Immediate breast reconstruction after mastectomy for cancer

CM Malata, SA McIntosh, AD Purushotham*

*Corresponding author for this work

Research output: Contribution to journalLiterature review

169 Citations (Scopus)

Abstract

Background: Immediate breast reconstruction after mastectomy has increased over the past decade following the unequivocal demonstration of its oncological safety and the availability of reliable methods of reconstruction. Broadly, it is undertaken in the treatment of breast cancer, after prophylactic mastectomy in high-risk patients, and in the management of treatment failure after breast-conserving surgery and radiotherapy. Immediate breast reconstruction can be achieved reliably with a variety of autogenous tissue techniques or prosthetic devices. Careful discussion and evaluation remain vital in choosing the correct technique for the individual patient.

Methods: This review is based primarily on an English language Medline search with secondary references obtained from key articles.

Results and conclusion: Immediate breast reconstruction is a safe and acceptable procedure after mastectomy for cancer; there is no evidence that it has untoward oncological consequences. In the appropriate patient it can be achieved effectively with either prosthetic or autogenous tissue reconstruction. Patient selection is important in order to optimize results, minimize complications and improve quality of life, while simultaneously treating the malignancy. Close cooperation and collaboration between the oncological breast and reconstructive achieve these objectives.

Original languageEnglish
Pages (from-to)1455-1472
Number of pages18
JournalBritish Journal of Surgery
Volume87
Issue number11
Publication statusPublished - Nov 2000

Keywords

  • SKIN-SPARING MASTECTOMY
  • ABDOMINIS MUSCULOCUTANEOUS FLAPS
  • NIPPLE-AREOLA RECONSTRUCTION
  • PEDICLE TRAM FLAP
  • EPIGASTRIC PERFORATOR FLAP
  • DORSI MYOCUTANEOUS FLAP
  • POVIDONE-IODINE IRRIGATION
  • PERMANENT TISSUE EXPANDER
  • CIRCUMFLEX ILIAC VESSELS
  • INTERNAL MAMMARY ARTERY

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