Summary
Immediate breast reconstruction is more convenient for patients, less expensive, less risky, less distressing, and achieves better aesthetic results than delayed reconstruction. Immediate reconstruction can be combined with a skin-sparing mastectomy to achieve the best possible aesthetic outcome without any significantly increased risk of tumor recurrence. For the general surgeon, performing a skin-sparing mastectomy is more difficult than performing a conventional wide-field mastectomy. The way the mastectomy is performed affects the quality of the breast reconstruction result, and the general surgeon who performs a skin-sparing mastectomy is therefore an important member of the reconstructive team. Skin-sparing mastectomy also facilitates the performance of bilateral TRAM flap reconstruction, especially in thin patients.
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References
Noone RB, Murphy JB, Spear SL, Little JW. A 6-year experience with immediate reconstruction after mastectomy for cancer. Plast Reconstr Surg. 1985;76:258–269.
Noone RB, Frazier TG, Hayward CZ. Patient acceptance of immediate reconstruction following mastectomy. Plast Reconstr Surg. 1982;69:632–640.
Grotting JC. Immediate breast reconstruction using the free TRAM flap. Clin Plast Surg. 1994;21:207–221.
Elkowitz A, Colen S, Slavin S, Seibert J, Weinstein M, Shaw W. Various methods of breast reconstruction after mastectomy: an economic comparison. Plast Reconstr Surg. 1993;92:77–83.
Gilboa D, Borenstein A, Floro S, Shafir R, Falach H, Tsur H. Emotional and psychological adjustment of women to breast reconstruction and detection of subgroups at risk for psychological morbidity. Ann Plast Surg. 1990;25:397–401.
Schover LR. The impact of breast cancer on sexuality, body image, and intimate relationships. CA Cancer J Clin. 1991;41:112.
Lasry JM, Margolese RG, Poisson R, et al. Depression and body image following mastectomy and lumpectomy. J Chron Dis. 1987;40:529–534.
Kroll SS, Coffey JA Jr, Winn RJ, Schusterman MA. A comparison of factors affecting aesthetic outcomes of TRAM flap breast reconstruction. Plast Reconstr Surg. 1995;96:860–864.
Schusterman MA, Kroll SS, Weldon ME. Immediate breast reconstruction: why the free TRAM over the conventional TRAM flap? Plast Reconstr Surg. 1992;90:255–262.
Schusterman MA, Kroll SS, Miller MJ, et al. The free TRAM flap for breast reconstruction: a single center’s experience with 211 consecutive cases. Ann Plast Surg. 1994;32:234–242.
Grotting JC, Urist MM, Maddox WA, Vasconez LO. Conventional TRAM flap versus free microsurgical TRAM flap for immediate breast reconstruction. Plast Reconstr Surg. 1989;83:842–844.
Williams JK, Carlson GW, Bostwick J, Bried JT, Mackay G. The effects of radiation treatment after TRAM flap breast reconstruction. Plast Reconstr Surg. 1997;100:1153–1160.
Carlson GW, Bostwock J, Styblo TM, et al. Skin-sparing mastectomy: oncologic and reconstructive considerations. Ann Surg. 1997;225:570–578.
Kroll SS, Ames F, Singletary SE, Schusterman MA. The oncologic risks of skin preservation at mastectomy with immediate breast reconstruction. Surg Gynecol Obstet. 1991;172:17–20.
Hartrampf CR Jr, Bennett GK. Autogenous tissue reconstruction in the mastectomy patient: a critical review of 300 patients. Ann Surg. 1987;205:508–518.
Kroll SS, Netscher DT. Complications of TRAM flap breast reconstruction in obese patients. Plast Reconstr Surg. 1989;86:886–892.
Holmstrom H. The free abdominoplasty flap and its use in breast reconstruction. ScandJ Plast Reconstr Surg. 1979;13:423.
McGraw JB, Papp C, Edwards A, McMellin A. The autogenous latissimus breast reconstruction. Clin Plast Surg. 1994;21:279–288.
Kroll SS, Schusterman MA, Tadjalli HE, Singletary SE, Ames FC. Risk of recurrence after treatment of early breast cancer with skin-sparing mastectomy. Ann Surg Oncol. 1997;4:193–197.
Kroll SS, Miller MJ, Schusterman MA, Reece GP, Singletary SE, Ames F. The rationale for elective contralateral mastectomy with immediate bilateral reconstruction. Ann Surg Oncol. 1994;1:457–461.
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© 2000 Springer-Verlag New York, Inc.
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(2000). Immediate Breast Reconstruction. In: Breast Reconstruction with Autologous Tissue. Springer, New York, NY. https://doi.org/10.1007/0-387-21767-3_4
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DOI: https://doi.org/10.1007/0-387-21767-3_4
Publisher Name: Springer, New York, NY
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