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Reconstruction: Immediate

 
IMMEDIATE BREAST RECONSTRUCTION
 

In the case of immediate reconstruction, the two most effective approaches available for both monolateral and bilateral reconstruction are:

  • Expander/Implant—the use of an expander to create a breast mound followed by the placement of a permanent saline filled breast implant.
  • Autogenous Tissue—the use of the patient’s own tissues to reconstruct a new breast mound. The transverse rectus abdominus myocutaneous (TRAM) flap is the preferred donor tissue.

Each procedure has its own unique and shared risks.

  • Risks of expander/implant reconstruction:
-bleeding/hematoma
-seroma
-wound healing complications
-capsular contraction (symptomatic hardening of breast mound)
  • Risks of autogenous tissue reconstruction:
-increased surgery and recovery times
-donor site scars—scars in parts of the body where the flap was harvested
-bleeding/hematoma
-hernia, abdominal wall weakness
-transposition of umbilicus required (potential loss of umbilicus)
-partial or complete flap loss

Expander/implant Technique IMMEDIATE BREAST RECONSTRUCTION USING THE EXPANDER/IMPLANT TECHNIQUE
   
TRAM Flap IMMEDIATE BREAST RECONSTRUCTION AUTOGENOUS TISSUE TECHNIQUE: TRAM FLAP

1997 - TRANSMED