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| IMMEDIATE BREAST RECONSTRUCTION |
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In the case of immediate reconstruction, the two most
effective approaches available for both monolateral and
bilateral reconstruction are:
- Expander/Implant—the
use of an expander to create a breast mound
followed by the placement of a permanent saline
filled breast implant.
- Autogenous Tissue—the
use of the patient’s own tissues to
reconstruct a new breast mound. The transverse
rectus abdominus myocutaneous (TRAM) flap is the
preferred donor tissue.
Each procedure has its own unique and shared risks.
- Risks of expander/implant
reconstruction:
- -bleeding/hematoma
- -seroma
- -wound healing complications
- -capsular contraction (symptomatic hardening
of breast mound)
- Risks of autogenous tissue
reconstruction:
- -increased surgery and recovery times
- -donor site scars—scars in parts of the
body where the flap was harvested
- -bleeding/hematoma
- -hernia, abdominal wall weakness
- -transposition of umbilicus required
(potential loss of umbilicus)
- -partial or complete flap loss
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IMMEDIATE BREAST
RECONSTRUCTION USING THE EXPANDER/IMPLANT
TECHNIQUE |
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IMMEDIATE BREAST
RECONSTRUCTION AUTOGENOUS TISSUE TECHNIQUE: TRAM
FLAP |
© 1997 - TRANSMED
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