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

ABSTRACT

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.