Download - Breast Reconstruction - Jane Rothwell
![Page 1: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/1.jpg)
Breast Reconstruction
Supporting People With Breast Cancer
Jane RothwellSt. Vincent’s University Hospital
![Page 2: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/2.jpg)
![Page 3: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/3.jpg)
![Page 4: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/4.jpg)
Outline
The “Big Questions” How these decisions are made Reconstruction of the “conserved
breast”
![Page 5: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/5.jpg)
The Big Questions
Mastectomy v Breast Conservation Immediate v Delayed
Reconstruction Type of reconstruction
![Page 6: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/6.jpg)
Mastectomy v Breast Conservation
Patient factors Breast factors Tumour factors
![Page 7: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/7.jpg)
Mastectomy v Breast ConservationPatient factors
Patient choice General health Suitability for radiotherapy Dealing with “risk” Personal history Family history
![Page 8: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/8.jpg)
Mastectomy v Breast ConservationBreast factors
Size Shape Location of tumour in breast
![Page 9: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/9.jpg)
Mastectomy v Breast Conservation“Tumour” factors
Size – actual Size – relative to size of breast Single or multifocal Type of tumour Site within breast
![Page 10: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/10.jpg)
Site of tumour
![Page 11: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/11.jpg)
Immediate v Delayed Reconstruction
Patient choice Radiotherapy Other medical conditions Smoking Extent of disease
![Page 12: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/12.jpg)
Immediate v Delayed Reconstruction - Radiotherapy
Tumour size Skin involvement Nodal disease Inflammatory cancer
![Page 13: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/13.jpg)
Immediate v Delayed Reconstruction - Radiotherapy
Pseudocapsule formation Capsular contracture Skin changes Infection Need for further surgery
![Page 14: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/14.jpg)
Type of Reconstruction
Patient choice Body size and shape Patient expectations Patient lifestyle Breast size and shape Potential for multiple procedures General condition
![Page 15: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/15.jpg)
Type of Reconstruction
Own tissue (autologous) Own tissue with implant or
expander Implant or expander with “other
tissue” Implant or expander alone
![Page 16: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/16.jpg)
Type of reconstruction - Autologous
DIEAP – Deep inferior epigastric artery perforator flap
Tissue from tummy No implant needed Longer surgery
![Page 17: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/17.jpg)
DIEAP Flap Reconstruction
![Page 18: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/18.jpg)
DIEAP Flap Reconstruction
![Page 19: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/19.jpg)
Latissimus Dorsi Flap Reconstruction
![Page 20: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/20.jpg)
Latissimus Dorsi Flap Reconstruction
![Page 21: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/21.jpg)
Tissue Expander Reconstruction
![Page 22: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/22.jpg)
Tissue Expander Reconstruction
![Page 23: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/23.jpg)
Restoration / Reconstruction of the conserved breast
Reasons why “reconstruction” required: Size Shape Nipple problems Asymmetry Site of scar / defect
![Page 24: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/24.jpg)
Restoration / Reconstruction of the conserved breast
![Page 25: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/25.jpg)
Restoration / Reconstruction of the conserved breast
![Page 26: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/26.jpg)
Restoration / Reconstruction of the conserved breast - options
Mastectomy and reconstruction Latissimus Dorsi flap Symmetry surgery on other breast Implant Fat injection
![Page 27: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/27.jpg)
Summary
The big questions: Whether it is best to conserve the
breast or have mastectomy Is immediate or delayed reconstruction
appropriate What type of reconstruction is best for
you
![Page 28: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/28.jpg)
Conclusion
Reconstruction is relevant for all women who have had surgery, even breast conservation
The decision-making is complex, with all patients treated to best standard of care for them
![Page 29: Breast Reconstruction - Jane Rothwell](https://reader034.vdocuments.us/reader034/viewer/2022052214/5552e287b4c90532498b5026/html5/thumbnails/29.jpg)