关键词: Breast reconstruction body mass index (BMI) obesity

来  源:   DOI:10.21037/atm-23-1599   PDF(Pubmed)

Abstract:
UNASSIGNED: Breast reconstruction in patients with obesity presents numerous challenges, both in terms of surgical technique and post-operative complication management. As breast reconstruction techniques continue to evolve, the armamentarium of reconstructive options for patients with obesity has vastly expanded. Options now include immediate or delayed, implant-based, autologous, or hybrid reconstruction. Determining the optimal breast reconstruction in this complex population requires nuanced and experienced decision-making.
UNASSIGNED: A literature search was conducted to identify studies assessing breast reconstruction considerations in patients with obesity. The search was performed on PubMed and was limited to English language studies published between 1990 and 2023. Primary studies, case reports, chart reviews, and qualitative studies were included. Additional articles were identified for inclusion based on a review of references, as well as a web-based search, to identify additional studies that were not captured with the primary search strategy.
UNASSIGNED: This narrative review article summarizes the current literature available to guide surgeons in breast reconstruction in patients with obesity.
UNASSIGNED: The advancements in oncologic surgery and breast reconstruction techniques have expanded available surgical options, including immediate or delayed implant-based, autologous, or hybrid breast reconstruction. Each approach has its unique advantages, disadvantages, and surgical considerations. Despite the challenges, patients with obesity can achieve favorable aesthetic outcomes through careful assessment of comorbidities and expectation management.
摘要:
肥胖患者的乳房重建面临许多挑战,在手术技术和术后并发症管理方面。随着乳房重建技术的不断发展,肥胖患者重建选择的医疗设备已经大大扩展。选项现在包括立即或延迟,基于植入物,自体,或混合重建。在这个复杂的人群中确定最佳的乳房重建需要细致入微且经验丰富的决策。
进行了文献检索,以确定评估肥胖患者乳房重建考虑因素的研究。搜索是在PubMed上进行的,仅限于1990年至2023年之间发表的英语语言研究。初级研究,病例报告,图表评论,并纳入了定性研究。根据对参考文献的审查,确定了要列入的其他文章,以及基于网络的搜索,确定未通过主要搜索策略捕获的其他研究。
这篇叙述性综述文章总结了目前可用于指导外科医生进行肥胖患者乳房重建的文献。
肿瘤手术和乳房重建技术的进步扩大了可用的手术选择,包括即时或延迟植入,自体,或混合乳房重建。每种方法都有其独特的优势,缺点,和手术方面的考虑。尽管面临挑战,肥胖患者可以通过仔细评估合并症和期望管理获得良好的美学结果.
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