The duration of these surgeries per breast can take anywhere from 2 to 3 hours for a mastectomy with immediate implant reconstruction or 6 to 12 hours for mastectomy. Breast reconstruction surgery american cancer society. In most cases, breast reconstruction can be performed at the same time as your mastectomy, and is referred to as immediate reconstruction. Pdf immediate reconstruction after mastectomy for breast. Breast reconstruction is currently offered on a more routine basis to patients after mastectomy for breast cancer. In the appropriate patient it can be achieved effectively with either prosthetic or autogenous tissue reconstruction. Breast reconstruction using implants american cancer society. Introduction immediate breast reconstruction ibr is routinely offered to improve quality of life for women with breast cancer requiring a mastectomy, but there are concerns that more complex. Findings in this cohort study of 962 breasts from 944 patients who underwent nipplesparing mastectomy and immediate breast reconstruction for invasive breast cancer, 39 cases of cancer recurrence at the nippleareola complex were identified as the first event. In fact, new york state law now requires that all patients having a mastectomy should be offered immediate reconstruction. Immediate breast reconstruction ibr after mastectomy represents a clear improvement in the quality of life of patients with breast cancer, but prosthesis removal is relatively frequent.
Reconstruction can also be performed weeks, months, or years later. With a skinsparing mastectomy, the tumor and clean margins are removed, along with the nipple, areola, fat and other tissue that make up the breast. However, pain after breast cancer surgery is a major problem and women undergoing mastectomy and breast reconstruction experience postoperative pain syndromes in approximately onehalf of all cases. The trend at major breast cancer centers has been to offer immediate reconstructive surgery for patients who have a mastectomy. Immediate breast reconstruction after mastectomy for. Immediate reconstruction after mastectomy for breast cancer. Breast cancer recurrence in nippleareola complex after. The decision to have immediate versus delayed reconstruction is depends on many factors, including. Prophylactic mastectomy breast reconstruction prma. This paper analyzes the outcomes of breast cancer surgery, and the results and. Pdf breast reconstruction after mastectomy for cancer. If youre having immediate breast reconstruction, your surgeon may perform a skinsparing mastectomy to keep as much of the skin of the breast as possible.
Instead of feeling pain where the tissue was taken, you may feel numbness and tightness. Breast reconstruction after mastectomy national cancer. Reasons for breast reconstruction a woman might choose to have breast reconstruction for many reasons. Surgery to reconstruct the breasts can be done or started at the time of the mastectomy which is called immediate reconstruction or it can be done after the mastectomy incisions have healed and breast cancer therapy has been completed which is called delayed reconstruction.
Immediate breast reconstruction also called directtoimplant reconstruction is done, or at least started, at the same time as surgery to treat the cancer. Prophylactic mastectomy reduces breast cancer by 90% 95% in high risk patients. The mastectomy and breast reconstruction will leave areas of numbness where the surgery was performed. Immediate breast reconstruction is a safe and acceptable procedure after mastectomy for cancer. Pdf complications in immediate breast reconstruction. This lets the surgical teams plan the best treatment for you, even if you decide to wait and have reconstructive surgery later.
The implant is put in at the same time as the mastectomy is done. Delayed reconstruction can happen months or even years after the mastectomy. Resensation restores sensation to breast cancer survivors. After the surgeon removes the breast tissue, a plastic surgeon puts in a breast implant. Breast reconstruction using the patients own tissue or breast implants can be. New procedure restores sensation to breast cancer survivors after mastectomy a penn surgeon is the first in the philadelphia region to offer the resensation treatment.
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