Rimareix F, Sarfati B, Leymarie N, Alkhashnam H, Honart J F, Tran De Frémicourt K, Conversano A, Struk S, Schaff J-B, Bennis Y, Mazouni C, Delaloge S, Rivera S, Kolb F
Département de chirurgie plastique, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
Département d'oncologie médicale, Gustave-Roussy, 114, rue Edouard-Vaillant, 94800 Villejuif, France.
Ann Chir Plast Esthet. 2018 Nov;63(5-6):542-544. doi: 10.1016/j.anplas.2018.07.003. Epub 2018 Aug 23.
Immediate breast reconstruction indications extend to infiltrating carcinomas, due to new matrix implant coverage techniques and the development of perforator flaps. These techniques allow adjuvant treatments. However, the decision of immediate reconstruction must be discussed with the oncological multidisciplinary team and the benefits/risks must also be evaluated in relation to the morphology of the patients and their co-morbidities. The chosen type of mastectomy: conventional or skin sparing and/or nipple sparing depends on the shape and volume of the breast, the localization of the tumor in the breast and the distance from the nipple areola complex (NAC). We describe an algorithm to allow, in the case of therapeutic mastectomy with or without adjuvant radiotherapy, an immediate reconstruction with implants or free or pedicled flaps.
