Immediate Breast Reconstruction in Previously Irradiated Patients
Breast reconstruction in previously irradiated patients represents a difficult challenge to the surgeon due to the higher rates of complication and reconstruction failure that occur in this group of patients, especially with implants. Flaps remain the primary option, although for some very well-selected patients, implants can achieve satisfactory results with low rates of short- and long-term complications. The purpose of this chapter was to establish an algorithm for breast reconstruction after recurrence of breast cancer in patients previously submitted to breast-conserving surgery and exposed to irradiation.
KeywordsOncoplastic surgery Breast reconstruction Breast cancer Breast implants Latissimus dorsi TRAM Radiation therapy
- 12.Urban C, Blaszkowski D, e Silva JL, Maia T, Eduardo S, Lima RR (2011) One-stage breast reconstruction with implants in previously irradiated patients. Rev Bras Mastologia 20(4):183–186Google Scholar
- 14.Cagli B, Barone M, Ippolito E, Cogliandro A, Silipigni S, Ramella S et al (2016) Ten years experience with breast reconstruction after salvage mastectomy in previously irradiated patients: analysis of outcomes, satisfaction and well-being. Eur Rev Med Pharmacol Sci 20(22):4635–4641PubMedGoogle Scholar
- 28.Leonardi MC, Garusi C, Santoro L, Dell’Acqua V, Rossetto F, Didier F et al (2010) Impact of medical discipline and observer gender on cosmetic outcome evaluation in breast reconstruction using transverse rectus abdominis myocutaneous (TRAM) flap and radiotherapy. J Plast Reconstr Aesthet Surg 63(12):2091–2097CrossRefGoogle Scholar