Advances in breast cancer reconstruction
"In the last few years have seen important advances thanks to which you begin to demystify this type of surgery and can provide most of our natural breast reconstruction patients and definitive," says Dr. James Masi, president of the Society Spanish of Plastic, Reconstructive and Aesthetic Surgery (SECPRE).
Coinciding with the celebration of World Breast Cancer, Dr. Masià notes that "these significant developments, we can improve the quality of life of women, unfortunately, have suffered breast cancer, a disease that, despite medical advances and prevention campaigns, it still affects 1 in 12 women in Spain. "
At present, we are witnessing the start of a new phase in the comprehensive treatment of breast cancer. As the president of the SECPRE, "now have the tools and experience to make a full recovery. Thanks to the procedure TBAR (Total Restoration Breast Anatomy), reconstruction of the breast is complemented by the surgical treatment of lymphedema. "
The technique of TBAR is the total refund of anatomical changes that occur with surgery of breast cancer. It's about getting a correction, morphological and functional consequences of ablative surgery generates.
"In this sense, 'said Dr Jaume Masià-when we ask a mastectomy with axillary dissection or sentinel node, the focus is to replace the amputated breast tissue from your body more like the lost breast. We must also replace the excised lymph dissection or sentinel node biopsy. "
In the case of breast reconstruction, with the treatment of TBAR DIEP technique is used, which consists of using the excess skin and fat from the abdomen at sub-umbilical, vascularized by the perforating vessels of the inferior epigastric system. Depending on the pattern of mastectomy is performed, it will carry more or less amount of skin to the chest.
The nodal functional restoration is done by transferring vascularized epigastric superficial lymph system to the armpit. "These nodes are removed selectively, without compromising the lymphatic drainage of the legs, and dissecting the afferent lymphatic channels. Likewise, prior to the axillary approach, we performed lymphatic mapping using the scanner arm PDE (the first channel scan nodes) to be located brachial afferent lymphatic channels, which are sewn together with a lymphatic-lymphatic anastomosis lymph transferred ", said Dr. Masià on this technique.
"Thus says the specialist, we will have restored the fatty breast tissue and skin similar to original breast, and in turn, will have replaced the lymph vascular, to be connected to the lymphatic system of the arm by a suture direct afferent channels. "
This type of approach represents a significant step in minimizing the consequences caused by the treatment of breast cancer. "The replacement of the breast after mastectomy and virtual elimination of the risk of lymphedema changed, even the landscape of breast cancer treatment, power oncological surgeries safer for patients, providing an excellent quality of life after treatment, "concluded the expert.