Hurwitz P J
Isr J Med Sci. 1981 Sep-Oct;17(9-10):980-3.
Recent developments in prosthetics and surgical techniques have made breast reconstruction a well-established procedure, producing satisfactory results even in situations with heavy scarring and after excision of the pectoral muscle. Close cooperation between general surgeon, oncologist and plastic surgeon is needed for counseling of patients toward reconstruction. Those patients with relatively early disease and a strong desire for reconstruction were selected. Of the 15 patients who underwent breast reconstruction in our unit, 10 had only a silicone prosthesis implanted, but 5 also needed a myocutaneous flap from the latissimus dorsi to compensate for deficient soft tissues. Although some postoperative complications occurred, they were either self-limited or could easily be corrected at a later stage. Two-thirds of the patients were very pleased with the results and none regarded the reconstruction as a failure.
假肢和手术技术的最新进展使乳房重建成为一种成熟的手术，即使在瘢痕严重和胸肌切除后的情况下也能产生令人满意的效果。普通外科医生、肿瘤学家和整形外科医生之间需要密切合作，为患者提供重建咨询。选择了那些疾病相对早期且有强烈重建意愿的患者。在我们科室接受乳房重建的15名患者中，10名仅植入了硅胶假体，但5名还需要背阔肌肌皮瓣来弥补软组织不足。虽然发生了一些术后并发症，但它们要么是自限性的，要么可以在后期轻松纠正。三分之二的患者对结果非常满意，没有人认为重建是失败的。
