title: [Mastectomy and primary breast reconstruction].
abstract: Primary breast reconstruction after mastectomy may be proposed individually after careful consultation of the patient. Whereas postoperative chemotherapy or hormone therapy are not contraindications, radiotherapy is a relative contraindication. Methods include the submuscular silicone implant (+/- expansion), mobilisation of the abdominal skin or flap reconstruction (thoracoepigastric or latissimus flap). The indications, pros and cons, are discussed. Mastectomy and primary reconstruction are good alternatives to the so-called conservative treatment with irradiation.
authors.affiliation: Abteilung für Plastische Chirurgie Klinikum Bogenhausen, München.
authors.forename: W
authors.initials: W
authors.lastname: Mühlbauer
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D015411:Mastectomy, Modified Radical / Q000379:methods*; D013524:Surgical Flaps / Q000379:methods; D015625:Tissue Expansion Devices; D014945:Wound Healing / Q000502:physiology
vernacular_title: Mastektomie und primäre Brustrekonstruktion.