Breast reconstruction after mastectomy recent advances; benefits and drawbacks
Keywords:
Breast reconstruction, mastectomy, LDF, TRAM flapAbstract
Breast cancer is the most common cancer in women worldwide, with one in eight diagnosed in their lifetime. Treatment often results in significant body image changes, making breast reconstruction a crucial part of comprehensive treatment. Reconstruction can improve psychosocial well-being and quality of life, aiming to do no harm without hindering oncologic treatment or causing recurrence. Patients should be informed about treatment methods and advantages. To have an overview on different modalities of breast reconstruction after mastectomy and highlighting the recent advances in breast reconstruction, their benefits and drawbacks. The review is based on an English language Medline and google scholar search with secondary references obtained from key articles. Breast reconstruction after mastectomy is an important and oncologically safe component of breast cancer overall treatment plan. Immediate reconstruction offers psychological and physical benefits with better quality of life, while delayed reconstruction is tailored to specific cases mainly patients requiring radiotherapy. Breast reconstruction is a multidisciplinary team approach, and there are multiple factors need consideration prior to embarking upon a decision as they determine the timing and technique of breast reconstruction.
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References
Aziz MB, Rose J (2021) Breast reconstruction perforator flaps. InStatPearls [Internet] 2021 Jul 28. StatPearls Publishing.
Barbieri E, Frusone F, Bottini A, Sagona A, Gatzemeier W, Canavese G, Anghelone CA, De Luca A, Marrazzo E, Amabile MI, Tinterri C (2020) Evolution and time trends of nipple-sparing mastectomy: a single-center experience. Updates in Surgery. Sep;72(3):893-9.
Beahm E and Lang JE (2013) Breast cancer: Diagnosis, therapy, and oncoplastic techniques. Neligan Plastic surgery, V(10):334-368.
Beugels J, Kool M, Hoekstra LT, Heuts EM, Tuinder SM, van der Hulst RR, Piatkowski A (2018) Quality of life of patients after immediate or delayed autologous breast reconstruction: a multicenter study. Annals of Plastic Surgery. Nov 1;81(5):523-7.
Bordianu A, Leoveanu I, Chang EI (2020) Autologous breast reconstruction beyond the DIEP: a narrative review of autologous breast reconstruction options beyond the DIEP flap. Transfer, 2(7):9.
Brennan ME, Flitcroft K, Warrier S, Snook K, and Spillane AJ (2016) Immediate expander/implant breast reconstruction followed by post-mastectomy radiotherapy for breast cancer: Aesthetic, surgical, satisfaction and quality of life outcomes in women with high-risk breast cancer. The Breast, (30):59-65.
Carlson GW (2012) Oncological Considerations for Breast Reconstruction. Breast reconstruction current techniques., 1(1):15-33.
Cieśla S and Bąk M (2012) The effect of breast reconstruction on maintaining a proper body posture in patients after mastectomy. Breast Reconstruction-Current Techniques., 2(4):83-102.
Clemens MW and Nahabedian MY (2011) Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction. Surgery of the breast principles and art., II(65):778-790.
Crawford K, Endara M (2020) Lipotransfer Strategies and Techniques to Achieve Successful Breast Reconstruction in the Radiated Breast. Medicina., 56(10):516.
Dewael S, Vandevoort M, Fabré G, Nanhekhan L. Immediate versus delayed autologous breast reconstruction: A retrospective matched cohort study of irradiated patients. Journal of Plastic, Reconstructive & Aesthetic Surgery. 2019 Nov 1;72(11):1769-75.
Rayter Z & Wilson S (2016) Breast reconstruction after mastectomy. British Journal of Surgery., 103(12):15771578.
Disa JJ and Patel N (2013) breast reconstruction: prosthetic techniques. Grabb and Smith's plastic surgery., VI(59):645-655.
Down SK, Pereira JH. Latissimus Dorsi Flap Reconstruction. InBreast Cancer Essentials 2021 (pp. 321-329). Springer, Cham.
Eck DL, McLaughlin SA, Terkonda SP, Rawal B, and Perdikis G (2015) Effects of immediate reconstruction on adjuvant chemotherapy in breast cancer patients. Annals of plastic surgery., (74):201-203.
Elliott LF, Symbas JD, and Moyer HR (2013) The bilateral pedicled TRAM flap. Neligan Plastic surgery., V(16):502-520
Fansa H, Heitmann C. Autologous Reconstruction (2019) Free Flaps. InBreast Reconstruction with Autologous Tissue (pp. 69-141). Springer, Cham.
Farhangkhoee H, Matros E, Disa J (2016) Trends and concepts in post‐mastectomy breast reconstruction. Journal of surgical oncology., 113(8):891-4.
Fosnot J and Serletti JM (2013) Free TRAM breast reconstruction. Neligen Plastic surgery. 2013: V(17):522-550.
Gentile P, Orlandi A, Scioli MG, Di Pasquali C, Bocchini I, Curcio CB, Floris M, Fiaschetti V, Floris R, and Cervelli V (2012) A Comparative Translational Study: The Combined Use of Enhanced Stromal Vascular Fraction and Platelet Rich Plasma Improves Fat Grafting Maintenance in Breast Reconstruction. Stem cells translational medicine., 1(4):341-351.
Grünherz L, Wolter A, Andree C, Grüter L, Staemmler K, Munder B, Schulz T, Stambera P, Hagouan M, Fleischer O, Seidenstücker K (2020) Autologous breast reconstruction with SIEA flaps: an alternative in selected cases. Aesthetic Plastic Surgery. Apr;44(2):299-306.
Hanson SE, Kapur SK, Hwang RF, Dryden MS (2021) Autologous fat grafting in breast reconstruction: implications for follow-up and surveillance. Gland Surgery.,10(1):487.
He WY, El Eter L, Yesantharao P, Hung B, Owens H, Persing S, Sacks JM (2020) Complications and patient-reported outcomes after TRAM and DIEP flaps: A systematic review and meta-analysis. Plastic and Reconstructive Surgery Global Open., 8(10).
Hu E and Alderman AK (2007) Breast reconstruction. Surgical clinics of North America., 87(2):453-467.
Jeong JH, Choi B, Chang S, Kim EK, Kang EY, Heo CY, and Myung Y (2017) The Impact of Immediate Breast Reconstruction on Thoracic Spine Alignment after Unilateral Mastectomy. Clinical Breast Cancer., 8-11.
LoTempio MM, Allen RJ, & Blondeel PN (2013) Alternative Flaps for Breast Reconstruction. Neligan Plastic surgery., V(19):577-590.
Masia J, Pomata CD, Martinez-Jaimez P (2022) Breast Reconstructive Surgery. In Textbook of Plastic and Reconstructive Surgery 2022 (pp. 383-400). Springer, Cham.
McLaughlin SA (2023) Surgical management of the breast: breast conservation therapy and mastectomy. Surgical Clinics of North America. 93(2):411-428.
Menn Z & Spiegel A (2013) Selection of an Appropriate Method of Breast Reconstruction: Factors Involved in Customizing Breast Restoration. Breast Reconstruction-Current Perspectives and State of the Art Techniques., (2):22-63.
Myers PL, Nelson JA, Allen Jr RJ (2021 ) Alternative flaps in autologous breast reconstruction. Gland Surgery., 10(1):444.
Nahabedian MY (2013) Breast reconstruction: free flap technique. Grabb and Smith's plastic surgery.,VI(62) 669-680
Namnoum JD (2013) Breast and reconstruction TRAM flap techniques. Grabb and Smith's plastic surgery. 2:VI(61):663- 660.
Nava MB, Catanuto G, Pennati A, Cividin VV, and Spano A (2013) Expander-implants breast reconstructions. In: Neligen Plastic surgery., V(14):417-470.
Panchal H, Matros E (2017) Current trends in post-mastectomy breast reconstruction. Plastic and reconstructive surgery.,140(5):7S.
Platt J, Baxter N, Zhong T (2011) Breast reconstruction after mastectomy for breast cancer. Cmaj., 13;183(18):2109-16.
Potter S, Browning D, Savović J, Holcombe C, and Blazeby JM (2015) Systematic review and critical appraisal of the impact of acellular dermal matrix use on the outcomes of implant based breast reconstruction. British Journal of Surgery., 102(9):1010-1025.
Reinders FC, Young-Afat DA, Batenburg MC, Bruekers SE, van Amerongen EA, Macaré van Maurik JF, Braakenburg A, Zonnevylle E, Hoefkens M, Teunis T, Verkooijen HM (2020) Higher reconstruction failure and less patient-reported satisfaction after post mastectomy radiotherapy with immediate implant-based breast reconstruction compared to immediate autologous breast reconstruction. Breast Cancer., 27(3):435-44.
Rozen WM, Acosta R, Loi D (2020) Deep Inferior Epigastric Perforator Flap in Breast Reconstruction. InBreast Reconstruction (pp. 163-178). Springer, Cham.
Sacchini VS, Pluchinotta AM and Vindigni V (2015) The Role of Surgery in Breast Cancer. The Outpatient Breast Clinic., (16):353-390.
Satake T (2020) Inferior Gluteal Artery Perforator Flap in Breast Reconstruction. InBreast Reconstruction, (pp. 231-242). Springer, Cham.
Seitz AJ, Asaad M, Hanson SE, Butler CE, Largo RD. Autologous fat grafting for oncologic patients: a literature review. Aesthetic surgery journal. 2021 Jun;41(Supplement_1):S61-8.
Serletti JM, Fosnot J, Nelson JA, Disa JJ, Bucky LP (2011) Breast reconstruction after breast cancer. Plastic and Reconstructive Surgery. 2011 Jun 1;127(6):124e-35e.
Shenoy R, Behl A and Jagtap P (2014) The Evolution of Surgery for Breast Cancer from Radical to Sublime: Historical Review. Annals of Health and Health Sciences. 2014;1(2):87-92.
Sood R, Easow JM, Konopka G, Panthaki ZJ (2018) Latissimus dorsi flap in breast reconstruction: recent innovations in the workhorse flap. Cancer Control., 12;25(1):1073274817744638.
Spear SL and Clemens MW (2013) Latissimus dorsi flap breast reconstruction. Neligan Plastic surgery. V(15):475500.
Stark RY, Mirzabeigi MN, Vonderhaar RJ, Bucky LP (2018) Utilizing large volume fat grafting in breast reconstruction after nipple sparing mastectomies. Gland surgery., 7(3):337.
Thorarinsson A, Fröjd V, Kölby L, Lewin R, Molinder N, Lundberg J, Elander A, and Mark H (2016) A retrospective review of the incidence of various complications in different delayed breast reconstruction methods. Journal of plastic surgery and hand surgery., 50(1):25-34.
Vecchio DD & Fichadia H (2012) Autologous Fat Transplantation –A Paradigm Shift in Breast Reconstruction. Breast reconstruction current techniques., 4(11):229-253.
Weichman K and Disa J (2013) Prosthetic Breast Reconstruction with Acellular Dermal Matrix. Breast ReconstructionCurrent Perspectives and State of the Art Techniques. (4):68-80.
Wilson H and Spear SL (2013) Fat grafting to the breast. Neligen Plastic surgery. V (25):730-750.
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