The Aesthetic Mastectomy Utilizing a Non–Nipple-Sparing Portal Approach
| Autor: | Philip C. Bonanno, David A. Palaia, Anthony C. Cahan, Michael Rosenberg |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Reconstructive Surgeon Esthetics Mammaplasty Mastectomy Subcutaneous medicine.medical_treatment Breast Neoplasms Risk Assessment Periareolar Cohort Studies Postoperative Complications Humans Transplantation Homologous Medicine Areola Aged Retrospective Studies Wound Healing integumentary system business.industry Wound dehiscence Middle Aged medicine.disease Surgery Transplantation Plastic surgery Treatment Outcome medicine.anatomical_structure Nipples Seroma Female business Mastectomy Follow-Up Studies |
| Zdroj: | Annals of Plastic Surgery. 66:424-428 |
| ISSN: | 0148-7043 |
| Popis: | 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: | OpenAIRE |
| Externí odkaz: |
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