TOTAL BREAST RECONSTRUCTION: FROM REJECTION TO THE GOLD STANDARD | Issues of reconstructive and plastic surgery. 2014. № 3 (50).

TOTAL BREAST RECONSTRUCTION: FROM REJECTION TO THE GOLD STANDARD

Article describes the rationale of the modern concept Total Breast Reconstruction after mastectomy for breast cancer, involving not only the recovery of the shape, size, texture, static and dynamic symmetry, but also adequate lymphatic drainage in the presence of lymphedema of the upper extremity on the side of the operation, as well as restoration sensitivity of the reconstructed breast to the level of erogenous sensitivity. Spontaneous afferent reinnervation of the reconstructed breast may not provide adequate recovery of its sensitivity. Spontaneous reinnervation is characterized by three parameters: the unpredictability, ambiguity, mosaic. Directional afferent neurotization of microsurgical flaps, used as an option in reconstructive mammoplasty, is not overkill. Its results are highly appreciated by patients. Achieved “benefits” of high quality directional reinnervation of breast far outweigh “damage” caused by an increase in the duration of the operating time due to neurotization of flap.

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Keywords

directional afferent reinnervation, spontaneous afferent rein nervation, reconstructive mammoplasty, microsurgical flaps, Total Breast Reconstruction, направленная афферентная реиннервация, спонтанная афферентная реиннервация, реконструктивная маммопластика, микрохирургические лоскуты, полная реконструкция груди

Authors

Name	Organization	E-mail
Baitinger V. F.		baitinger@mail.tomsknet.ru
Silkina K. A.
Baitinger A. V.
Fedorov Ye. V.

Всего: 4

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