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Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique
The round block technique (RBT) is an oncoplastic surgery method that uses volume displacement techniques after partial mastectomy. However, cosmetic problems occur after tissue rearrangement in patients with small breasts or those in whom a large amount of breast tissue is excised. Therefore, we us...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9181173/ https://www.ncbi.nlm.nih.gov/pubmed/35683394 http://dx.doi.org/10.3390/jcm11113005 |
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author | Kim, Hong-Il Kim, Byeong-Seok Kim, Yoon-Soo Yi, Hyung-Suk Park, Jin-Hyung Choi, Jin-Hyuk Jung, Sung-Ui Kim, Hyo-Young |
author_facet | Kim, Hong-Il Kim, Byeong-Seok Kim, Yoon-Soo Yi, Hyung-Suk Park, Jin-Hyung Choi, Jin-Hyuk Jung, Sung-Ui Kim, Hyo-Young |
author_sort | Kim, Hong-Il |
collection | PubMed |
description | The round block technique (RBT) is an oncoplastic surgery method that uses volume displacement techniques after partial mastectomy. However, cosmetic problems occur after tissue rearrangement in patients with small breasts or those in whom a large amount of breast tissue is excised. Therefore, we used an acellular dermal matrix (ADM) when the volume was insufficient after tissue rearrangement. Patients who underwent breast reconstruction using the ADM with the RBT after breast-conserving surgery (BCS) were included. The ADM graft was performed in two layers. First, it was placed on the glandular flap, and the patient was then seated to ascertain the degree of deformity. If the volume was insufficient, a graft was also performed under the skin flap. Overall, 107 oncoplastic surgeries were performed. Tumors were most commonly located in the upper outer quadrant of the breast, and the mean resected breast tissue was 27.1 g. Seroma was the most common complication, but it improved with several aspirations. There were no major complications or cosmetic problems requiring reoperation. Therefore, if the ADM was used for defects that could not be reconstructed with the RBT alone, safe and cosmetically good results could be obtained. |
format | Online Article Text |
id | pubmed-9181173 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-91811732022-06-10 Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique Kim, Hong-Il Kim, Byeong-Seok Kim, Yoon-Soo Yi, Hyung-Suk Park, Jin-Hyung Choi, Jin-Hyuk Jung, Sung-Ui Kim, Hyo-Young J Clin Med Article The round block technique (RBT) is an oncoplastic surgery method that uses volume displacement techniques after partial mastectomy. However, cosmetic problems occur after tissue rearrangement in patients with small breasts or those in whom a large amount of breast tissue is excised. Therefore, we used an acellular dermal matrix (ADM) when the volume was insufficient after tissue rearrangement. Patients who underwent breast reconstruction using the ADM with the RBT after breast-conserving surgery (BCS) were included. The ADM graft was performed in two layers. First, it was placed on the glandular flap, and the patient was then seated to ascertain the degree of deformity. If the volume was insufficient, a graft was also performed under the skin flap. Overall, 107 oncoplastic surgeries were performed. Tumors were most commonly located in the upper outer quadrant of the breast, and the mean resected breast tissue was 27.1 g. Seroma was the most common complication, but it improved with several aspirations. There were no major complications or cosmetic problems requiring reoperation. Therefore, if the ADM was used for defects that could not be reconstructed with the RBT alone, safe and cosmetically good results could be obtained. MDPI 2022-05-26 /pmc/articles/PMC9181173/ /pubmed/35683394 http://dx.doi.org/10.3390/jcm11113005 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kim, Hong-Il Kim, Byeong-Seok Kim, Yoon-Soo Yi, Hyung-Suk Park, Jin-Hyung Choi, Jin-Hyuk Jung, Sung-Ui Kim, Hyo-Young Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique |
title | Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique |
title_full | Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique |
title_fullStr | Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique |
title_full_unstemmed | Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique |
title_short | Review of 107 Oncoplastic Surgeries Using an Acellular Dermal Matrix with the Round Block Technique |
title_sort | review of 107 oncoplastic surgeries using an acellular dermal matrix with the round block technique |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9181173/ https://www.ncbi.nlm.nih.gov/pubmed/35683394 http://dx.doi.org/10.3390/jcm11113005 |
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