3 Comments on “BREAST CANCER SURVIVORS!!!Tell Me Your Experience With Breast Reconstruction!?”

• usaphp.cn

  

  18 April, 2010, 19:53

  Increased incidence of breast cancer (currently the first Habitat female malignancy), the younger trend, the rate of early diagnosis and treatment of breast cancer increased and people’s living standards improve the status of the request. In the tumor and health conditions permit instantly repair and recycling has become a cancer doctor and plastic surgeon consensus.

  Indications

  ① According to the International Association of TNM cancer tumor grade of 0, I, II and Phase III of the patients, tumor metastasis.

  ② I have reconstructed breasts with the request.

  ③ no contraindication for surgical patients under their own conditions, choose a suitable method.

  Surgical methods

  Phantom breast reconstruction

  Confined to the breast prosthesis local recycling breast volume filial good soft tissue coverage, the young are not willing to sacrifice other parts of the body autologous tissue of patients. The method is to charge a silica, silica gel or saline breast prosthesis placed after resection of the pectoralis major muscle flap or under. If mastectomy, local organizations can not provide adequate lacunar required to accommodate the size of prosthesis can be first into the skin expansion, after regular water, enough to be a lacunar again expander surgery will be replaced by breast prosthesis.

  Autologous tissue breast reconstruction

  ① latissimus dorsi muscle flap transfer to harness vascular pedicle for pedicle flap can be formed or muscle flap, forward pedicle transferred to the chest, simple. Early breast cancer after resection generally applied to the wound coverage. Given its limited capacity, often combined with the breast prosthesis.

  For reservations early breast cancer and nipple, areola, breast skin resection can be axillary incision, excision at the same time breast, axillary dissection, the latissimus dorsi muscle flap transfer pedicle immediate breast augmentation.

  ② traditional TRAM with pedicled transverse rectus abdominis myocutaneous flap on the blood supply in the course of the rectus abdominis, arteriovenous abdominal wall. For middle – and lower abdominal transverse rectus abdominis myocutaneous flap, flap of blood shipped to the abdominal artery through the spiral-artery anastomosis (chock anastomosis) arrived abdominal artery, abdominal artery by the perforator flap supply . Venous return to the flap by abdominal vein, spiral-venous anastomosis reach abdominal vein. Coupled with the pedicle of the tunnel and reverse the oppression, therefore, this method often accompanied by necrosis of the skin flap and fat liquefaction, do not often need to ensure that the blood supply III, IV District removed. This technique suitable for high-risk factors, it is not appropriate to vascular anastomosis free flap transplant patients, or plastic surgeon does not have microsurgical technique or equipment.

  ③ free transverse rectus abdominis myocutaneous flap in the abdominal wall under arteriovenous pedicle their blood for abdominal artery directly from the perforator, the blood directly back to abdominal vein. Its vascular pedicle can be cut to bring the entire abdominal straight save part of the rectus abdominis muscle or rotator cuff. Clinical application of a series of shows that, with the advantage of fewer complications. By the vessels could be dorsal scapular arteriovenous or thorax, arteriovenous, the former often axillary dissection exposed.

  ④ abdominal perforator flap (Deep Inferior Epigastric Perforator Flap, DIEP) from Koshima (1989), Allen (1994), Blondeel (1994) is equal to the last few years and to promote the free transverse rectus abdominis musculocutaneous flap further improved. Xu Jun (2000) first reported domestic firms, has been widely used. The technique only cut skin and fat, vascular pedicle separated from the rectus abdominis, rectus abdominis biggest advantage is to retain the integrity of its former sheath has been avoided after abdominal weak and the occurrence of abdominal hernia, patients with After rapid recovery, with good long-term results. Because of the effect of a plastic wall, abdominal wall under arteriovenous perforator flap has become autologous tissue transplantation method of choice for breast reconstruction.
  From:www.usaphp.cn
• lo_mcg

  

  18 April, 2010, 20:12

  I have chosen not to have reconstruction, at least for now, but if you want to read experiences from people who have, I suggest you try the forums on these sites:

  http://www.breastcancer.org
• Barneyswally

  

  18 April, 2010, 20:32

  I had bilateral mast with cohesive gel silicone implants. I’m as happy as someone can be who had breast cancer. They look nice, young, perky. There’s a small amount of feeling but not a great amount. Sometimes when I’m not really in the mood, I realize the loss. Other times, when I’m very much in the mood, it doesn’t matter at all. Other areas become more important.