Breast Reconstruction: The Latest Advances and Prospects

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine".

Deadline for manuscript submissions: 30 September 2024 | Viewed by 1094

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Guest Editor
Department of Plastic and Reconstructive Surgery, Peninsula Health, Frankston 3199, Australia
Interests: hand surgery; plastic surgery; breast surgery; microsurgery
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Special Issue Information

Dear Colleagues,

This Special Issue titled “Breast Reconstruction: Latest Advances and Prospects” aims to explore the most recent advancements and future prospects in the field of breast reconstruction. This collection of articles will cover various topics related to breast reconstruction techniques, including innovative surgical approaches, emerging technologies, patient outcomes, and the psychological aspects of breast reconstruction. The goal is to provide insights into the latest developments in this area and shed light on potential future directions. With contributions from leading experts, this Special Issue intends to provide a valuable resource for healthcare professionals and clinical researchers involved in breast reconstruction.

Prof. Dr. Warren M. Rozen
Guest Editor

Manuscript Submission Information

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Keywords

  • breast reconstruction
  • surgical techniques
  • emerging technologies
  • patient outcomes

Published Papers (1 paper)

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13 pages, 1015 KiB  
Systematic Review
The Use of Medicinal Leeching in Breast Surgery: A Systematic Review
by Rohan Rajaram, Jevan Cevik, Nayan Bhindi, Ishith Seth and Warren M. Rozen
J. Clin. Med. 2024, 13(5), 1243; https://doi.org/10.3390/jcm13051243 - 22 Feb 2024
Viewed by 813
Abstract
Background: The medicinal leech has been used in plastic surgery to resolve venous congestion that can threaten the viability of tissue transfer. Within the context of breast surgery, venous congestion is a pertinent consideration for reconstructive and non-reconstructive breast surgery such as mammoplasty [...] Read more.
Background: The medicinal leech has been used in plastic surgery to resolve venous congestion that can threaten the viability of tissue transfer. Within the context of breast surgery, venous congestion is a pertinent consideration for reconstructive and non-reconstructive breast surgery such as mammoplasty and mastopexy. However, leeching is closely associated with complications such as infection, pain, and anaemia. This is the first systematic review that examines the methodology, efficacy, and post therapeutic outcome data across all existing studies on medicinal leeching in breast surgery. Methods: A systematic search of PubMed and Embase databases from their inception to November 2023 was conducted. Inclusion criteria included studies reporting on the use of leeches to resolve venous congestion in any breast surgery. The JBI Critical Appraisal Checklist for Case Series tool was used for bias analysis. Descriptive statistics were undertaken in Microsoft Excel. Results: A total of 18 studies with a combined sample size of 28 were examined, including 4 case series and 14 case reports. Patients mostly underwent reconstructive breast surgery (75%). The median number of leeches used was two, with a median number of three leeching sessions per day and 3 days of leeching. Medicinal leeching successfully prevented the loss of 75% of all tissue transfers. The complication rate was high at 81.14% and mainly included infection and anaemia. Conclusions: Medicinal leeching is an effective method to relieve venous congestion in breast surgery but must be judiciously used within the clinical context of the patient to maximise efficacy and mitigate harm from complications. Full article
(This article belongs to the Special Issue Breast Reconstruction: The Latest Advances and Prospects)
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