Prosthesis coverage and application of artificial materials in implant based breast reconstruction / 中国实用外科杂志

Breast reconstruction is an essential part of the treatment for breast cancer.For implant based breast reconstruction(IBBR),pectoralis effectively provids sufficient support and increased coverage thickness for subpectoral implantation of prosthesis,and also reduces the possibility of implant exposure caused by wound dehiscence or infection and even effectively prevents the prosthesis displacement and reduces capsular contracture.With the development of materials science,artificial materials have been widely adopted as an extension to pectoralis or as an alternative cover for the prosthesis in IBBR.For patients who need to implanted larger volume prostheses,the technique of artificial materials together with pectoral muscles can "extend" muscle tissue,cover the prostheses with tension-free,and remodel the fuller submammary folds.For patients with a certain thickness of skin flap,artificial materials can be used to completely wrap the prosthesis before prepectoral implantation of prosthesis,which reduces the impairment of the muscle and retains muscle functionality.In conclusion,reasonable layer of the prosthesis implantation(subpectoral/prepectoral) and application of artificial materials to effectively cover the prosthesis in IBBR,could be considered to reduce the complications and achieve the aesthetic outcomes.

Timing and surgical management for breast reconstruction after mastectomy / 中国实用外科杂志

Combined with the concept and technique of plastic surgery,breast reconstruction has become an important development direction in the field of breast surgery on the premise of ensuring tumor safety.Breast reconstruction can be performed at the same time as mastectomy or partial mastectomy,or it can be delayed until the appropriate time after the completion of adjuvant therapy.The former is called immediate breast reconstruction,and the latter is called delayed breast reconstruction.Clinically,the timing of reconstruction is determined by the stage of disease and the patients ' needs.Delayed-immediate breast reconstruction was used in some patients to reduce the adverse effects of adjuvant radiotherapy and the occurrence of serious postoperative complications.Breast reconstruction also includes autologous flap breast reconstruction,implant-based breast reconstruction and autologous combined implant breast reconstruction.Implant based reconstruction is the most commonly used technique in immediate breast reconstruction.For delayed breast reconstruction,autologous flapbased breast reconstruction or two-step implant-based reconstruction is more frequently.