Thursday 16 August 2012

One in five need reoperation after breast-conserving surgery

One in five need reoperation after breast-conserving surgery. The Lancet oncology, August 2012, Vol. 13(8), p.e334.

Bennett, N.

http://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(12)70339-X/fulltext?rss=yes#

20% of women with breast cancer who undergo breast-conserving surgery will need a second operation, according to the results of a retrospective study from England.

Late seromas after breast implants

Late seromas after breast implants: Theory and practice.  Plastic & reconstructive surgery, August 2012, Vol. 130(2), p.423-435.

Spear, S.L., et al.

http://journals.lww.com/plasreconsurg/Fulltext/2012/08000/Late_Seromas_after_Breast_Implants___Theory_and.26.aspx

Late seromas surrounding breast implants are becoming an increasingly important issue in breast surgery. The authors report their experience with late seromas and describe their previous management options.

A prospective randomized study comparing two different expander approaches in implant-based breast reconstruction

A prospective randomized study comparing two different expander approaches in implant-based breast reconstruction: One stage versus two stages.  Plastic & reconstructive surgery, August 2012, Vol. 130(2), p. 254e-264e.

Eriksen, C., et al.

http://journals.lww.com/plasreconsurg/Abstract/2012/08000/A_Prospective_Randomized_Study_Comparing_Two.3.aspx

 Implant-based reconstruction is performed in the majority of women offered primary reconstruction for breast cancer. Two different expander implants were compared prospectively. The primary endpoint was the number of operations needed in each group to obtain patient satisfaction. 

A prospective study of short- and long-term cosmetic outcome after reduction mammoplasty

A prospective study of short- and long-term cosmetic outcome after reduction mammoplasty from three different perspectives: The patient, a department surgeon and an independent private practitioner in plastic surgery.  Plastic & reconstructive surgery, August 2012, Vol. 130(2), p.273-281.

Brieting, L.B., et al.

http://journals.lww.com/plasreconsurg/Fulltext/2012/08000/A_Prospective_Study_of_Short__and_Long_Term.4.aspx

Numerous studies have examined the outcome of reduction mammaplasty. This study evaluates the cosmetic outcome after reduction mammaplasty from the perspective of the patient, a ward surgeon, and a private practitioner in plastic surgery, and analyzes which factors influence it.

Current status of autologous tissue-based breast reconstruction in patients receiving postmastectomy radiation therapy

Current status of autologous tissue-based breast reconstruction in patients receiving postmastectomy radiation therapy. Plastic & reconstructive surgery, August 2012, Vol. 130(2), p.282-292.

Kronowitz, S.J.

http://journals.lww.com/plasreconsurg/Fulltext/2012/08000/Current_Status_of_Autologous_Tissue_Based_Breast.5.aspx

The threshold for patients with breast cancer to receive radiation therapy continues to be lowered. The author reviewed the literature to determine the clinical impact that the increasing use of radiation therapy has had on the management of patients with breast cancer who desire autologous tissue–based breast reconstruction. 

Patterns of use and patient satisfaction with breast reconstruction among obese patients

Patterns of use and patient satisfaction with breast reconstruction among obese patients: Results from a population-based study. Plastic & reconstructive surgery, August 2012, Vol. 130(2), p.263-270.

Kulkarni, A.R., et al.

http://journals.lww.com/plasreconsurg/Abstract/2012/08000/Patterns_of_Use_and_Patient_Satisfaction_with.1.aspx

The national obesity epidemic is contributing to an increased proportion of overweight and obese breast cancer patients. The authors' purpose was to determine whether patterns of use and outcomes of reconstruction differed among obese and nonobese patients.

Aesthetic improvement of the female breast in funnel chest deformity by surgical repair of the thoracic wall

Aesthetic improvement of the female breast in funnel chest deformity by surgical repair of the thoracic wall: Indication or lifestyle surgery?  Plastic & reconstructive surgery, August 2012, Vol. 30(2), p.245e-253e.

Schwabegger, A.H., et al.

http://journals.lww.com/plasreconsurg/Abstract/2012/08000/Aesthetic_Improvement_of_the_Female_Breast_in.2.aspx

Adults are increasingly seeking surgical correction of pectus excavatum deformity, and the alternative custom-made silicone implant is not always desired or suitable. The paramount concern of female patients is the apparent strabism of their breasts. In some cases, the standard minimally invasive reconstruction of pectus excavatum procedure or a modified approach with a semiopen technique can help remodel the anterior thoracic wall and simultaneously reposition the female breasts to a desired and aesthetically acceptable position.