Reconstructive Surgical Procedures

Breast-Conserving Surgery for Breast Cancer - Article

ABSTRACT: Surgical treatment of breast cancer has changed significantly in recent years. Fine-needle aspirations or core-needle biopsies can be used in the diagnostic process, thus avoiding scarring incisions. The preferred method of treatment for many women with early breast cancer is conservative surgical therapy (principally lumpectomy and axillary dissection) followed by breast irradiation. Sentinel node biopsy is being investigated as an alternative to standard axillary node dissection. This could decrease morbidity following standard axillary dissection. These techniques allow women with different forms of breast cancer to conserve their breasts. For women who choose mastectomy, immediate reconstruction of the breast is now routinely performed with a prosthetic implant or autologous tissue. Clinical history, physical examination, and breast imaging are the most effective means of follow-up.

The Basic Z-Plasty - Article

ABSTRACT: Z-plasty is a plastic surgery technique that is used to improve the functional and cosmetic appearance of scars. With this technique, it is possible to redirect a scar into better alignment with a natural skin fold or the lines of least skin tension. Contracted scars may be lengthened with this technique. Z-plasty involves the creation of two triangular flaps of equal dimension that are then transposed. Basic z-plasty flaps are created using an angle of 60 degrees on each side, which can lengthen a scar by 50 to 70 percent and reorient the direction of the central wound by 90 degrees. Keeping the length and angle of each flap precisely the same is key to avoiding mismatched flaps that may be difficult to close. Some possible complications of z-plasty include flap necrosis, hematoma formation under the flaps, wound infection, trapdoor effect, and sloughing of the flap caused by high wound tension.

Email Alerts

Don't miss a single issue. Sign up for the free AFP email table of contents.

Sign Up Now