Assessment of Immediate Conservative Breast Surgery Reconstruction: A Classification System of Defects Revisited and an Algorithm for Selecting the Appropriate Technique

Munhoz, Alexandre Mendonça; Montag, Eduardo; Arruda, Eduardo; Pellarin, Leandro; Filassi, José Roberto; Piato, José Roberto Morales; Barros, Ângela Ferreira; Prado, Luis Carlos; Fonseca, André; Baracat, Edmund C.; Ferreira, Marcus Castro

doi:10.1097/01.prs.0000299295.74100.fa

Cited by 70 publications

(40 citation statements)

References 36 publications

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“…With this method, the tumor can be excised with wider margins, and the effectiveness of RT on a reduced breast is increased [5]. The aesthetic concerns that occur with BCS are reduced to 7% with the ORM procedure [6]. In addition, with ORM, a significant amount of breast parenchyma is removed from both the ipsilateral and contralateral breasts.…”

Section: Introductionmentioning

confidence: 99%

Oncoplastic reduction mammoplasty for breast cancer in women with macromastia: long term aesthetic, functional and satisfaction outcomes

Emiroğlu¹,

Karaalı²,

Salimoğlu³

et al. 2016

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Aim of the studyDespite the increase in studies concerning oncoplastic reduction mammoplasty (ORM), data showing long-term aesthetic and patient satisfaction for ORM in patients with macromastia remain limited. Therefore, this study evaluated the long-term results of tumorectomy and concomitant bilateral ORM for early-stage breast cancer patients with macromastia in terms of cosmesis, patient satisfaction, and functional outcomes.Material and methodsRetrospective data of patients with macromastia undergoing ORM for breast cancer between 1996 and 2011 were examined and evaluated regarding the aesthetic results, patient satisfaction, and functional outcomes.ResultsThe median age of the 82 patients was 50 years. The median follow-up was 120 months (range: 28–212 months). The median breast volume was 1402 cm3, and the median weight of the excised breast material was 679 g. A good or excellent evaluation of the cosmetic outcome was as follows: self-evaluation: 84.1% at the early-stage, 80.3% at the later stage; panel evaluation: 75.4% at the late-stage. Median patient satisfaction rates were 9.1% for early-stage disease and 8.8% for late-stage disease. Reduced mobility and intertrigo improved by three-fold during the post-operative period.ConclusionsORM for early-stage breast cancer in women with macromastia results in good cosmesis in both the early-stage and long-term, and is quite acceptable for use in patients. Patients reacted favorably to the prospect of having their breast cancer and macromastia treated in a single session, and positive results continued over the long-term.

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Section: Introductionmentioning

confidence: 99%

Oncoplastic reduction mammoplasty for breast cancer in women with macromastia: long term aesthetic, functional and satisfaction outcomes

Emiroğlu¹,

Karaalı²,

Salimoğlu³

et al. 2016

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“…A number of factors influence the surgeon’s choice of the surgical technique. Tumour size and location, as well as breast size and degree of ptosis, are some of the main factors considered in the decision-making [4]. …”

Section: Introductionmentioning

confidence: 99%

Batwing versus Wise pattern mammoplasty for upper pole breast tumours: a detailed comparison of cosmetic outcome

Hashem

Farahat

2017

World J Surg Onc

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BackgroundThe aim of this study is to compare the results of batwing mammoplasty and Wise pattern mammoplasty in the surgical management of upper pole breast tumours.MethodsThis is a retrospective observational study including 126 breast cancer patients who presented between 2009 and 2015 to the National Cancer Institute of Cairo University in Egypt. All patients were candidates for breast conservation, with upper pole tumours, which was defined as tumours between 3 and 9 o’clock. Patients were categorized into two groups. Group A (64) included patients who underwent inferiorly based therapeutic mammoplasty, while group B (62) was designated for patients who had batwing mammoplasty. The results of both groups were compared and analyzed.ResultsWise pattern mammoplasty group had statistically significant higher complication rate. The overall aesthetic result of Wise pattern technique was superior to batwing mammoplasty. However, batwing mammoplasty showed a statistically significant higher rate of patient satisfaction.ConclusionsBoth techniques are valid options for upper pole breast tumours. Wise pattern therapeutic mammoplasty remains aesthetically superior; however, batwing mammoplasty is an easy, simple technique with acceptable results to patients.

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“…Reimbursement for Breast Cancer Surgery in Germany 387 selection of individual therapy, but may not clarify scientific issues or may appear unsuitable as a basis for a staged payment [13][14][15]. Moreover, the term oncoplastic surgery, which is often used differently in national and international literature, was clearly defined in our original publication for a better differentiation of the interventions by levels of complexity: 'the term oncoplastic surgery refers to any surgical procedure in which the primary surgical treatment strategy involves plastic surgical techniques for partial or complete reconstruction of the surgical correction of the breast or for defects to the thoracic wall' [11].…”

Section: Changes In the Field Of Breast Surgery And Breast Cancer Surmentioning

confidence: 99%

Breast Cancer Surgery and Financial Reimbursement in Germany

Hoffmann

Wallwiener

2012

Breast Care

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The reimbursement for breast cancer-specific operative interventions in Germany is regulated by the diagnosis-related group (DRG) system. The essential elements of the German DRG system, which was developed as a percase lump-sum payment system, are presented, including the participating institutions. The actual treatment situation in breast cancer surgery is now aptly reflected in the introduction of the OPS (operation and treatment procedure classification) 2012. This is oriented on the classification model of Hoffmann and Wallwiener, with its complexity-based differentiation that reflects the basic idea of different resource usage. Despite the actual potential of the appropriately differentiated encryption of surgical procedures, which illustrates their differences in resource costs and consumption, appropriate reimbursement has still not been achieved. Hopefully, in the future the calculation of the DRGs in the field of breast cancer surgery will be based on data feedback from the hospitals and treatment institutions, and will be more suited to the main purpose of the DRG system, i.e. that reimbursement reflects resource expenditure. A necessary basic tool for differentiated, complexity-oriented encryption has been achieved with the OPS 2012, which mirrors our classification model for oncological, oncoplastic and reconstructive breast surgery.

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Assessment of Immediate Conservative Breast Surgery Reconstruction: A Classification System of Defects Revisited and an Algorithm for Selecting the Appropriate Technique

Cited by 70 publications

References 36 publications

Oncoplastic reduction mammoplasty for breast cancer in women with macromastia: long term aesthetic, functional and satisfaction outcomes

Oncoplastic reduction mammoplasty for breast cancer in women with macromastia: long term aesthetic, functional and satisfaction outcomes

Batwing versus Wise pattern mammoplasty for upper pole breast tumours: a detailed comparison of cosmetic outcome

Breast Cancer Surgery and Financial Reimbursement in Germany

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