資源描述：
《Chapter 37 – Breast Reconstruction》由會(huì)員上傳分享，免費(fèi)在線(xiàn)閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、CHAPTER37BREASTRECONSTRUCTIONKendallR.Roehl,BradonJ.Wilhelmi,andLindaG.Phillips6%recurrencerate.Thehalstediantheoryofbreastcancertreat-roleofthegeneralsurgeoninbreastreconstructionmentwouldremainthemainstayofbreastcancersurgeryforhistorythenext60years.Hebelievedthat“theslightestinattentiont
2、opatientselectiondetailandorattemptstohastenconvalescencebysuchplastictimingoperationsasarefeasibleonlywhenarestrictedamountofskinprocedureselectionandsurgicalplanningisremovedmaysacrificehispatienttothedisease.”So,con-nipple-areolarreconstructioncernedwiththepossibilityofinadequateskinexci
3、sion,Halstedmanagementofthecontralateralbreastwentontosaythat“Toattempttoclosethebreastwoundmoresurveillanceorlessregularlybyanyplasticmethodishazardous,andinmyconclusionsopinion,tobevigorouslydiscounted.”Therefore,trueattemptsatbreastreconstructionwouldhavetowaitforalmost50years.DespiteHal
4、sted’scondemnationofreconstructiveproce-dures,itwasrecognizedthatthesizabledefectsleftafterthisROLEOFTHEGENERALSURGEONINradicalsurgerydidneedtobeclosed.AlthoughprimaryclosureBREASTRECONSTRUCTIONwasoftenused,skingraftingoflargerwoundswasacceptable.Breastcancerisanextremelyemotionaltopicbecau
5、seofitsEventhoughplasticprocedureshadbeenreportedbyLegueuanatomiclocationandtheimportanceofthefemalebreastinandGraeveofFranceandWarrenoftheUnitedStates,thesetoday’ssociety.Therefore,itisimperativeforsurgeonsperform-weremerelychestwallclosuretechniquesandnottruebreastingbreastsurgerytohaveab
6、asicunderstandingofwhichmoundreconstructions.patientsarecandidatesforbreastreconstructionandoftheThefirstattemptattruebreastreconstructionoccurredinreconstructiveoptions.Mostpatientsstarttheirinquiryabout1895,whenVincentCzernytransplantedalargelipomafrombreastreconstructionwiththesurgeonwho
7、willbeperforminghispatient’sflanktothemastectomysite.Inrecountingthiscase,themastectomy.Theymightask,“WhatwillitlooklikewhenDr.RobertGoldwynnotedthat1yearaftersurgery,thepatientyouaredone?”or“WillIhavetolivewithoutabreast?”Itisatwasdoingwellandhadgoodbre
