Practical oncoplastic surgery techniques needed for practice.

Salvatore M Nardello, Joshua A Bloom, Kerry A Gaffney, Meera Singhal, Sarah Persing, Abhishek Chatterjee
Author Information
  1. Salvatore M Nardello: Division of Plastic and Reconstructive Surgery, Division of Surgical Oncology, Tufts Medical Center, Boston, MA, USA.
  2. Joshua A Bloom: Division of Plastic and Reconstructive Surgery, Division of Surgical Oncology, Tufts Medical Center, Boston, MA, USA.
  3. Kerry A Gaffney: Division of Plastic and Reconstructive Surgery, Division of Surgical Oncology, Tufts Medical Center, Boston, MA, USA.
  4. Meera Singhal: Division of Plastic and Reconstructive Surgery, Division of Surgical Oncology, Tufts Medical Center, Boston, MA, USA.
  5. Sarah Persing: Division of Plastic and Reconstructive Surgery, Division of Surgical Oncology, Tufts Medical Center, Boston, MA, USA.
  6. Abhishek Chatterjee: Division of Plastic and Reconstructive Surgery, Division of Surgical Oncology, Tufts Medical Center, Boston, MA, USA.

Abstract

Oncoplastic breast surgery (OPS) is a form of breast conservation surgery that includes immediate breast reconstruction. OPS has previously been shown to be a safe and effective treatment for breast cancer. In a special series on Breast Reconstruction, we aimed to describe oncoplastic breast reconstruction options and the corresponding technical details. Sections were divided by descriptions of OPS specific preoperative workup, volume displacement techniques, volume replacement techniques, and postoperative considerations. In addition, to sharing expert surgical pearls gained through performing OPS procedures over the years. Innovations in breast reconstruction offer women treatment options that are both oncologically safe and aesthetically preferred. The rise in reconstructive procedures is changing how patients make decisions based on their diagnosis. The ultimate surgical decision should be determined by the patient's anatomy, patient's personal preferences, tumor characteristics, and clinical presentation in a shared decision-making fashion with a multidisciplinary team. However, with both volume displacement and volume replacement techniques, women of all breast sizes can achieve an aesthetic outcome without sacrificing oncologic resection.

Keywords

References

  1. Br J Surg. 2012 Oct;99(10):1389-95 [PMID: 22961518]
  2. Br J Plast Surg. 2004 Sep;57(6):531-9 [PMID: 15308400]
  3. J Surg Oncol. 2023 Aug;128(2):189-195 [PMID: 37092965]
  4. Ann Surg Oncol. 2021 Apr;28(4):2120-2127 [PMID: 33521897]
  5. J Plast Reconstr Aesthet Surg. 2015 May;68(5):686-91 [PMID: 25660559]
  6. Am J Surg. 2014 Mar;207(3):398-402; discussion 402 [PMID: 24581764]
  7. Lancet Oncol. 2005 Mar;6(3):145-57 [PMID: 15737831]
  8. Ann Surg Oncol. 2019 Oct;26(10):3063-3070 [PMID: 31342388]
  9. Breast Cancer Res Treat. 2020 Feb;180(1):247-256 [PMID: 31989380]
  10. Plast Reconstr Surg. 2012 Mar;129(3):572-581 [PMID: 22373964]
  11. Ann Surg Oncol. 2019 Sep;26(9):2730-2737 [PMID: 31037439]
  12. Breast Cancer (Dove Med Press). 2017 Aug 04;9:521-530 [PMID: 28831273]
  13. Ann Surg Oncol. 2019 Oct;26(11):3436-3444 [PMID: 30977016]
  14. Eur J Surg Oncol. 1998 Dec;24(6):508-14 [PMID: 9870725]
  15. Ann Surg Oncol. 2016 Oct;23(10):3266-71 [PMID: 27518043]
  16. Breast J. 2021 Apr;27(4):322-329 [PMID: 33565192]
  17. Ann Surg Oncol. 2015 Dec;22(13):4247-53 [PMID: 25893409]
  18. Cancer Control. 2017 Oct-Dec;24(4):1073274817729043 [PMID: 28975837]
  19. J Surg Oncol. 2022 Nov;126(6):956-961 [PMID: 35801636]
  20. Ann Surg Oncol. 2010 May;17(5):1375-91 [PMID: 20140531]
  21. Ann Chir Plast Esthet. 1990;35(2):117-22 [PMID: 1696083]
  22. Ann Surg Oncol. 2016 Oct;23(10):3247-58 [PMID: 27357177]
  23. Cancer Control. 2020 Jan-Dec;27(1):1073274820976667 [PMID: 33356518]
  24. Plast Reconstr Surg Glob Open. 2021 Jan 14;9(1):e3334 [PMID: 33564575]
  25. Plast Reconstr Surg. 2015 Oct;136(4):531e-544e [PMID: 26397273]
  26. Ann Plast Surg. 2014 Feb;72(2):145-9 [PMID: 23503430]
  27. Plast Reconstr Surg. 2022 Nov 1;150(5):950e-958e [PMID: 35994341]
  28. J Surg Res. 2023 Mar;283:1064-1072 [PMID: 36914997]
  29. Ecancermedicalscience. 2020 Jul 17;14:1073 [PMID: 32863867]
  30. Plast Reconstr Surg. 2020 Jul;146(1):14-27 [PMID: 32590634]
  31. Plast Reconstr Surg. 1995 Aug;96(2):363-70 [PMID: 7624409]

Word Cloud

Created with Highcharts 10.0.0breastvolumeOPSreconstructionsurgerytechniquesdisplacementreplacementOncoplasticsafetreatmentoncoplasticoptionssurgicalprocedureswomenpatient'sformconservationincludesimmediatepreviouslyshowneffectivecancerspecialseriesBreastReconstructionaimeddescribecorrespondingtechnicaldetailsSectionsdivideddescriptionsspecificpreoperativeworkuppostoperativeconsiderationsadditionsharingexpertpearlsgainedperformingyearsInnovationsofferoncologicallyaestheticallypreferredrisereconstructivechangingpatientsmakedecisionsbaseddiagnosisultimatedecisiondeterminedanatomypersonalpreferencestumorcharacteristicsclinicalpresentationshareddecision-makingfashionmultidisciplinaryteamHoweversizescanachieveaestheticoutcomewithoutsacrificingoncologicresectionPracticalneededpractice

Similar Articles

Cited By