Breast is an important sign of femininity; hence it is a great disaster for
females to amputate it in cancer treatment reflecting these effects such as
deviations deeply disturb both the patient's perception of her body as well
as her emotional balance, together with reducing patient's self-esteem and well
being.
The evolution of safe and effective predictable reconstructive
techniques have been coupled with better understanding of tumor biology
and increased availability of plastic surgical expertise.
The most ambitious and difficult goal in breast reconstruction is
giving the patient the best chance for management of her cancer regarding
the oncological safety of the procedure and best cosmetic result with no
increase in the overall complications and no delay in completion of the
adjuvant therapy.
Immediate breast reconstruction has the upper hand on the late
reconstruction for both the doctor and the patient, as it helps rapid
restoration of psychological and physical status of the patient and makes
the-procedure of reconstruction more efficient with no delay in the
diagnosis or management of local recurrence and no interference with the
subsequent adjuvant treatment. But, still the delayed breast reconstruction
providing the safest results especially after 2 years of being disease free,
metastases free, avoiding flap fat necrosis, flap shrinkage or implant
capsular contracture due to radiotherapy without interference with
irradiation delivery or side effects of chemotherapy; lowered immunity or
infection.
Autologous reconstruction with the TRAM flap or latissimus dorsi
flap is currently the best option of breast reconstruction for patients
Summary and conclusion
233
undergoing radiation therapy. Autologous tissue provides wellvascularized
tissue, and additional skin can be brought into the area. The
result is a breast form that improves with age and has a warm, natural
feel.
By this we can gain
Safe.
Satisfactory.
Aesthetic (volume, contour, projection, symmetry, NAC)
reconstructed breast. |
