An analysis of the process and outcome of a post mastectomy breast reconstruction
Mioton et al. Lymph nodes removed during a mastectomy are then tested for cancer. If you're having a sentinel node biopsy, before your surgery a radioactive tracer and a blue dye are injected into the area around the tumor or the skin above the tumor. Of the studies utilizing free flaps, total flap loss was reported in 2 breasts 9.
In addition, data describing autologous breast reconstruction in the setting of a previous unsuccessful attempt is extremely limited but suggests it is a viable method to salvage breast reconstruction in appropriate patients. Ask your doctor how long to expect to stay in the hospital.
However, future studies with significantly increased sample sizes are required in order to better define outcomes and determine the optimal approach to managing patients with unsuccessful autologous breast reconstruction. If you're having both breasts removed a double mastectomyexpect to spend more time in surgery and possibly an additional day in the hospital.
If you're having breast reconstruction at the same time as a mastectomy, the plastic surgeon will coordinate with the breast surgeon to be available at the time of surgery.
Long-term patient-reported outcomes in postmastectomy breast reconstruction
However, the surgeon must carefully calculate the amount of the expected graft tissue. Other types of mastectomy include: Total mastectomy. However, future studies with significantly increased sample sizes are required in order to better define outcomes and determine the optimal approach to managing patients with unsuccessful autologous breast reconstruction. Roostaeian et al. The reason for this is multifactorial but likely related to its technical feasibility, lack of donor site morbidity, and changes in mastectomy patterns, such as increased bilateral mastectomies. A sentinel lymph node biopsy may be done at the time of a total mastectomy. Panettiere P, Marchetti L, Accorsi D The serial free fat transfer in irradiated prosthetic breast reconstructions. This is in line with findings of Schultz et al. Nevertheless, the increase in tissue diameter can sometimes only be achieved stepwise since the transferred fat cells need healthy tissue with sufficient blood supply at the recipient site to survive the lipofilling procedure. Panettiere et al.
Authors and Affiliations. An update —
based on 19 review