Department of Plastic and Reconstructive Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY.
Semin Plast Surg. 2004 May;18(2):71-7. doi: 10.1055/s-2004-829041.
Breast reconstruction with tissue expanders and implants offers patients satisfying aesthetic results with no donor site morbidity. This article provides a practical guide for successful reconstruction using current techniques and available devices. Preoperative planning is discussed, emphasizing close collaboration with medicial and surgical oncology colleagues. Special concerns regarding adjuvant radiation are also addressed. Intraoperative techniques that optimize the final result are presented, along with a reliable and reasoned approach to the management of complications. Following these guidelines, aesthetically pleasing results with few complications can be obtained consistently.
乳房重建采用组织扩张器和植入物为患者提供了满意的美学效果，且无供区并发症。本文提供了使用当前技术和现有设备成功重建的实用指南。讨论了术前计划，强调与医学和外科肿瘤学同事密切合作。还讨论了关于辅助放疗的特殊问题。介绍了优化最终结果的术中技术，以及处理并发症的可靠和合理方法。遵循这些指南，可以始终获得美观且并发症少的结果。
