| Autor: |
Cahan AC; Breast Surgery Division, The Breast Institute at Northern Westchester Hospital, Mt. Kisco, NY, USA. acahan@nwhc.net, Palaia DA, Rosenberg M, Bonanno PC |
| Jazyk: |
angličtina |
| Zdroj: |
Annals of plastic surgery [Ann Plast Surg] 2011 May; Vol. 66 (5), pp. 424-8. |
| DOI: |
10.1097/SAP.0b013e318214566b |
| Abstrakt: |
The Box-To-X incision and closure is a novel technique for a skin-sparing mastectomy with immediate prosthetic reconstruction. The Box-To-X portal creates a 27% larger access for dissection as compared with a standard periareolar incision, while containing the entire scar within the limits of the original areola. Following nipple-areolar reconstruction and tattooing, a virtually scarless mastectomy results. Over a 54-month period, 159 skin-sparing mastectomies with immediate prosthetic reconstruction using the Box-To-X portal were performed on 98 patients. Allograft slings were used in all patients. Successful reconstruction was achieved in 93 of 98 patients (93%). Complications were observed in 23 (23%) patients. The most common complications were wound dehiscence, seroma, full-thickness necrosis along the edges of the "X," and wound infection. Removal of the implant was required in 5 patients as a result of persistent infection (5%). The low complication rate, adherence to accepted oncologic principles, and minimal scarring indicate that this technique is a sound addition to the armamentarium of both the breast oncologic surgeon and the reconstructive surgeon. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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