[Breast reconstruction after mastectomy].
A variety of procedures can be used in breast reconstruction following mastectomy depending on the condition of the residual tissue. A silicone implant or tissue expander is used when the skin and subcutaneous fatty tissue are preserved, although silicone implants are no longer used in the United States. Alternatively, a lateral abdominal flap, lateral thoracic flap, latissimus dorsi flap, or rectus abdominus myocutaneous flap may be used. We have performed breast reconstruction using the latissimus dorsi myocutaneous flap without a silicone implant, and the vertical axis of the rectus abdominus myocutaneous flap was also used. Nipple-areola reconstruction was also investigated.
Dept. of Plastic & Reconstructive Surgery, St. Marianna University School of Medicine.
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Sakai
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Takahashi
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Mitobe
D000009:Abdominal Muscles / Q000637:transplantation; D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods* / Q000523:psychology; D008408:Mastectomy; D009558:Nipples / Q000601:surgery*; D011788:Quality of Life; D013524:Surgical Flaps / Q000379:methods; D015625:Tissue Expansion Devices