Autologous mastectomy reconstruction: Communication among the breast surgery team to maximize aesthetic and oncologic outcome

Autor:	Sadie Kim, Heather MacDonald, Lincoln Snyder, Nahid Hamoui, Brian P Dickinson, Lisa E. Guerra, Colleen Coleman, Crystal Fancher, Sadia Khan, Dennis R. Holmes, Peter Ashjian, Nikkie Vu-Huynh, Monica B Vu, January Lopez, Jennifer Overstreet
Rok vydání:	2020
Předmět:	medicine.medical_specialty Esthetics Mammaplasty Breast surgery medicine.medical_treatment Breast Neoplasms Physical examination Autologous tissue 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Team communication Chart review Internal Medicine medicine Humans Mastectomy Retrospective Studies medicine.diagnostic_test business.industry Communication General surgery Oncology 030220 oncology & carcinogenesis Female Surgery business Breast reconstruction
Zdroj:	The Breast Journal. 26:1771-1780
ISSN:	1524-4741 1075-122X
DOI:	10.1111/tbj.13874
Popis:	Mastectomy breast reconstruction with autologous tissue is challenging. Oncologic and aesthetic goals face previous surgical scars, radiation, chemotherapy, or other comorbidities. We describe a simple approach for autologous mastectomy reconstruction so that breast and plastic and reconstructive surgeons can maximize aesthetic outcomes and minimize wound complications. A retrospective chart review was done on patients who underwent mastectomy and autologous reconstruction. The surgical flight plans were reviewed to delineate an approach, and pre- and postoperative photographs were examined to create a step-by-step process. The most encountered mastectomy and autologous flap reconstruction scenarios were categorized to create a step-by-step process. Successful autologous mastectomy reconstruction to optimize aesthetic outcome and minimize complications requires team communication. Creation of a surgical flight plan using information from the physical examination, MRI and adjunctive imaging, and preoperative photographs is imperative. Thoughtful incision choice and exposure approach are paramount.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::acb1ee7aeb95907d041d2f3e4723725b https://doi.org/10.1111/tbj.13874 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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