Laurent Romain, Trifan Alexandru, Danino Arthur David, Paek Laurence S, Schoucair Ramy, Pauchot Julien, Bernier Christina, Briand Etienne, Danino Michel A
Division of Plastic and Reconstructive Surgery, University of Montreal Hospital Center (CHUM), Montreal, Canada.
Faculty of Medicine, University of Montreal, Montreal, Canada.
Ann Transl Med. 2024 Feb 1;12(1):9. doi: 10.21037/atm-23-1471. Epub 2023 Dec 13.
Mastectomies have a significant socio-psychological impact, motivating patients to undergo breast reconstruction. Initially, silicone implants were used to reconstruct the breast. However, breast implants have been the subject of successive crises throughout the years. Indeed, rupture, silicone bleeding, and capsular contracture remain topical. In 2019, the BIOCELL textured breast implants was banned and recalled due to the discovery of the breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). More recently, the breast implant illness has been depicted in the media. To cope with these issues and to respond to some patients' expectations for a natural reconstruction, plastic surgeons have developed autogenous solutions for breast reconstruction. Since Taylor's research on angiosomes, the development of the microsurgery and more recently fat grafting, autogenous breast reconstruction has known a tremendous expansion. Autologous breast reconstruction allows a more natural feeling and texture. This narrative review aims to provide to the readers a comprehensive and updated evidence-based overview of state of the art about autologous breast reconstruction after total mastectomy.
We conducted a narrative review of the literature searching for papers published between January 2010 and December 2022. The MeSH terms with different combinations were used to identify articles for inclusion. After screening article titles and abstracts independently by three authors, 66 papers were included in this review.
In this review, the authors describe and discuss the different autogenous techniques in breast reconstruction.
Autologous reconstructions provide very satisfactory, durable, and reliable results with relatively low complication rates. Deep inferior epigastric perforator (DIEP) flaps, latissimus dorsi flaps and autologous fat grafting are the most common type of autogenous breast reconstructions.
乳房切除术具有重大的社会心理影响，促使患者接受乳房重建。最初，硅胶植入物被用于乳房重建。然而，多年来乳房植入物一直是连续危机的主题。事实上，破裂、硅胶渗漏和包膜挛缩仍然是热门话题。2019年，由于发现了与乳房植入物相关的间变性大细胞淋巴瘤（BIA-ALCL），BIOCELL纹理乳房植入物被禁止并召回。最近，乳房植入物疾病在媒体上有所报道。为了应对这些问题并回应一些患者对自然重建的期望，整形外科医生开发了自体乳房重建解决方案。自泰勒对血管体的研究以来，显微外科的发展以及最近脂肪移植技术的发展，自体乳房重建得到了极大的发展。自体乳房重建能带来更自然的手感和质地。本叙述性综述旨在为读者提供关于全乳切除术后自体乳房重建的最新循证综述。
我们对2010年1月至2022年期间发表的文献进行了叙述性综述。使用不同组合的医学主题词来识别纳入的文章。在三位作者独立筛选文章标题和摘要后，本综述纳入了66篇论文。
在本综述中，作者描述并讨论了乳房重建中的不同自体技术。
自体重建提供了非常令人满意、持久且可靠的结果，并发症发生率相对较低。腹壁下深动脉穿支（DIEP）皮瓣、背阔肌皮瓣和自体脂肪移植是最常见的自体乳房重建类型。
