free abdominal perforator flaps in the presence of previous upper abdominal scars, J Plast Reconstr Aesthet Surg, 67, 2, pp. 219-225, (2014)