Tissue Expander Capsule for Abdominal Wall in Autologous Breast Reconstruction
| Autor: | Pedro Bins Ely, Rafael Netto, Thiago Bozzi de Araujo, Ronaldo Scholze Webster, Barbara D’Avila Goldoni |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Pectoralis major muscle lcsh:Surgery Capsule Case Reports lcsh:RD1-811 medicine.disease eye diseases Surgery Radiation therapy Abdominal wall medicine.anatomical_structure Breast cancer medicine Implant sense organs Radiation treatment planning Breast reconstruction business skin and connective tissue diseases |
| Zdroj: | Plastic and Reconstructive Surgery, Global Open, Vol 2, Iss 11, p e247 (2014) Plastic and Reconstructive Surgery Global Open |
| ISSN: | 2169-7574 |
| Popis: | Implant-based breast reconstruction is very effective, but some cases involve substantial patient-related risk factors. Adjuvant treatment planning can change after breast cancer resection because of the degree of tumor aggressiveness identified during the definitive pathological examination. In such cases, radiation therapy may be chosen as a supplementary treatment.1–3 Depending on the intensity of capsular formation, it may be necessary to change the reconstruction method so that autologous tissues are used. Rectus abdominis–based muscle flaps are often one of the first choices in these situations.4 An abdominal defect must be produced to harvest tissue for breast reconstruction, and tension-free closure is not always possible. In such cases, one can rely on muscular transposition, tension-relief incisions, or prosthetic materials to replace the abdominal wall.5–9 The use of allogeneic material to repair abdominal wall defects is not risk-free; infection, extrusion, herniation, and secondary bulging of the abdominal wall are all possible. When an abdominal flap is being adapted to the recipient area, it is necessary to resect portions of the prosthetic capsule. The capsule is discarded after histopathological evaluation in all cases. Breast tissue expanders are mainly placed in a retromuscular fashion. After extensive institutional review, our team considered only the hypothetical possibility that viable tumor cells are present in the tissue expander capsule in the selected donor site underneath the pectoralis major muscle. |
| Databáze: | OpenAIRE |
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