Breast microsurgery

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Recipient vessel options in microsurgical breast reconstruction. As in any free tissue reconstruction, recipient vessel choice is fundamental for adequate planning in breast reconstruction. The purpose of the present study is to determine which of the available recipient vessels the internal mammary artery and its perforators vessels or circumflex scapular vessels are adequate for microvascular breast reconstruction.

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Autologous reconstruction sometimes called autogenous reconstruction uses tissue -- skin, fat, and sometimes muscle -- from another place on your body to form a breast shape. The tissue called a "flap" usually comes from the belly, the back, buttocks, or inner thighs to create the reconstructed breast. The tissue can be completely separated from its original blood vessels and picked up and moved to its new place in your chest.

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The goal of breast reconstruction is to restore the appearance of a breast after mastectomy. Although the function of the breast is lost when it is removed for breast cancer, the appearance, shape and texture can be reconstructed to closely approximate a natural breast. Recent microsurgical advances allow for improved and safer reconstruction than was available even ten years ago.

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Microsurgical breast reconstruction is a highly precise procedure that involves the breast microsurgeon taking skin and fat a "flap" from elsewhere in the body "donor site" and transplanting it to the chest to make a new breast mound. This technique is able to use your own healthy tissue while at the same time minimizing damage to the area of the body where tissue has been removed. The advantages are it encourages healing, minimizes scarring, and creates a more natural-appearing breast.

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On Nov. But while fans cheered on the Astros, Melissa Williams-Scott was on the phone with her oncologist, who was sharing different news: She had ductal carcinoma in situ DCISa type of stage 0 non-invasive breast cancer that forms in cells inside the milk ducts. As Williams-Scott spoke with her doctor about her breast cancer diagnosis, her wife, Brenda, sat in an MD Anderson clinic, undergoing treatment for lymphoma.

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UCSF is a leader in microsurgical breast reconstruction. UCSF is one of the high volume centers for this procedure in the U. Robert Foster.

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Microsurgery has become a standard part of all tissue transfer techniques and is an essential component in the most advanced reconstructive procedures, such as vascular anastomoses, lymphatic microsuture and neurorrhaphies. Over the last ten years, the exponential growth in the use of microsurgical techniques, especially in plastic surgery, clearly indicates that a skilled microsurgical team is indispensable in all major hospitals. The programme includes specific training modules that cover both theoretical and practical aspects.

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The DIEP deep inferior epigastric perforator flap was first described in by a Japanese microsurgeon. But, it wasn't until when Robert Allen reported that he had applied this flap to breast reconstruction that it was demonstrated what a big advantage the DIEP was over the TRAM flap. Allen was the first to recognize the benefits of this kind of reconstruction, and along with the Belgian surgeon Philipe Blondeel, he convinced a number of microsurgeons that the extra time, care and skill needed for this surgery was well worth the effort.

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