PMID: 9660020Jul 11, 1998Paper

Immediate reconstruction after complete skin-sparing mastectomy with autologous tissue

Journal of the American College of Surgeons
David A HidalgoJoseph J Disa

Abstract

Immediate breast reconstruction with autologous tissue can re-create a breast mound that closely resembles the native breast in shape and consistency. Results are limited by scarring and color differences between flap and native breast skin. This study reviews all patients undergoing complete skin-sparing mastectomy with immediate autologous tissue reconstruction over the past 4 years. Twenty-eight patients with a mean age of 43 years (range, 32-53 years) were retrospectively reviewed. Requirements for the complete skin-sparing approach included a favorable biopsy scar location, adequate areolar diameter, and suitable donor site for autologous tissue reconstruction. Ninety-two percent of patients were reconstructed with a transverse rectus abdominis musculocutaneous flap. There were no instances of flap loss or local recurrence during the followup period (mean, 27 months; range, 14-48 months). Complications at the reconstruction site were minor and limited to cellulitis, periareolar skin loss, and the need for repeat skin excision because of a very close pathologic margin. Donor site complications were seen in five patients. Aesthetic results were judged as excellent or good in 75% of patients. Complete skin-sparing mastectomy ...Continue Reading

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Citations

Oct 30, 2007·Breast Cancer Research and Treatment·Neill Patani, Kefah Mokbel
Nov 25, 2000·The British Journal of Surgery·C M MalataA D Purushotham
Jun 28, 2002·Plastic and Reconstructive Surgery·Paul J Skoll, Don A Hudson
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Apr 28, 2006·Plastic and Reconstructive Surgery·Michael A HowardJoseph J Disa
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Jan 1, 2014·Annals of Plastic Surgery·Zdenko StanecGorjanc Božo
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Apr 19, 2018·World Journal of Surgical Oncology·Miguel De La Parra MarquezJesus María Rangel Flores

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