Breast reconstruction with prosthetic implants Journal Article


Authors: Mesbahi, A. N.; McCarthy, C. M.; Disa, J. J.
Article Title: Breast reconstruction with prosthetic implants
Abstract: For patients who undergo mastectomy for the treatment of breast cancer, the restoration of a normal breast form through breast reconstruction is important to body image and quality of life. Implant-based reconstruction has the capability of producing excellent results in the well selected patient. In addition, compared with autogenous tissue reconstruction, implant reconstruction offers a shorter operative procedure with a quicker convalescence and no donor site morbidity. Reconstruction options for implant-based reconstruction include: single-stage reconstruction with a standard or adjustable implant, tissue expansion followed by placement of a permanent implant, or combined autologous tissue/implant reconstruction. Procedure selection is based on a range of patient variables, including: location and type of breast cancer, availability of local, regional and distant donor tissue, size and shape of the desired breast(s), surgical risk, and most importantly, patient preference. Although satisfactory results can be obtained with single-stage reconstruction, in most of patients, a more reliable approach involves two-stage expander/implant reconstruction. Individualizing selection of a reconstructive technique for each patient will be the predominant factor in achieving a reconstructive success. © 2008 by Lippincott Williams & Wilkins.
Keywords: controlled study; treatment outcome; patient satisfaction; implant; surgical technique; cancer localization; donor site; patient selection; cancer patient; methodology; quality of life; breast cancer; breast; mastectomy; breast neoplasms; breast reconstruction; tissue expansion; risk assessment; postoperative complication; health care quality; patient participation; breast tumor; surgical risk; therapy effect; breast endoprosthesis; autograft; treatment contraindication; convalescence; drug contraindication; prosthesis; reconstruction; body image; quality of health care; breast augmentation; breast implantation; expander
Journal Title: The Cancer Journal
Volume: 14
Issue: 4
ISSN: 1528-9117
Publisher: Lippincott Williams & Wilkins  
Date Published: 2008-07-01
Start Page: 230
End Page: 235
Language: English
DOI: 10.1097/PPO.0b013e31817fb7c3
PUBMED: 18677130
PROVIDER: scopus
DOI/URL:
Notes: --- - "Cited By (since 1996): 5" - "Export Date: 17 November 2011" - "CODEN: CAJOC" - "Source: Scopus"
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  1. Joseph Disa
    262 Disa
  2. Colleen Marie McCarthy
    143 McCarthy