Shane C. Kim, M.D. - Komenoregon.org

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Free flaps‐ lower extremity • SGAP/IGAP‐ • Very technically demanding but ideal for candidates with more gynoid fat distribution • TUG‐ Uses tissue from inside thighs to reconstruct breast • Useful for thin patients but very technically demanding Image from www.mdanderson.<strong>org</strong>
Prosthetic vs. Autologous • Prosthetic • Shorter surgery but can require two surgeries to exchange expander for implant • Uses implant material • Possible implant rupture • Very acceptable method of reconstruction • Autologous • Longer surgery, but in many cases is the only surgery • No need for implant • Uses “you to make you” • Can match the opposite breast very well in many cases
Page 1 and 2: I have no financial relationships t
Page 3 and 4: Breast Reconstruction
Page 5 and 6: Breast Reconstruction‐ Prosthetic
Page 7 and 8: Breast Reconstruction‐ Prosthetic
Page 9 and 10: Breast Reconstruction‐ Autologous
Page 11 and 12: Pedicled flaps‐ Latissimus dorsi
Page 13 and 14: Pedicled flaps‐ Pedicle TRAM •
Page 15 and 16: Free flaps‐ Abdominal based • I
Page 17 and 18: Free flaps‐ Abdominal based • T
Page 19: Free flaps‐ the DIEP Image from S
Page 23 and 24: Breast Reconstruction‐ final thou
Page 25 and 26: FAQ’s • Q: What is the differen
Page 27 and 28: Many thanks to: • Susan G. Komen

Shane C. Kim, M.D. - Komenoregon.org

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