Immediate Breast Reconstruction for Breast Carcinoma Using the Periareolar Approach

Gabka, Christian J.; Maiwald, G.; Bohmert, H.

doi:10.1097/00006534-199804010-00009

Cited by 32 publications

(23 citation statements)

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“…1,3,5,6,8 A separate axillary incision may be made for sentinel or axillary lymphadenectomy if needed. 5,10,11 It became evident, during tumor board discussions at the John Wayne Cancer Institute, that the safety of SSM and the details of the procedure were not universally known or accepted. We became interested in determining the level of education and skepticism among those most likely to have an interest in this topic.…”

Section: Discussionmentioning

confidence: 99%

Skin‐sparing mastectomy

Bleicher

Hansen

Giuliano

2003

Cancer

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BACKGROUNDSkin‐sparing mastectomy (SSM) is a variation of modified radical mastectomy (MRM) optimized for reconstruction. The authors attempted to determine SSM attitudes and biases within different specialties and countries throughout the world.METHODSThe authors polled 11,485 individuals via e‐mail, including members of surgical, medical, and breast oncology societies, about SSM. Respondents were directed to a survey website where data were directly entered into a database.RESULTSAmong 1027 respondents, 19 said their knowledge was insufficient to attempt the survey. Surveys were completed by 1008 respondents (8.8%) from 52 countries, comprising 436 (43.3%) surgeons, 376 (37.3%) medical oncologists, 146 (14.5%) radiation oncologists, and 50 (5.0%) individuals from other fields. Of the respondents, 61.9% stated that SSMs are performed at their institution. However 19.1% of these believed that SSM leaves the nipple and areola intact. This perception was higher outside the U.S. (P < 0.0001). Despite knowledge by 77.8% that SSM does not have a higher local disease recurrence rate than MRM, 25.3% of these individuals did not believe the literature. This was most prevalent among radiation oncologists (48.5%), as was the belief that SSM is contraindicated in patients with ductal carcinoma in situ and invasive breast carcinoma (23.3%).CONCLUSIONSDespite a developing body of literature, there was variation in opinion among specialties and a lack of understanding of SSM. Many physicians were not familiar with the literature. Among those who were, skepticism was highest among radiation oncologists. Although these results were indicative of only those responding, education about SSM is needed across specialties and in other countries if the procedure is to be widely accepted. Cancer 2003. © 2003 American Cancer Society.

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Section: Discussionmentioning

confidence: 99%

Skin‐sparing mastectomy

Bleicher

Hansen

Giuliano

2003

Cancer

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“…При общем числе рецидивов 5,8%, они отмечали высокий про-цент рецидивов в группе больных с III стадией РМЖ (31%). Наряду с отсутствием какого-либо значимого влияния на онкологический риск, все специалисты без исключения от-мечали значительный прорыв в улучшении эстетических ре-зультатов реконструкции, полученные в результате сохра-нения большей части кожи молочной железы [26, [32][33][34][35]. Преимущество было достигнуто за счет сохранения есте-ственных границ молочной железы, определяемое основа-нием кожных лоскутов и в первую очередь инфрамаммар-ной складки.…”

Section: современные модификации мастэктомии в сочетании с одномоментunclassified

The role of mastectomy in treatment and prophylaxis of breast cancer: beginning, evolution and recent changes

Малыгин¹

2015

Zlokač. opuholi

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Мастэктомия: рождение, эволюция и современное значение в лечении и профилактике рака молочной железыThe role of mastectomy in treatment and prophylaxis of breast cancer: beginning, evolution and recent changes www.malignanttumours.org • № 4 -2015 г. (15) • MALIGNANT TUMOURS На протяжении более ста лет мастэктомия была символом радикального лечения рака молочной железы. Разработанный в конце XIX века этот вид оперативного вмешательства претерпел значительные изменения в результате изучения вопросов распространения опухолевого процесса. В статье описаны исторические аспекты попыток хирургического лечения рака молочной железы, история создания радикальных подходов к лечению рака и органосохраняющего лечения. Описаны современные модификации мастэктомии в комбинации с одномоментной реконструкцией, такие как кожесохраняющая и с сохранением сосково-ареолярного комплекса, обсуждены показания и результаты их применения в современной хирургической практике. SummaryOver the last century, mastectomy has symbolized radical surgical treatment of breast cancer. Since the end of XIX this surgical operation has undergone significant changes due to recognize the paths of breast cancer progression. The review reveals the history of breast cancer surgery, describes and discusses the recent approaches with immediate breast reconstruction, including skinsparing and nipple-sparing modification. Мастэктомия: рождение, эволюция и современное значение в лечении и профилактике рака молочной железы КЛЮЧЕВЫЕ СЛОВАThe role of mastectomy in treatment and prophylaxis of breast cancer: beginning, evolution and recent changes Цитирование: Malygin S. E. The role of mastectomy in treatment and prophylaxis of breast cancer: beginning, evolution and recent changes.

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“…Given all the merits of single-esthetic unit breast reconstruction, the question raised is why the majority of reconstructive surgeons prefer to inset the skin paddle in the center of the breast mound creating a patch effect? Restifo 9 characterized the patchwork effect of flap surgery as violation of the esthetic subunit principle, and Hidalgo, 6 Gabka et al, 7 and Nahai 14 have all condemned this type of appearance, as well. On the other hand, the advocates of the two-esthetic unit breast reconstructions support that less amount of skin is required for the reconstruction and consequently there is less risk from potential partial flap necrosis.…”

Section: Restifomentioning

confidence: 99%

“…4 In immediate reconstructions, the skin-sparing mastectomy 5,6 and the more modern concepts of areola-sparing 7 and nipple/areola-sparing mastectomy 8 contributed to superior cosmetic outcomes. These types of mastectomies permit the reconstructive surgeon to use the native skin envelope to cover the transferred flap and well-conceal the scars around or within the areola.…”

mentioning

confidence: 99%

Shaping the breast in secondary microsurgical breast reconstruction: Single‐ vs. two‐esthetic unit reconstruction

Gravvanis

Smith

2010

Microsurgery

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The esthetic outcome is dictated essentially not only by the position, size, and shape of the reconstructed breast, but also by the extra scaring involved. In the present study, we conducted a visual analog scale survey to compare the esthetic outcome in delayed autologous breast reconstruction following two different abdominal flaps inset. Twenty-five patients had their reconstruction using the Single-esthetic Unit principle and were compared with 25 patients that their breast was reconstructed using the Two-Esthetic Unit principle. Photographic images were formulated to a PowerPoint presentation and cosmetic outcomes were assessed from 30 physicians, by means of a Questionnaire and a visual analog scale. Our data showed that the single-esthetic unit breast reconstruction presents significant advantages over the traditional two-esthetic units, due to inconspicuous flap reconstruction, better position of the inframammary fold, and more natural transition from native and reconstructed tissues. Moreover, patient self-evaluation of esthetic outcome and quality of life showed that single-esthetic unit reconstruction is associated with higher patient satisfaction, therefore should be considered the method of choice.

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Immediate Breast Reconstruction for Breast Carcinoma Using the Periareolar Approach

Cited by 32 publications

References 0 publications

Skin‐sparing mastectomy

Skin‐sparing mastectomy

The role of mastectomy in treatment and prophylaxis of breast cancer: beginning, evolution and recent changes

Shaping the breast in secondary microsurgical breast reconstruction: Single‐ vs. two‐esthetic unit reconstruction

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