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Changes in Korean National Healthcare Insurance Policy and Breast Cancer Surgery Trend in Korea

Rayzah M, Ryu JM, Lee JH, Nam SJ, Kim SW, Lee SK, Yu J, Lee KT, Bang SI, Mun GH, Pyon JK, Jeon BJ, Lee JE

Background: Since April 2015, the Korean National Health Insurance (NHI) has reimbursed breast cancer patients, approximately 50% of the cost of the breast reconstruction (BR) procedure. We aimed to investigate...
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Dual-pedicled conjoined abdominal flap for breast reconstruction in a patient with previous radiation therapy

Kim JH, Kim NR, Kim YS, Oh DY

Delayed breast reconstruction is challenging because it requires a large volume and symmetry, and the dual-pedicled deep inferior epigastric perforator (DIEP) flap is used with microvascular augmentation. However, candidate recipient...
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Comparison of irradiated and non-irradiated acellular dermal matrices in breast reconstruction under radiotherapy

Woo SJ, Ha JH, Jin US

Background Acellular dermal matrices (ADMs) have become an essential material for implant-based breast reconstruction. No previous studies have evaluated the effects of sterility of ADM under conditions of radiation. This...
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Orienting the superficial inferior epigastric artery (SIEA) pedicle in a stacked SIEA-deep inferior epigastric perforator free flap configuration for unilateral tertiary breast reconstruction

Yu Yh, Ghorra D, Bojanic C, Aria ON, MacLennan L, Malata CM

Superficial inferior epigastric artery (SIEA) flaps represent a useful option in autologous breast reconstruction. However, the short-fixed pedicle can limit flap inset options. We present a challenging flap inset successfully...
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Comparison of the second and third intercostal spaces regarding the use of internal mammary vessels as recipient vessels in DIEP flap breast reconstruction: An anatomical and clinical study

Seong IH, Woo KJ

Background The purpose of this study was to compare the anatomical features of the internal mammary vessels (IMVs) at the second and third intercostal spaces (ICSs) with regard to their...
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Simultaneous Laparoscopic Surgery during Deep Inferior Epigastric Artery Perforator Flap Elevation: A Case Report

Lee J, Lee HC, Lee BI, Park SH, Yoon ES

As deep inferior epigastric artery perforator (DIEP) flap surgery is gaining popularity, more patients including BRCA-positive patients need simultaneous laparoscopic surgery. We share our experience on a patient who underwent...
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Exercise Barriers and Facilitators After Transverse Rectus Abdominis Myocutaneous Flap Breast Reconstruction

Park HN, Yeon S, Min J, Byeon JY, Min JJ, Song SY, Lee DW, Jeon JY

Purpose The purpose of this study was to understand the experience of exercise participation among patients following transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction surgery. Methods A phenomenological method was used in...
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Factors Influencing Quality of Life Among Breast Cancer Patients Following Immediate Breast Reconstruction

KIM AY, Kim JH

Purpose The purpose of this study was to identify factors that influence quality of life (QoL) of breast cancer patients who underwent immediate breast reconstruction. Methods A total of 113 patients were enrolled....
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Post-mastectomy radiation therapy in breast reconstruction: a patterns of care study of the Korean Radiation Oncology Group

Yang G, Chang JS, Shin KH, Kim JH, Park W, Kim H, Kim K, Lee IJ, Yoon WS, Cha J, Lee KC, Kim JH, Choi JH, Ahn SJ, Ha B, Lee SY, Lee DS, Lee J, Shin SO, Kim YB

Purpose: The details of breast reconstruction and radiation therapy (RT) vary between institutions; therefore, we sought to investigate the practice patterns of radiation oncologists who specialize in breast cancer. Materials and...
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The Retrograde Limb of the Internal Mammary Artery: An Alternative Inflow Option for Free Flap Breast Reconstruction

Hahn HM, Cha B, Lee IJ

Autologous breast reconstruction using a free flap is a popular option for breast reconstruction after mastectomy. The internal mammary system is the recipient of choice in autologous breast reconstruction. We...
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Comparison of breast volume change between oncoplastic breast-conserving surgery with radiation therapy and a simultaneous contralateral balancing procedure through the inverted-T scar technique

Kim MW, Oh WS, Lee JW, Kim HY, Jung YJ, Choo KS, Nam KJ, Bae SH, Kim C, Nam SB, Joo JH

Background Reduction mammoplasty or mastopexy is performed as an additional balancing procedure in patients with large or ptotic breasts who undergo breast-conserving surgery (BCS). Radiation therapy on breasts that have...
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Retrospective review of 108 breast reconstructions using the round block technique after breast-conserving surgery: Indications, complications, and outcomes

In SK, Kim YS, Kim HS, Park JH, Kim HI, Yi HS, Park JC, Jeon CW, Choi JH, Jung SU, Kim HY

Background Several oncoplastic approaches have been implemented in recent years to enhance cosmetic results and to reduce complications. The round block technique is a volume displacement technique for breast reconstruction...
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A single-use negative-pressure wound therapy device can reduce mastectomy skin flap necrosis in direct-to-implant breast reconstruction

Kim JH, Kim YS, Kim YW, Kim YJ, Chun YS, Park HK, Cheon YW

Background Mastectomy flap necrosis is a common and challenging complication of direct-to-implant (DTI) breast reconstruction. The PICO single-use negative-pressure wound therapy device may reduce the complications associated with skin flap...
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Analysis of factors that affect drainage volume after expander-based breast reconstruction

Lim YM, Lew DH, Roh TS, Song SY

Background Closed-suction drains are widely used in expander-based breast reconstruction. These drains are typically removed using a volume-based criterion. The drainage volume affects the hospital stay length and the recovery...
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Prepectoral breast reconstruction

Kim SE

Implant-based breast reconstruction is the most commonly used reconstruction technique after mastectomy. This is because skin-sparing mastectomy has become possible with advancements in oncology. In addition, the development of breast...
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Reconsidering the “MR Unsafe” breast tissue expander with magnetic infusion port: A case report and literature review

Dibbs R, Culo B, Tandon R, St. Hilaire H, Shellock F, Lau FH

Breast tissue expanders (TEs) with magnetic infusion ports are labeled “MR Unsafe.” Therefore, patients with these implants are typically prevented from undergoing magnetic resonance imaging (MRI). We report a patient...
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Using a Pedicled Latissimus Dorsi Musculocutaneous Flap to Treat Infective Costochondritis Following Breast Reconstruction Using an Implant

Kim JH, Baek SE, Oh DY

Infectious costochondritis seldom occurs after breast reconstruction. The treatment requires wide debridement, appropriate wound cover, and antibiotic therapy. A 53-year-old female patient was referred due to an unhealed right breast...
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Incidental finding of subclavian artery occlusion and subsequent hypoplastic internal mammary artery as a candidate recipient vessel in DIEP flap breast reconstruction

Seong IH, Woo KJ

We report a case of autologous breast reconstruction in which a thoracodorsal vessel was used as a recipient vessel after a hypoplastic internal mammary vessel was found on preoperative computed...
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Breast animation deformity

Dyrberg DL, Bille C, Gunnarsson GL, Frandsen T, Salzberg C, Sørensen , Thomsen JB

Breast animation deformity (BAD) has been reported to occur after submuscular implant placement following breast augmentation and immediate breast reconstruction. Despite its apparent impact on patients' quality of life, BAD...
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A Combination of Direct-to-Implant and Vertical Mastopexy Immediate Breast Reconstruction: A Case Report

Park KH, Jung BK, Kim YS, Yun IS, Roh TS

Patients with large or ptotic breasts who undergo nipple-sparing mastectomy and direct-to-implant (DTI) reconstruction tend to exhibit poor esthetic outcomes. We present a combined vertical mastopexy-DTI technique that can be...
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