Breast reconstruction methods

master's thesis

• Title (croatian): Metode rekonstrukcije dojke
• Author: Riccardo Bortone
• Mentor: Davor Mijatović (mentor)
• Committee member: Krešimir Bulić (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Davor Mijatović (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Surgery); Zagreb
• Defense date and country: 2018-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract

Breast reconstruction has become a significant component of the management of breast cancer. It can also be carried out to resolve some congenital and acquired conditions that may affect the breast. The timing and the methods of reconstruction are selected by the plastic surgeon after performing a scrupulous examination of the patient, taking into account health status, body habitus and expectations of the candidate. Breast reconstruction can be executed immediately after mastectomy or can be delayed according to patient’s needs. The surgery entails the use of implants or the patient’s autologous tissue. The former includes saline and silicone implants, sometimes supported by tissue expanders. The latter comprises an extensive range of flaps deriving from the
back, abdominal, gluteal and inner thigh region. Nipple areola reconstruction completes the reconstructive surgery. The goal of the reconstructive procedure is to restore a close to normal appearance of the breast and to deliver psychological benefit to the patient.

Abstract (croatian)

Rekonstrukcija dojke postala je važan dio liječenja oboljelih od raka dojke. Rekonstrukcija može biti rješenje za određene kongenitalne i stečene bolesti koje zahvaćaju dojku. Točno vrijeme i metode rekonstrukcije su određene od strane kirurga koji obavlja detaljan pregled pacijenta, uzimajući u obzir status, navike i očekivanja kandidata za rekonstrukciju. Rekonstrukcija dojke može se obaviti odmah nakon mastektomije ili može biti odgođena prema potrebama pacijenta. Operacija uključuje implantante punjene fiziološkom otopinom ili silikonskim gelom, a ponekad uključuje potporu dodatnim tkivom koje obuhvaća širok spektar režnjeva s leđa, abdomena, gluteusa i unutrašnjosti bedara. Rekonstrukcijom areole bradavice dovršava se rekonstrukcija dojke. Cilj rekonstrukcije jest postići normalan izgled dojke i ujedno pomoći psihi pacijenta.

• Keywords: breast reconstruction; breast cancer; mastectomy; immediate-delayed reconstruction; saline implants; silicone implants; latissimus dorsi (LD) flap; transverse abdominal muscle (TRAM) flap; deep inferior epigastric perforator (DIEP) flap; gluteal flaps; transverse upper gracilis (TUG) flap; nipple areola reconstruction
• Keywords (croatian): rekonstrukcija dojke; karcinom dojke; mastektomija; neposredna - odgođena rekonstrukcija; implantanti punjeni fiziološkom otopinom; implantanti punjeni silikonskim gelom; latissimus dorsi režanj (LD); režanj mišića transversus abdominis (TRAM); TUG režanj; DIEP režanj; rekonstrukcija areole bradavice
• Language: english
• URN:NBN: urn:nbn:hr:105:623820
• Study programme: Title: Medicine (in English language); Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-04-17 11:36:29