A Review of the Surgical Management of Breast Cancer: Plastic Reconstructive Techniques and Timing Implications

Abstract

The oncologic management of breast cancer has evolved over the past several decades from radical mastectomy to modern-day preservation of chest and breast structures. The increased rate of mastectomies over recent years made breast reconstruction an integral part of the breast cancer management. Plastic surgery now offers patients a wide variety of reconstruction options from primary closure of the skin flaps to performance of microvascular and autologous tissue transplantation. Well-coordinated partnerships between surgical oncologists, plastic surgeons, and patients address concerns of tumor control, cosmesis, and patients' wishes. The gamut of breast reconstruction options is reviewed, particularly noting state-of-the-art techniques, as well as the advantages and disadvantages of various timing modalities.

Bilateral autologous breast reconstruction with deep inferior epigastric artery perforator flaps: Review of a single surgeon's early experience

“…13 Limited studies have evaluated the postoperative outcomes of bilateral DIEP flap reconstruction, and few have specifically evaluated a young single surgeon's experience. This study was performed to describe the early experience of a single surgeon just out of training, including preoperative conditioning, surgical approach, and surgical outcomes in bilateral DIEP flap breast reconstruction patients for various timing regimens, including immediate, staged, [14][15][16][17] and delayed.…”

El vendaje cohesivo en el tratamiento de la trombosis linfática superficial en mujeres intervenidas de cáncer de mama. Serie de casos

“…La segunda, es el riesgo de infección, rechazo o desinflamiento de la prótesis, que puede llevar a la retirada de la misma. Además, la colocación inmediata de los implantes está asociada a una disminución importante de la elasticidad de los tejidos, que puede dar lugar a otras complicaciones mayores, por lo que es preferible la colocación del expansor, y con el paso de los meses, colocar el implante definitivo (16,17).…”

Immediate Versus Delayed Breast Reconstruction for Postmastectomy Patients. Controversies and Solutions

“…Autologous breast reconstruction includes a wide range of flaps, from the latissimus dorsi flap, the transverse rectus abdominis flap, the deep inferior epigastric perforator flap to the less elected flaps like the gluteal artery perforator flap or the upper gracillis flap (60).…”