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Total parenteral nutrition (TPN) is provided when the gastrointestinal tract is nonfunctional because of an interruption in its continuity (it is blocked, or has a leak – a fistula) or because its absorptive capacity is impaired. [6] It has been used for comatose patients, although enteral feeding is usually preferable, and less prone to ...
Staging breast cancer is the initial step to help physicians determine the most appropriate course of treatment. As of 2016, guidelines incorporated biologic factors, such as tumor grade, cellular proliferation rate, estrogen and progesterone receptor expression, human epidermal growth factor 2 (HER2) expression, and gene expression profiling into the staging system.
BMI, breast mass, and sternal notch to nipple length are more adversely affecting the risk of necrosis. [31] Although breast reconstruction is known to be safe, there might still be some complications, including infection, seroma, hematoma, and capsule contracture. [32] The risk of NAC necrosis can be reduced by the ‘delayed’ procedure. [10]
It is based on three surgical principles: ideal breast cancer surgery with free tumor margins, immediate breast reconstruction, and immediate symmetry with the other breast. [11] Oncoplastic approaches to breast-conserving surgery may require a close partnership among surgeons who specialize in surgical oncology and plastic surgery. Oncoplastic ...
Mastectomy is the medical term for the surgical removal of one or both breasts, partially or completely.A mastectomy is usually carried out to treat breast cancer. [1] [2] In some cases, women believed to be at high risk of breast cancer choose to have the operation as a preventive measure. [1]
There is preliminary evidence suggesting that negative-pressure wound therapy may be useful in healing complicated breast wounds resulting from surgery. [10] Postoperative pain is common following breast surgery. The incidence of poorly controlled acute postoperative pain following breast cancer surgery ranges between 14.0% to 54.1%. [11]
Breast cancer is the most common cancer among women. In the early twentieth century, it was primarily treated by surgery, which is when the mastectomy was developed. [1] However, with the advancement of technology and surgical skills in recent years, mastectomies have become less invasive. [2]
Free-flap breast reconstruction is a type of autologous-tissue breast reconstruction applied after mastectomy for breast cancer, without the emplacement of a breast implant prosthesis. As a type of plastic surgery, the free-flap procedure for breast reconstruction employs tissues, harvested from another part of the woman's body, to create a ...
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