乳房重建的新策略NewavenuesinBreastReconstructionSurgery.资料.pptVIP

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乳房重建的新策略NewavenuesinBreastReconstructionSurgery.资料.ppt

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Reconstruction surgery Immediate vs. Delayed Reconstruction Alloplastic reconstruction vs. Autologous reconstruction A great choice of techniques for immediate or delayed breast reconstruction Alloplastic reconstruction Silicone implants Saline implants Tissue expanders Reconstruction with a implant Immediate reconstruction with a implant Tissue expanders Expander Catheter Port Tissue expanders Injection of 50–100 ml of sterile saline / 1 to 2 weeks 1 to 2 months after the final expansion, the expander should be exchanged for the implant Reconstruction with expander technique Autologous flaps for breast reconstruction LD flap LD flap LD flap TRAM flap TRAM flap TRAM flap DIEP flap SIEA flap TUG flap A 10-Year Retrospective Review of 758 DIEPFlaps for Breast Reconstruction A 10-Year Retrospective Review of 758 DIEPFlaps for Breast Reconstruction A 10-Year Retrospective Review of 758 DIEPFlaps for Breast Reconstruction Lipofilling-Fat transfer Next revolution The University of Hong Kong-Shenzhen Hospital New avenues in Breast Reconstruction Surgery 2014-09-10 Surgical evolution of breast cancer treatment Halsted (1898) Super radical mastectomy(1950) Patey (1965) Conservative surgery (1975) Sentinel lymph node (2000) Nipple Sparing Mastectomy(2003) Future ? ? ? Tiffany Nicole S,Ballard,Adeyiza O,Momoh. Advances in Breast Reconstruction of Mastectomy and Lumpectomy Defects. Surg Oncol Clin N Am. 2014:23(3): 528-48 Basic algorithm for decisions on reconstructive options I Jatoi,M Kaufmann,J Y. Petit.Atlas of Breast Surgery.2006:90 I Jatoi,M Kaufmann,J Y. Petit.Atlas of Breast Surgery.2006:91-92 Frank J. DellaCroce, Emily T. Wolfe,Breast reconstruction. Surg Clin N Am. 2013:93(2):445-54 Complications of tissue expander/implant reconstruction Seroma Infection Capsular contracture Skin flap necrosis Abdomen Pedicled TRAM (transverse rectus abdominis myocutaneous ) Free TRAM Muscle-sparing free TRAM DIEP (d