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Medic-All Plastic Surgery, KMUH 〉 Immediate breast reconstruction after mastectomy of breast cancer

Immediate breast reconstruction after mastectomy of breast cancer

Immediate breast reconstruction after mastectomy of breast cancer

The reconstructed breast are nearly maintained their normal shape and appearance. Surgical success rate of 100%, postoperative complications are limited and minor. Patients are highly satisfaction.

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Overview
The plastic surgery department of Kaohsiung Medical University's Hospital has developed an important reconstructive flap method using autologous tissue from the transverse rectus abdominis myocutaneous (TRAM) flap in breast reconstruction following breast removal of breast cancer. Breast reconstruction can be conducted immediately following breast removal for cancer, thus avoiding the risks and costs associated with a separate admission for secondary anesthesia and reconstruction.
Features
To date the success rate for 1220 procedures is 100% and postoperative complication is few and low. The use of autologous tissue in reconstruction provides advantages over breast implant in terms of natural tissue softness, long-term safety, and reduced complications.
Service Procedure
1. Preoperative medical treatment (the night before surgery)
(1)Surgical site design-
preoperative assessment of the size of the reconstruction of the breast
(2)Preparation of gastrointestinal
(3)Adequate body fluid supplement
(4)Peripheral vasodilators are administered
(5)Adrenal cortex hormones (steroid)

2.Intraoperative Disposal
(1)Intraoperative blood pressure and temperature throughout the patient to be stable, such as the use of air bed to ensure that the organization's blood perfusion and oxygen content
(2)Peripheral vascular dilator, steroid, antibiotic administration
(3)Whether blood transfusion depends on the condition

3.Postoperative care
(1)Body temperature and blood pressure must be sustained, especially in the delivery process
(2)The use of electric blanket in the ward to promote blood flow to the flap and reduce pain
(3)The use of binding bands
(4)The third day out of bed
(5)Peripheral vasodilator, steroid and antibiotics continued to use 5 to 7 days
Notification
Breast reconstruction after breast cancer resection is a simple, reliable procedure that allows the surgeon and postoperative caregiver to relax and reassure themselves, using a transversus rectus abdominis myocutaneous flap.
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