A plethora of options exist for breast reconstruction and preoperative evaluation must be thorough to lead to a successful outcome. We review multiple components of the preoperative assessment including the patient's history, goals, imaging, and key elements of the physical exam. Consideration for tumor biology, staging, need or response to chemotherapy or radiation therapy is important in deci...

PURPOSE There is an ongoing debate on the optimal sequence of radiation and breast reconstruction. The purpose of this article was to (a) assess the impact of radiation on autologous breast reconstruction and (b) analyze the best timing for autologous breast reconstruction in the setting of radiation in a Chinese population. METHODS A retrospective review of patients undergoing breast reconst...

BACKGROUND Skin Sparing Mastectomy (SSM) and immediate breast reconstruction has become increasingly popular as an effective treatment for patients with breast carcinoma. The aim of this study was to evaluate the clinical outcome of skin sparing mastectomy in early breast cancer at a single population-based institution. METHODS Records of ninety-five consecutive patients with operable breast ...

PURPOSE: Several preoperative and intraoperative risk factors have been implicated in infectious complications of immediate breast reconstruction, however the link between common postoperative sequelae and surgical site infection (SSI) remains largely anecdotal. Published rates of seroma and SSI often trend in parallel, and authors have hypothesized that seroma formation may independently promo...

BACKGROUND Implant-based breast reconstruction after mastectomy has recently been reported to be the preferred type of surgery among breast-specific surgeons and plastic surgeons. AIMS To explore the significant clinicopathological factors associated with long-term outcome related to local recurrences of the nipple among patients who underwent immediate breast reconstruction with tissue expan...

BACKGROUND No consensus has been reached regarding the outcome of management of local recurrence after transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction. This study demonstrated the presentation, management, and outcomes of local recurrence after immediate TRAM breast reconstruction. METHODS A comparison was conducted among 1,000 consecutive patients who underwent imm...

PURPOSE: The Breast Reconstruction Risk Assessment (BRA) Score is a model developed to predict the risk of surgical site infections (SSI) within 30 days after breast reconstruction. This was derived from the National Surgical Quality Improvement Program (NSQIP) database, where the average risk of SSI was 3.75%. We aim to externally validate this model in our cohort of patients who have undergon...

PURPOSE: The Breast Reconstruction Risk Assessment (BRA) Score is a model developed to predict the risk of surgical site infections (SSI) within 30 days after breast reconstruction. This was derived from the National Surgical Quality Improvement Program (NSQIP) database, where the average risk of SSI was 3.75%. We aim to externally validate this model in our cohort of patients who have undergon...