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Immediate Breast Reconstruction (Direct to Implant)

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Breast Cancer

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Abstract

Since the reduction of large amount of skin for breast cancer mastectomy, the immediate breast reconstruction in one surgical step is becoming possible, allowing two surgical teams combining skin-sparing or nipple-sparing mastectomy and sentinel node biopsy or axillary lymph adenectomy plus immediate reconstruction with a definitive implant and contralateral mammaplasty if necessary to get optimal cosmetic results. Direct-to-implant reconstruction reduces the women’s sensation of mutilation, reduces the number of operations, reduces the cost of the breast cancer surgical treatment, and maintains good cosmetic results. This type of procedure should be performed by a double team with good experience in order to reduce the complication rates to a minimal level.

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Authors and Affiliations

  1. Plastic and Reconstructive Surgery Department, European Institute of Oncology—IEO, Via Ripamonti, 435, Milan, 20141, Italy

    Mario Rietjens, Pietro Loschi & Leonardo Pires Novais Dias

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  1. Mario Rietjens
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  2. Pietro Loschi
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  1. European Institutee of Oncology, Milan, Italy

    Umberto Veronesi

  2. European Institute of Oncology, Milan, Italy

    Aron Goldhirsch

  3. European Institute of Oncology, Milan, Italy

    Paolo Veronesi

  4. San Raffaele University and Research Hospital, Milano, Italy

    Oreste Davide Gentilini

  5. European Institute of Oncology, Milan, Italy

    Maria Cristina Leonardi

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Rietjens, M., Loschi, P., Dias, L.P.N. (2017). Immediate Breast Reconstruction (Direct to Implant). In: Veronesi, U., Goldhirsch, A., Veronesi, P., Gentilini, O., Leonardi, M. (eds) Breast Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-48848-6_34

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