A geometric analysis of mastectomy incisions: Optimizing intraoperative breast volume.

作者: David Chopp , Vinay Rawlani , Marco Ellis , Sarah A Johnson , Donald W Buck

DOI: 10.1177/229255031101900201

关键词:

摘要: Maintaining breast volume and shape during mastectomy reconstruction relies heavily on two factors: adequate parenchymal replacement maximal preservation of native skin flaps. Several novel techniques, such as acellular dermis-assisted expander implant reconstruction, have allowed for significant intra-operative expansion excised parenchyma (1–5). These techniques permit reconstructive surgeons to achieve intraoperative expansions that are 60% 100% the final (6–8). Priority has been placed preserving maximize immediate minimize or obviate need serial outpatient expansions. Several oncological may be used flap loss mastectomy. Although nipple-sparing allows complete envelope, technique is not suited majority patients (8–10). Therefore, focus dimension incision using skin-sparing mastectomy. Skin-sparing commonly performed through a periareolar fusiform incision. Most use length width ratio 3:1, which permits tension-free closure without relative excess at apices. Intuitively, ability restore postmastectomy depends amount envelope conserved. Less well known relationship dimensions these incisions. present study aimed quantify degree associated with increasing mathematical modelling.

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