Pocket work for optimising outcomes in prosthetic breast reconstruction
Summary Implant breast reconstruction is a recommendable alternative for women who have undergone mastectomy and lack the necessary subcutaneous fat tissue for an autologous reconstruction. On the other hand, many women reject the morbidity of the donor site, prolonged recovery periods and muscular...
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| Veröffentlicht in: | Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2009-05, Vol.62 (5), p.626-632 |
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| container_title | Journal of plastic, reconstructive & aesthetic surgery |
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| creator | Loustau, Hugo D Mayer, Horacio F Sarrabayrouse, Manuel |
| description | Summary Implant breast reconstruction is a recommendable alternative for women who have undergone mastectomy and lack the necessary subcutaneous fat tissue for an autologous reconstruction. On the other hand, many women reject the morbidity of the donor site, prolonged recovery periods and muscular weakness associated with autologous reconstruction. Therefore, muscle and skin expansion has become one of the most popular approaches used in breast reconstruction. Nevertheless, the expansion process may be hindered by events like seroma formation, implant rotation, moving upward or downward altering the location or shape of the submammary crease, capsule contracture or extrusion. Since the advent of the anatomical expander, two-stage reconstruction with the expander/implant sequence has become the most popular choice in prosthetic breast reconstruction (PBR). The second surgical stage, in which the tissue expander is exchanged for the permanent implant, offers a unique opportunity for pocket work. Pocket work strategies and their indications should be known and applied by the surgeon who aims at optimising PBR aesthetic results. |
| doi_str_mv | 10.1016/j.bjps.2007.08.037 |
| format | Article |
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On the other hand, many women reject the morbidity of the donor site, prolonged recovery periods and muscular weakness associated with autologous reconstruction. Therefore, muscle and skin expansion has become one of the most popular approaches used in breast reconstruction. Nevertheless, the expansion process may be hindered by events like seroma formation, implant rotation, moving upward or downward altering the location or shape of the submammary crease, capsule contracture or extrusion. Since the advent of the anatomical expander, two-stage reconstruction with the expander/implant sequence has become the most popular choice in prosthetic breast reconstruction (PBR). The second surgical stage, in which the tissue expander is exchanged for the permanent implant, offers a unique opportunity for pocket work. Pocket work strategies and their indications should be known and applied by the surgeon who aims at optimising PBR aesthetic results.</description><identifier>ISSN: 1748-6815</identifier><identifier>EISSN: 1878-0539</identifier><identifier>DOI: 10.1016/j.bjps.2007.08.037</identifier><identifier>PMID: 18356126</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Breast Implants ; Breast Neoplasms - surgery ; Capsulectomy ; Capsulorraphy ; Capsulotomy ; Esthetics ; Female ; Humans ; Mammaplasty - methods ; Mastectomy ; Medical sciences ; Middle Aged ; Myectomy ; Orthopedic surgery ; Plastic Surgery ; Pocket work ; Prosthetic breast reconstruction ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tissue Expansion - methods ; Treatment Outcome</subject><ispartof>Journal of plastic, reconstructive & aesthetic surgery, 2009-05, Vol.62 (5), p.626-632</ispartof><rights>British Association of Plastic, Reconstructive and Aesthetic Surgeons</rights><rights>2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-eb13b15c755dbed43a1ca9a0d27440967cdb46281fa32da60a1006a203700adf3</citedby><cites>FETCH-LOGICAL-c439t-eb13b15c755dbed43a1ca9a0d27440967cdb46281fa32da60a1006a203700adf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.bjps.2007.08.037$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3549,27923,27924,45994</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21521010$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18356126$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Loustau, Hugo D</creatorcontrib><creatorcontrib>Mayer, Horacio F</creatorcontrib><creatorcontrib>Sarrabayrouse, Manuel</creatorcontrib><title>Pocket work for optimising outcomes in prosthetic breast reconstruction</title><title>Journal of plastic, reconstructive & aesthetic surgery</title><addtitle>J Plast Reconstr Aesthet Surg</addtitle><description>Summary Implant breast reconstruction is a recommendable alternative for women who have undergone mastectomy and lack the necessary subcutaneous fat tissue for an autologous reconstruction. On the other hand, many women reject the morbidity of the donor site, prolonged recovery periods and muscular weakness associated with autologous reconstruction. Therefore, muscle and skin expansion has become one of the most popular approaches used in breast reconstruction. Nevertheless, the expansion process may be hindered by events like seroma formation, implant rotation, moving upward or downward altering the location or shape of the submammary crease, capsule contracture or extrusion. Since the advent of the anatomical expander, two-stage reconstruction with the expander/implant sequence has become the most popular choice in prosthetic breast reconstruction (PBR). The second surgical stage, in which the tissue expander is exchanged for the permanent implant, offers a unique opportunity for pocket work. Pocket work strategies and their indications should be known and applied by the surgeon who aims at optimising PBR aesthetic results.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Breast Implants</subject><subject>Breast Neoplasms - surgery</subject><subject>Capsulectomy</subject><subject>Capsulorraphy</subject><subject>Capsulotomy</subject><subject>Esthetics</subject><subject>Female</subject><subject>Humans</subject><subject>Mammaplasty - methods</subject><subject>Mastectomy</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myectomy</subject><subject>Orthopedic surgery</subject><subject>Plastic Surgery</subject><subject>Pocket work</subject><subject>Prosthetic breast reconstruction</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tissue Expansion - methods</subject><subject>Treatment Outcome</subject><issn>1748-6815</issn><issn>1878-0539</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-LFDEQxYMo7rr6BTxIX_TWbeVPpzMggiy6CgsK6jmkk2pNT08yJmllv71pZlDw4Ck5vPfq1a8IeUqho0Dly7kb52PuGMDQgeqAD_fIJVWDaqHnu_v1PwjVSkX7C_Io5xlAcCr6h-SCKt5LyuQlufkU7R5L8yumfTPF1MRj8QefffjWxLXYeMDc-NAcU8zlOxZvmzGhyaVJaGPIJa22-BgekweTWTI-Ob9X5Ou7t1-u37e3H28-XL-5ba3gu9LiSPlIezv0vRvRCW6oNTsDjg1CwE4O1o1CMkUnw5kzEgwFkIbV3QCMm_gVeXHKrYV-rJiLrmUtLosJGNes5UAlExyqkJ2EtjbPCSd9TP5g0p2moDd8etYbPr3h06B0HVFNz87p63hA99dy5lUFz88Ck61ZpmSC9fmPjtGe1ext-quTDiuLnx6TztZjsOh85Va0i_7_PV7_Y7eLD75O3OMd5jmuKVTKmurMNOjP26G3O4OCiguA_wYtYaN2</recordid><startdate>20090501</startdate><enddate>20090501</enddate><creator>Loustau, Hugo D</creator><creator>Mayer, Horacio F</creator><creator>Sarrabayrouse, Manuel</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090501</creationdate><title>Pocket work for optimising outcomes in prosthetic breast reconstruction</title><author>Loustau, Hugo D ; Mayer, Horacio F ; Sarrabayrouse, Manuel</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-eb13b15c755dbed43a1ca9a0d27440967cdb46281fa32da60a1006a203700adf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Breast Implants</topic><topic>Breast Neoplasms - surgery</topic><topic>Capsulectomy</topic><topic>Capsulorraphy</topic><topic>Capsulotomy</topic><topic>Esthetics</topic><topic>Female</topic><topic>Humans</topic><topic>Mammaplasty - methods</topic><topic>Mastectomy</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myectomy</topic><topic>Orthopedic surgery</topic><topic>Plastic Surgery</topic><topic>Pocket work</topic><topic>Prosthetic breast reconstruction</topic><topic>Surgery (general aspects). 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Graft diseases</topic><topic>Tissue Expansion - methods</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Loustau, Hugo D</creatorcontrib><creatorcontrib>Mayer, Horacio F</creatorcontrib><creatorcontrib>Sarrabayrouse, Manuel</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Loustau, Hugo D</au><au>Mayer, Horacio F</au><au>Sarrabayrouse, Manuel</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pocket work for optimising outcomes in prosthetic breast reconstruction</atitle><jtitle>Journal of plastic, reconstructive & aesthetic surgery</jtitle><addtitle>J Plast Reconstr Aesthet Surg</addtitle><date>2009-05-01</date><risdate>2009</risdate><volume>62</volume><issue>5</issue><spage>626</spage><epage>632</epage><pages>626-632</pages><issn>1748-6815</issn><eissn>1878-0539</eissn><abstract>Summary Implant breast reconstruction is a recommendable alternative for women who have undergone mastectomy and lack the necessary subcutaneous fat tissue for an autologous reconstruction. On the other hand, many women reject the morbidity of the donor site, prolonged recovery periods and muscular weakness associated with autologous reconstruction. Therefore, muscle and skin expansion has become one of the most popular approaches used in breast reconstruction. Nevertheless, the expansion process may be hindered by events like seroma formation, implant rotation, moving upward or downward altering the location or shape of the submammary crease, capsule contracture or extrusion. Since the advent of the anatomical expander, two-stage reconstruction with the expander/implant sequence has become the most popular choice in prosthetic breast reconstruction (PBR). The second surgical stage, in which the tissue expander is exchanged for the permanent implant, offers a unique opportunity for pocket work. Pocket work strategies and their indications should be known and applied by the surgeon who aims at optimising PBR aesthetic results.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>18356126</pmid><doi>10.1016/j.bjps.2007.08.037</doi><tpages>7</tpages></addata></record> |
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| ispartof | Journal of plastic, reconstructive & aesthetic surgery, 2009-05, Vol.62 (5), p.626-632 |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Adult Aged Biological and medical sciences Breast Implants Breast Neoplasms - surgery Capsulectomy Capsulorraphy Capsulotomy Esthetics Female Humans Mammaplasty - methods Mastectomy Medical sciences Middle Aged Myectomy Orthopedic surgery Plastic Surgery Pocket work Prosthetic breast reconstruction Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tissue Expansion - methods Treatment Outcome |
| title | Pocket work for optimising outcomes in prosthetic breast reconstruction |
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