Breast reconstruction after mastectomy for breast cancer.

摘要

Just as there have been improvements in the early detection and treatment of breast cancer, there have also been improvements in the techniques used for breast reconstruction after mastectomy. There are many reconstructive methods available, using either autologous tissue or implants, each with its unique set of indications, contraindications, advantages, disadvantages and complications (Table 1). Breast reconstruction after mastectomy is oncologi-cally safe and is associated with high satisfaction and improved psychosocial outcomes.Although the rates of major complications after immediate reconstruction (at the same time as mastectomy) are greater than after mastectomy alone, clinically significant delays in the receipt of adjuvant therapy after immediate reconstruction have not been found.1011 Despite the potential psychological benefits of breast reconstruction, few patients who have had a mastectomy undergo breast reconstruction.