Two-Stage Implant-Based Breast Reconstruction: An Evolution of the Conceptual and Technical Approach over a Two-Decade Period
Identifieur interne : 003649 ( Pmc/Corpus ); précédent : 003648; suivant : 003650Two-Stage Implant-Based Breast Reconstruction: An Evolution of the Conceptual and Technical Approach over a Two-Decade Period
Auteurs : Peter G. Cordeiro ; Leila JazayeriSource :
- Plastic and reconstructive surgery [ 0032-1052 ] ; 2016.
Abstract
Over a two-decade period the senior author (P.G.C.) has had extensive experience with two-stage implant-based breast reconstruction with total musculofascial coverage. During this time period the approach has evolved substantially. The evolution has been based on changes in breast cancer treatment, available technology and most importantly, on yearly evaluation of surgical outcomes.
This paper describes changes in the conceptual approach to breast reconstruction, and the resulting evolution of surgical techniques. The evolution of concepts and current techniques are described as they relate to each consecutive stage of implant-based breast reconstruction.
For the first stage of breast reconstruction, i.e. placement of the tissue expander, key concepts and techniques described are the vertical mastectomy defect, the point of maximal expansion, the musculofascial pocket, and the inferior fasciotomy. For the second stage of breast reconstruction, i.e. the exchange procedure, key concepts and techniques described are implant selection, setting the inframammary fold, defining the inferolateral shape of the breast, and circumferential capsulotomy.
The purpose of this article is to relay the lessons learned from this long experience and to provide conceptual and technical framework to two-stage implant-based breast reconstruction.
Url:
DOI: 10.1097/PRS.0000000000002243
PubMed: 27348635
PubMed Central: 5245790
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Two-Stage Implant-Based Breast Reconstruction: An Evolution of the Conceptual and Technical Approach over a Two-Decade Period</title><author><name sortKey="Cordeiro, Peter G" sort="Cordeiro, Peter G" uniqKey="Cordeiro P" first="Peter G." last="Cordeiro">Peter G. Cordeiro</name></author><author><name sortKey="Jazayeri, Leila" sort="Jazayeri, Leila" uniqKey="Jazayeri L" first="Leila" last="Jazayeri">Leila Jazayeri</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27348635</idno><idno type="pmc">5245790</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5245790</idno><idno type="RBID">PMC:5245790</idno><idno type="doi">10.1097/PRS.0000000000002243</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">003649</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003649</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Two-Stage Implant-Based Breast Reconstruction: An Evolution of the Conceptual and Technical Approach over a Two-Decade Period</title><author><name sortKey="Cordeiro, Peter G" sort="Cordeiro, Peter G" uniqKey="Cordeiro P" first="Peter G." last="Cordeiro">Peter G. Cordeiro</name></author><author><name sortKey="Jazayeri, Leila" sort="Jazayeri, Leila" uniqKey="Jazayeri L" first="Leila" last="Jazayeri">Leila Jazayeri</name></author></analytic><series><title level="j">Plastic and reconstructive surgery</title><idno type="ISSN">0032-1052</idno><idno type="eISSN">1529-4242</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Over a two-decade period the senior author (P.G.C.) has had extensive experience with two-stage implant-based breast reconstruction with total musculofascial coverage. During this time period the approach has evolved substantially. The evolution has been based on changes in breast cancer treatment, available technology and most importantly, on yearly evaluation of surgical outcomes.</p></sec><sec id="S2"><title>Methods</title><p id="P2">This paper describes changes in the conceptual approach to breast reconstruction, and the resulting evolution of surgical techniques. The evolution of concepts and current techniques are described as they relate to each consecutive stage of implant-based breast reconstruction.</p></sec><sec id="S3"><title>Results</title><p id="P3">For the first stage of breast reconstruction, i.e. placement of the tissue expander, key concepts and techniques described are the vertical mastectomy defect, the point of maximal expansion, the musculofascial pocket, and the inferior fasciotomy. For the second stage of breast reconstruction, i.e. the exchange procedure, key concepts and techniques described are implant selection, setting the inframammary fold, defining the inferolateral shape of the breast, and circumferential capsulotomy.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">The purpose of this article is to relay the lessons learned from this long experience and to provide conceptual and technical framework to two-stage implant-based breast reconstruction.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">1306050</journal-id><journal-id journal-id-type="pubmed-jr-id">6482</journal-id><journal-id journal-id-type="nlm-ta">Plast Reconstr Surg</journal-id><journal-id journal-id-type="iso-abbrev">Plast. Reconstr. Surg.</journal-id><journal-title-group><journal-title>Plastic and reconstructive surgery</journal-title></journal-title-group><issn pub-type="ppub">0032-1052</issn><issn pub-type="epub">1529-4242</issn></journal-meta><article-meta><article-id pub-id-type="pmid">27348635</article-id><article-id pub-id-type="pmc">5245790</article-id><article-id pub-id-type="doi">10.1097/PRS.0000000000002243</article-id><article-id pub-id-type="manuscript">NIHMS842642</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Two-Stage Implant-Based Breast Reconstruction: An Evolution of the Conceptual and Technical Approach over a Two-Decade Period</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Cordeiro</surname><given-names>Peter G.</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Jazayeri</surname><given-names>Leila</given-names></name><degrees>MD</degrees></contrib><aff id="A1">Plastic and Reconstructive Surgery Service, Memorial Sloan Kettering Cancer Center, New York, NY</aff></contrib-group><author-notes><corresp id="cor1"><bold>Corresponding author</bold>. Peter G. Cordeiro, MD, FACS, Professor of Surgery, Weill Cornell Medical College of Cornell University, Chief, Plastic and Reconstructive Surgery Service, Memorial Sloan Kettering Cancer Center, 1275 York, Ave, New York, NY 10065</corresp></author-notes><pub-date pub-type="nihms-submitted"><day>13</day><month>1</month><year>2017</year></pub-date><pub-date pub-type="ppub"><month>7</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>01</day><month>7</month><year>2017</year></pub-date><volume>138</volume><issue>1</issue><fpage>1</fpage><lpage>11</lpage><pmc-comment>elocation-id from pubmed: 10.1097/PRS.0000000000002243</pmc-comment>
<abstract><sec id="S1"><title>Background</title><p id="P1">Over a two-decade period the senior author (P.G.C.) has had extensive experience with two-stage implant-based breast reconstruction with total musculofascial coverage. During this time period the approach has evolved substantially. The evolution has been based on changes in breast cancer treatment, available technology and most importantly, on yearly evaluation of surgical outcomes.</p></sec><sec id="S2"><title>Methods</title><p id="P2">This paper describes changes in the conceptual approach to breast reconstruction, and the resulting evolution of surgical techniques. The evolution of concepts and current techniques are described as they relate to each consecutive stage of implant-based breast reconstruction.</p></sec><sec id="S3"><title>Results</title><p id="P3">For the first stage of breast reconstruction, i.e. placement of the tissue expander, key concepts and techniques described are the vertical mastectomy defect, the point of maximal expansion, the musculofascial pocket, and the inferior fasciotomy. For the second stage of breast reconstruction, i.e. the exchange procedure, key concepts and techniques described are implant selection, setting the inframammary fold, defining the inferolateral shape of the breast, and circumferential capsulotomy.</p></sec><sec id="S4"><title>Conclusions</title><p id="P4">The purpose of this article is to relay the lessons learned from this long experience and to provide conceptual and technical framework to two-stage implant-based breast reconstruction.</p></sec></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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