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Subcutaneous mastectomy – surgical techniques and complications in 176 women

Ringberg, Anita LU (1990) In European Journal of Plastic Surgery 13(1). p.7-15
Abstract
Since the 1960's, subcutaneous mastectomy (SCM) and reconstruction with an implant has been used to treat recurrent benign breast tumors and in situ breast carcinomas. It has also been used as a prophylactic operation in women with a high risk of developing breast carcinoma and to achieve symmetry following breast reconstruction. Reports on surgical complications have been discordant. Recent prospective studies have revealed negative psychosocial effects. Therefore, a retrospective analysis of the techniques used and early and late complications in the first 176 SCM performed from 1968 to 1981 was performed. Necrosis of the skin or nipple-areolar complex left persistent scar deformities in most patients. Necrosis over a submuscular implant... (More)
Since the 1960's, subcutaneous mastectomy (SCM) and reconstruction with an implant has been used to treat recurrent benign breast tumors and in situ breast carcinomas. It has also been used as a prophylactic operation in women with a high risk of developing breast carcinoma and to achieve symmetry following breast reconstruction. Reports on surgical complications have been discordant. Recent prospective studies have revealed negative psychosocial effects. Therefore, a retrospective analysis of the techniques used and early and late complications in the first 176 SCM performed from 1968 to 1981 was performed. Necrosis of the skin or nipple-areolar complex left persistent scar deformities in most patients. Necrosis over a submuscular implant never led to implant loss, in contrast to several subcutaneous implants. Smoking was associated with an increased frequency of necrosis. Infection of the implant pocket resulted in removal of 75% of the implants. The most common complication was capsular contracture (CC), this was less frequent with submuscular implants — no causative factor was found in this study. Indentation tonometry was found to be a useful means to quantify CC. Although results have improved and complications decreased during the period studied, SCM is still an operation that should be performed only with well defined indications. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Subcutaneous mastectomy, Complications, Tonometry
in
European Journal of Plastic Surgery
volume
13
issue
1
pages
7 - 15
publisher
Springer
external identifiers
  • scopus:0025355771
ISSN
0930-343X
DOI
10.1007/BF00184396
language
English
LU publication?
yes
id
5c301b85-7cca-4816-bd0d-2dddd888e085 (old id 1105058)
date added to LUP
2008-08-04 15:57:57
date last changed
2017-01-01 04:50:38
@article{5c301b85-7cca-4816-bd0d-2dddd888e085,
  abstract     = {Since the 1960's, subcutaneous mastectomy (SCM) and reconstruction with an implant has been used to treat recurrent benign breast tumors and in situ breast carcinomas. It has also been used as a prophylactic operation in women with a high risk of developing breast carcinoma and to achieve symmetry following breast reconstruction. Reports on surgical complications have been discordant. Recent prospective studies have revealed negative psychosocial effects. Therefore, a retrospective analysis of the techniques used and early and late complications in the first 176 SCM performed from 1968 to 1981 was performed. Necrosis of the skin or nipple-areolar complex left persistent scar deformities in most patients. Necrosis over a submuscular implant never led to implant loss, in contrast to several subcutaneous implants. Smoking was associated with an increased frequency of necrosis. Infection of the implant pocket resulted in removal of 75% of the implants. The most common complication was capsular contracture (CC), this was less frequent with submuscular implants — no causative factor was found in this study. Indentation tonometry was found to be a useful means to quantify CC. Although results have improved and complications decreased during the period studied, SCM is still an operation that should be performed only with well defined indications.},
  author       = {Ringberg, Anita},
  issn         = {0930-343X},
  keyword      = {Subcutaneous mastectomy,Complications,Tonometry},
  language     = {eng},
  number       = {1},
  pages        = {7--15},
  publisher    = {Springer},
  series       = {European Journal of Plastic Surgery},
  title        = {Subcutaneous mastectomy – surgical techniques and complications in 176 women},
  url          = {http://dx.doi.org/10.1007/BF00184396},
  volume       = {13},
  year         = {1990},
}