Special Issue "Breast Reconstruction: Clinical Updates and Perspectives"

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "General Surgery".

Deadline for manuscript submissions: 15 November 2023 | Viewed by 700

Special Issue Editor

Associate Professor, Department of Plastic, Reconstructive and Hand Surgery, University Hospital of Lausanne, University of Lausanne, Lausanne, Switzerland
Interests: breast microsurgery; breast cancer-related lymphedema; implant-based breast reconstruction; aesthetic breast surgery; fat grafting
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Special Issue Information

Dear Colleagues,

Breast reconstruction represents an exciting field of plastic surgery innovation, with a critical role in patient well-being.

Microsurgical reconstruction of the breast has become a routine procedure in most hospitals, proving to be time and cost-effective. Attention has been placed on limiting donor site morbidity and enhancing the aesthetic appearance of the breast, eventually combining multiple flaps to achieve the ideal volume and desired shape. In the case of breast cancer-related lymphedema, the combination of lymph node flaps with breast flaps has further pushed the level of reconstruction towards complete anatomical restoration. Advancements have followed on the oncologic side, with increased quality of nipple-sparing mastectomies in the constant search for a natural aspect of the reconstructive breast.

The same impressive pace has been seen in implant-based reconstruction. Particularly, direct-to-implant reconstruction has become a popular way of breast reconstruction, even in previously “off-limits” radiotherapy scenarios. Prepectoral implant reconstruction has raised attention for its non-invasiveness and fat graft confirms to be an invaluable resource for refining reconstructive outcomes.

This Special Issue of the highly impacted Journal of Clinical Medicine, “Breast Reconstruction: Clinical Updates and Perspectives” wants to give not only an update on the latest techniques but also critically analyze their effectiveness and complications, to guide the plastic surgeon for the best possible decision making in breast reconstruction.

Prof. Dr. Pietro G. Di Summa
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • breast microsurgical reconstruction
  • stacked and combined flaps
  • implant-based reconstruction
  • breast cancer-related lymphedema
  • direct-to-implant reconstruction
  • prepectoral breast reconstruction

Published Papers (2 papers)

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Editorial

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Editorial
Artistry and Aesthetics in Breast Reconstruction: Raising the Bar
J. Clin. Med. 2023, 12(13), 4459; https://doi.org/10.3390/jcm12134459 - 03 Jul 2023
Viewed by 387
Abstract
Breast reconstruction is a critical component of breast cancer treatment for many women who undergo mastectomy [...] Full article
(This article belongs to the Special Issue Breast Reconstruction: Clinical Updates and Perspectives)

Review

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Review
Abdominal-Based Microsurgical Breast Reconstruction: How to Inset the Flap to Maximize the Aesthetic Result—A Systematic Review
J. Clin. Med. 2023, 12(19), 6135; https://doi.org/10.3390/jcm12196135 - 22 Sep 2023
Viewed by 128
Abstract
Nowadays, the ultimate goal of microsurgical breast reconstruction is not merely the effective transfer of vascularized tissue but the achievement of a natural, symmetric appearance. The aim of this present study was to systematically summarize the published evidence on abdominal-based free flap inset [...] Read more.
Nowadays, the ultimate goal of microsurgical breast reconstruction is not merely the effective transfer of vascularized tissue but the achievement of a natural, symmetric appearance. The aim of this present study was to systematically summarize the published evidence on abdominal-based free flap inset for breast reconstruction in order to provide principles and classification that could guide the surgeon in choosing the most appropriate inset technique based on patient and flap characteristics. A comprehensive review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, looking for articles on the insetting technique for free flap breast reconstruction. After screening 306 publications, 24 papers (published from 1994 to 2020) were included in the study. We identified four main breast anatomical features on which the papers reviewed focused when describing their insetting technique: breast width, breast ptosis, breast projection, and upper pole fullness. Patient body type, type of mastectomy, and reported complications are also discussed. Flap shaping and inset during breast reconstruction are fundamental steps in any reconstructive procedure. Despite the low evidence in the current literature, this systematic review provides a framework to guide the surgeon’s decision-making and optimize the aesthetic outcomes of abdominal-based free flap breast reconstruction. Full article
(This article belongs to the Special Issue Breast Reconstruction: Clinical Updates and Perspectives)
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