Is breast reconstruction safe? How about the effect?
After breast reconstruction and plastic surgery, the hand feeling of the reconstructed breast is similar to that of the breast tissue, with lasting effect and realistic appearance. But one thing patients need to pay attention to is that because the nerves of the chest wall are cut off during breast cancer surgery, the reconstructed breast usually feels numb, or at least more insensitive than the healthy side of the breast, but generally speaking, the effect of breast reconstruction is still positive.
Treatment process and method:
1. Different surgical opportunities can be selected according to the different causes of breast loss. If it is a benign breast tumor, only mastectomy can be performed at the same time for reconstruction; If breast loss is caused by breast dysplasia or trauma, burns and other factors in childhood, it can be operated on after adulthood; If it is a malignant tumor of the breast, it needs to be observed for 3-5 years, and reconstruction can be performed only after confirming that there is no multiple lesions.
2. Breast reconstruction methods fall into two categories:
(1) Breast prosthesis, i.e. silicone, saline breast prosthesis and dilator; The reconstructed breast is small in size and has good soft tissue coverage locally. It is suitable for young patients who are unwilling to sacrifice their own tissue in other parts of the body. The method is to place the prosthesis filled with silica gel, silica gel or saline under the skin flap or pectoralis major muscle after mastectomy. If after mastectomy, the local tissue cannot provide enough cavity to accommodate the required size of prosthesis, the skin expander can be placed first, and water will be injected regularly after the operation. When sufficient cavity is formed, the expander will be replaced with a breast prosthesis again.
(2) Autologous tissue breast reconstruction is a kind of breast reconstruction with tissue transplantation, which uses self tissue as donor area. According to its tissue source, it can be abdomen, buttocks, back, thigh, etc. According to the mode of metastasis, it can be divided into pedicled metastasis and free transplantation.
A comprehensive examination should be carried out before breast reconstruction. Obesity, radiation damage to the chest wall, diabetes and smoking are all regarded as risk factors for this plastic surgery. When transverse rectus abdominis myocutaneous flap is used in the lower abdomen, upper respiratory tract infection, constipation and all factors that may increase intra-abdominal pressure should be avoided before operation. The sit up training before breast reconstruction is beneficial to increase the blood supply of skin flap. Patients with a history of smoking should quit smoking for at least three months. They should be given a low residue diet for one week before the operation, and 1~2 units of blood should be prepared. Fluids, fluids, and antibiotics should be given one day before the operation. Clean enema should be given in the morning of the operation.
