Recent advances in surgical techniques for breast reconstruction

Tomita, Koichi; Kubo, Tateki

doi:10.1007/s10147-023-02313-1

Cited by 4 publications

(2 citation statements)

References 53 publications

(21 reference statements)

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“…To ensure optimal outcomes, a syringe equipped with a small-diameter cannula is utilized to inject fat tissue, typically characterized by a diameter of less than 2 mm. This specific technique, often referred to as microribbons, involves the injection of fat into separate planes, thereby promoting a higher retention rate while concurrently minimizing the occurrence of local complications, such as calcifications and oil cyst formation [ 68 ].…”

Section: Scaffold With Fat Infiltrationmentioning

confidence: 99%

Current Global Trends in Prepectoral Breast Reconstruction

Taj,

Chandavarkar,

Vidya

2024

Medicina

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Implant-based breast reconstruction (IBBR) is the most frequently performed procedure for breast reconstruction following mastectomy, which involves the surgical placement of breast implants. The approach to breast reconstruction can be divided into two main categories, namely prepectoral breast reconstruction (PPBR) and subpectoral breast reconstruction (SPBR), based on the implant plan and placement technique. In recent years, there has been a significant surge in the popularity of prepectoral implant-based breast reconstruction, where the implants are positioned above the chest muscle, as opposed to beneath it in the subpectoral approach. However, despite this growing preference, there is a lack of comprehensive data regarding the national trends in the utilization of this technique, thus necessitating further investigation. This narrative review aims to ascertain the current global patterns linked to prepectoral breast reconstruction and elucidate the considerations surrounding patient and implant selection, reconstructive techniques, the utilization of meshes in prepectoral reconstruction, the ensuing outcomes and complications, the ramifications of radiotherapy, and the potential advantages of integrating fat infiltration into the implementation of this technique in breast reconstruction with a focus on published papers in last five years. Conclusion: Prepectoral breast reconstruction has emerged as an appropriate surgical option for individuals seeking breast reconstruction. This development can be attributed to the recent progress made in implant technology, which has significantly enhanced the outcomes of this procedure. Additionally, advancements in mastectomy techniques, autologous fat grafting, and the use of acellular dermal matrices (ADMs) have also played a vital role in improving the aesthetic results of prepectoral breast reconstruction. As a result, the significance and effectiveness of this technique in the field of breast reconstruction have been firmly established, making it an essential component of the overall armamentarium available to plastic surgeons for breast reconstruction purposes.

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Section: Scaffold With Fat Infiltrationmentioning

confidence: 99%

Current Global Trends in Prepectoral Breast Reconstruction

Taj,

Chandavarkar,

Vidya

2024

Medicina

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“…On the other hand, delayed reconstruction involves a separate surgery for reconstruction, giving patients time to decide whether to undergo reconstruction or undergo adjuvant radiation. The use of alloplastic implants for breast restoration is explored further in various studies, providing options for both immediate and delayed situations [32].…”

Section: Breast Reconstruction Techniquesmentioning

confidence: 99%

Balancing Innovation and Patient Care in Breast Cancer: Integrating Hypofractionated Proton Therapy With Breast Reconstruction Outcomes

Fatima,

Abbas,

Alshehri

2024

Cureus

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This review aims to assess the application of hypofractionated proton therapy in breast cancer reconstruction, analyzing its advantages, challenges, and broader implications for patient care. The goal is to comprehensively understand how this innovative approach can be integrated into breast cancer treatment. Proton therapy exhibits superior target coverage and safety, reducing radiation-induced complications and sparing critical organs, but skin toxicity outcomes differ from photon therapy. Tissue expanders are vital in breast reconstruction, employing innovative planning for positive long-term outcomes and highlighting the importance of balancing cancer treatment effectiveness with cosmetic outcomes. Hypofractionated proton therapy and breast cancer reconstruction present promising innovations with notable advantages in target coverage and organ sparing. However, variations in skin toxicity outcomes and the need for a careful balance between treatment effectiveness and cosmetic outcomes underscore ongoing challenges. Future directions should focus on refining treatment protocols, optimizing patient selection criteria, and integrating emerging technologies to enhance therapeutic outcomes while minimizing adverse effects.

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Postmastectomy Radiation Modalities (Protons, Chest Wall Boost, Skin Bolus, Fractionation, and Timing) and Breast Reconstruction Complications: The Role of Radiation Oncologist

Naoum,

Taghian

2023

Curr Breast Cancer Rep

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Recent advances in surgical techniques for breast reconstruction

Cited by 4 publications

References 53 publications

Current Global Trends in Prepectoral Breast Reconstruction

Current Global Trends in Prepectoral Breast Reconstruction

Balancing Innovation and Patient Care in Breast Cancer: Integrating Hypofractionated Proton Therapy With Breast Reconstruction Outcomes

Postmastectomy Radiation Modalities (Protons, Chest Wall Boost, Skin Bolus, Fractionation, and Timing) and Breast Reconstruction Complications: The Role of Radiation Oncologist

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