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使用生物可吸收植入物-脱细胞真皮基质构建物辅助肿瘤整形保乳手术。

Use of a Bioabsorbable Implant-Acellular Dermal Matrix Construct to Facilitate Oncoplastic Breast-conserving Surgery.

作者信息

Schwartz Jean-Claude D

机构信息

Department of Surgery, Northside Hospital Gwinnett, Northside Gwinnett Surgical Associates, Lawrenceville, Ga.

出版信息

Plast Reconstr Surg Glob Open. 2021 Jan 25;9(1):e3356. doi: 10.1097/GOX.0000000000003356. eCollection 2021 Jan.

Abstract

Deformity after partial mastectomy for breast cancer is not uncommon. The immediate replacement of breast volume by a bioabsorbable implant has been shown to facilitate tissue ingrowth, maintain breast contour, reduce scarring and fibrosis, and preserve cosmesis. Soft tissue coverage is critical to minimize palpability and to prevent infection and extrusion of this device, especially after radiotherapy. This coverage is often not possible after significant oncological resection or in leaner patients. Here, we describe the use of a bioabsorbable implant-acellular dermal matrix construct in patients with insufficient soft tissue coverage after wide local excision.

摘要

乳腺癌保乳切除术后出现畸形并不罕见。已证实,使用可生物吸收的植入物立即替代乳房容积有助于组织向内生长、维持乳房外形、减少瘢痕形成和纤维化,并保持美观。软组织覆盖对于最大限度地减少可触及性以及预防该装置的感染和挤出至关重要,尤其是在放疗后。在进行广泛的肿瘤切除术后或在体型较瘦的患者中,通常无法实现这种覆盖。在此,我们描述了在广泛局部切除术后软组织覆盖不足的患者中使用可生物吸收的植入物 - 脱细胞真皮基质构建体的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6af2/7858196/d0c2a54b689b/gox-9-e3356-g001.jpg

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