Track 7: Breast Reconstruction:-
About Breast Reconstruction:-
Following a mastectomy, lumpectomy, or birth defects, the aim of breast reconstruction is to return one or both breasts to nearly normal shape, appearance, symmetry, and size.
Breast Implants: Information for Patients:-
Breast reconstruction frequently entails many steps that are completed in phases and can either start right after a mastectomy or be postponed until a later time.
Implant-based reconstruction and flap reconstruction are the two main types of breast reconstruction. Breast implants are used in implant reconstruction to create a new breast mound. Flap (or autologous) reconstruction creates a new breast using the patient’s own tissue from another area of the body.
When deciding which choice is the best, the following points should be taken into account:
How does breast reconstruction work?
The form of the lost breast can be recreated for many women who undergo a mastectomy, a procedure to remove the whole breast to cure or prevent breast cancer.
There are various alternatives available to women who decide to have their breasts reconstructed. With implants, breasts can be reconstructed (saline or silicone). The breast can occasionally be rebuilt using both implants and autologous tissue.
Immediate reconstruction refers to surgery that is performed immediately after a mastectomy, but it can also refer to surgery that is performed after the mastectomy scars have healed and breast cancer treatment has been finished (which is called delayed reconstruction). Reconstruction might be delayed for months or even years following a mastectomy.
If a nipple and areola were not saved after the mastectomy, they could be recreated on the rebuilt breast in the final step of the procedure.
To ensure that the two breasts are the same size and form, breast reconstruction procedures frequently involve surgery on the opposite breast.
How can a woman’s breast be reconstructed with implants?
Following a mastectomy, implants are implanted beneath the skin or chest muscle. (Most mastectomies are performed using a method termed skin-sparing mastectomy, in which a significant amount of the breast skin is spared for use in breast reconstruction.)
The placement of implants typically involves two stages.
The first step involves the surgeon inserting a tool known as a tissue expander behind the skin that is still there after a mastectomy or beneath the chest muscle. After surgery, the expander is gradually filled with saline during follow-up appointments with the surgeon.
In the second step, the expander is taken out and a replacement implant is put in its place when the chest tissue has relaxed and healed sufficiently. 2 to 6 months following a mastectomy, the chest tissue is typically prepared for the implant.
In certain instances, a tissue expander is not required to prepare for the implant since the implant and mastectomy can be performed concurrently in the operating room.
As a form of scaffold or “sling” to support tissue expanders and implants, surgeons are increasingly adopting a substance known as acellular dermal matrix. Acellular dermal matrix is a type of mesh manufactured from donated human or pig skin that has been cleaned and processed to remove all cells to reduce the likelihood of rejection and infection.
How do doctors restore the breast using a woman’s own body tissue?
During autologous tissue reconstruction, a portion of tissue made up of skin, fat, blood vessels, and occasionally muscle is removed from another part of a woman’s body and utilized to reconstruct the breast. This tissue fragment is referred to as a flap.
Flaps for breast reconstruction can come from a variety of bodily locations. The back or belly are where flaps for breast reconstruction are most frequently sourced. But they can also be extracted from the buttocks or thighs.
Flaps can be pedicled or free, depending from where they come from.
The tissue and connected blood vessels are transported to the breast region via a pedicled flap. Blood vessels don’t need to be re-joined once the tissue has been transferred since the tissue’s blood supply is still intact.
The tissue’s blood supply is severed with free flaps. Microsurgery is a procedure that must be used to link it to fresh blood arteries in the breast region. This supplies blood to the breast that was rebuilt.
Track 7: Breast Reconstruction:-
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Breast Cancer Association:-
- Association for International Cancer Research AICR
- British Association of Surgical Oncology
- British Oncology Data Managers’ Association (BODMA)
- British Oncology Pharmacy Association
- Royal College of General Practitioners
- Royal College of Nursing (UK)
- Royal College of Obstetricians and Gynaecologists
- Royal College of Physicians (London)
- Royal College of Radiologists
- Royal College of Surgeons of England