The Experts below are selected from a list of 288 Experts worldwide ranked by ideXlab platform
C. M. E. Contant - One of the best experts on this subject based on the ideXlab platform.
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morbidity of immediate breast reconstruction ibr after mastectomy by a subpectorally placed Silicone Prosthesis the adverse effect of radiotherapy
Ejso, 2000Co-Authors: C. M. E. Contant, C. Griep, A N Van Geel, B Van Der Holt, T. WiggersAbstract:Aims This study evaluates the incidence of local complications after immediate breast reconstruction (IBR) following mastectomy with a subpectorally placed Silicone Prosthesis, with emphasis on the effect of radiation treatment on IBR. Methods The medical records of 100 women, who underwent a mastectomy followed by IBR with a subpectorally placed Silicone Prosthesis at the University Hospital Rotterdam/Daniel den Hoed Cancer Center, between March 1990 and March 1995, were reviewed. Thirteen prostheses were implanted prior to radiation treatment, and 15 prostheses were implanted after irradiation of the chest wall. Results Early complications were seen in 15% of the IBR and were more often in irradiated women. At long-term follow-up, the most common complication was capsular contracture (21%). This occurred significantly more around prostheses placed in a previously irradiated area (P<0.0005), or which were irradiated after IBR (P=0.001). Loss of Prosthesis was seen in 11 cases, and was significantly (P<0.005) more in irradiated women (n=5; 18%) compared to women who were not irradiated (n=6; 7%).Conclusions Complications after IBR with a Silicone Prosthesis were more common in women who were treated with radiotherapy prior to or after IBR following mastectomy than in women who were not irradiated. In particular, capsular contracture around a Prosthesis placed in a previously irradiated area was significantly increased. The use of musculocutaneous flaps, such as the transverse rectus abdominis muscle or latissimus dorsi flap, is preferable for reconstruction of previously irradiated breasts. There is no indication to remove the Prosthesis before radiation therapy of the chest wall.
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Morbidity of immediate breast reconstruction (IBR) after mastectomy by a subpectorally placed Silicone Prosthesis: the adverse effect of radiotherapy.
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, 2000Co-Authors: C. M. E. Contant, A.n. Van Geel, B. Van Der Holt, C. Griep, R. Tjong Joe Wai, T. WiggersAbstract:Aims This study evaluates the incidence of local complications after immediate breast reconstruction (IBR) following mastectomy with a subpectorally placed Silicone Prosthesis, with emphasis on the effect of radiation treatment on IBR. Methods The medical records of 100 women, who underwent a mastectomy followed by IBR with a subpectorally placed Silicone Prosthesis at the University Hospital Rotterdam/Daniel den Hoed Cancer Center, between March 1990 and March 1995, were reviewed. Thirteen prostheses were implanted prior to radiation treatment, and 15 prostheses were implanted after irradiation of the chest wall. Results Early complications were seen in 15% of the IBR and were more often in irradiated women. At long-term follow-up, the most common complication was capsular contracture (21%). This occurred significantly more around prostheses placed in a previously irradiated area (P
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Motivations, satisfaction, and information of immediate breast reconstruction following mastectomy
Patient education and counseling, 2000Co-Authors: C. M. E. Contant, Anneke M E A Van Wersch, Theo Wiggers, Rudy Tjong Joe Wai, Albert N. Van GeelAbstract:Abstract This study evaluated patients’ motivations for, and satisfaction with, the treatment and information of immediate breast reconstruction (IBR) with a Silicone Prosthesis. It studied satisfaction more deeply by relating it to the quality of life, body-image and sexual functioning. Seventy-three patients who received mastectomy, followed by IBR with a subpectoral Silicone Prosthesis, completed a self-report questionnaire concerning their motivations for, perceived advantages of and satisfaction with IBR, the information received, quality of life, body image, and sexual functioning. Despite the fact that 50% of the reconstructions resulted in complications or complaints, 70% of the women were satisfied with the reconstruction and only 12% would never choose IBR again. Satisfaction was strongly correlated with the need for information. The higher the patient’s expectations, the higher their need for information. The most common perceived advantage of IBR was the avoidance of an external Prosthesis. A majority of patients were satisfied with the breast reconstruction. However, a sizeable proportion needed more information about breast reconstruction and the use of the Silicone Prosthesis. To avoid too high expectations more attention should be given to possible complications and the moderate cosmetic results.
T. Wiggers - One of the best experts on this subject based on the ideXlab platform.
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morbidity of immediate breast reconstruction ibr after mastectomy by a subpectorally placed Silicone Prosthesis the adverse effect of radiotherapy
Ejso, 2000Co-Authors: C. M. E. Contant, C. Griep, A N Van Geel, B Van Der Holt, T. WiggersAbstract:Aims This study evaluates the incidence of local complications after immediate breast reconstruction (IBR) following mastectomy with a subpectorally placed Silicone Prosthesis, with emphasis on the effect of radiation treatment on IBR. Methods The medical records of 100 women, who underwent a mastectomy followed by IBR with a subpectorally placed Silicone Prosthesis at the University Hospital Rotterdam/Daniel den Hoed Cancer Center, between March 1990 and March 1995, were reviewed. Thirteen prostheses were implanted prior to radiation treatment, and 15 prostheses were implanted after irradiation of the chest wall. Results Early complications were seen in 15% of the IBR and were more often in irradiated women. At long-term follow-up, the most common complication was capsular contracture (21%). This occurred significantly more around prostheses placed in a previously irradiated area (P<0.0005), or which were irradiated after IBR (P=0.001). Loss of Prosthesis was seen in 11 cases, and was significantly (P<0.005) more in irradiated women (n=5; 18%) compared to women who were not irradiated (n=6; 7%).Conclusions Complications after IBR with a Silicone Prosthesis were more common in women who were treated with radiotherapy prior to or after IBR following mastectomy than in women who were not irradiated. In particular, capsular contracture around a Prosthesis placed in a previously irradiated area was significantly increased. The use of musculocutaneous flaps, such as the transverse rectus abdominis muscle or latissimus dorsi flap, is preferable for reconstruction of previously irradiated breasts. There is no indication to remove the Prosthesis before radiation therapy of the chest wall.
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Morbidity of immediate breast reconstruction (IBR) after mastectomy by a subpectorally placed Silicone Prosthesis: the adverse effect of radiotherapy.
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, 2000Co-Authors: C. M. E. Contant, A.n. Van Geel, B. Van Der Holt, C. Griep, R. Tjong Joe Wai, T. WiggersAbstract:Aims This study evaluates the incidence of local complications after immediate breast reconstruction (IBR) following mastectomy with a subpectorally placed Silicone Prosthesis, with emphasis on the effect of radiation treatment on IBR. Methods The medical records of 100 women, who underwent a mastectomy followed by IBR with a subpectorally placed Silicone Prosthesis at the University Hospital Rotterdam/Daniel den Hoed Cancer Center, between March 1990 and March 1995, were reviewed. Thirteen prostheses were implanted prior to radiation treatment, and 15 prostheses were implanted after irradiation of the chest wall. Results Early complications were seen in 15% of the IBR and were more often in irradiated women. At long-term follow-up, the most common complication was capsular contracture (21%). This occurred significantly more around prostheses placed in a previously irradiated area (P
Ming-zhu Zhang - One of the best experts on this subject based on the ideXlab platform.
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Treatment of late-stage Freiberg disease using a double stemmed flexible Silicone Prosthesis
Foot & Ankle Orthopaedics, 2018Co-Authors: Ming-zhu ZhangAbstract:Category: Lesser Toes Introduction/Purpose: The purpose of this study was to evaluate the clinical outcomes using a double stemmed flexible Silicone Prosthesis for the treatment of Freiberg disease in its late stages. Methods: The subjects consisted of 13 feet from 13 cases suffering from Freiberg disease in their late stages. They underwent double stemmed flexible Silicone Prosthesis replacement for metatarsophalangeal joints. The average age was 63.8 (range 30~88) years. The average follow up period was 26 (range 18–42) months. The investigation was carried out using the range of motion (ROM), visual analog scale (VAS), AOFAS and Maryland metatarsophalangeal joints scale before surgery and at the latest follow-up. Results: The average ROM of dorsal flexion improved from 39.3±6.1° before surgery to 75.4±8.6° at latest follow-up (p<0.001). The average ROM of plantar flexion improved from 19.0±11.4° before surgery to 20.2±9.3° at latest follow-up (p=0.14). The average VAS significantly improved from 8.1±0.5 before surgery to 2.6±0.2 at latest follow-up (p<0.001). The average Maryland metatarsophalangeal joints score significantly improved from 65.3±9.3 points before surgery to 90.3±4.1 points at the latest follow-up (p<0.001). The average AOFAS was 89.4±8.5 after surgery compared 56.3±6.4 preoperatively (p<0.005). Conclusion: A flexible Silicone Prosthesis replacement was carried out to treat Freiberg disease in its late stages. The function was observed in all cases with improved clinical results. The Silicone Prosthesis was considered to be useful in certain cases.
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Treatment of late-stage Freiberg disease using a double stemmed flexible Silicone Prosthesis
Foot & Ankle Orthopaedics, 2017Co-Authors: Ming-zhu Zhang, Yunfeng YangAbstract:Category: Midfoot/Forefoot Introduction/Purpose: The purpose of this study was to evaluate the clinical outcomes using a double stemmed flexible Silicone Prosthesis for the treatment of Freiberg disease in its late stages. Methods: The subjects consisted of 13 feet from 13 cases suffering from Freiberg disease that underwent extra-articular dorsal closing-wedge osteotomy using a polyblend suture. The average age was 31.7 (range 13–72) years. The average follow up period was 17 (range 14–24) months. Regarding image findings, time to bone union and metatarsal shortening was reviewed. The investigation was carried out using the range of motion (ROM), visual analog scale (VAS), and Japanese Society of the Surgery of Foot lesser toe scale (JSSF score) in the MTP joint before surgery and at the latest follow-up. Results: Calluses under the metatarsal head were not observed in any cases. The mean metatarsal shortening was 2.33± 2.07 mm at follow-up. The bone union required an average of 8.4±0.8 weeks. The average ROM of dorsal flexion improved from 37.2±5.3° before surgery to 73.6±9.9° at latest follow-up (p<0.0001). The average ROM of plantar flexion improved from 16.0±10.1° before surgery to 19.5±8.6° at latest follow-up (p=0.35). The average VAS significantly improved from 75.3±8.5 before surgery to 4.9±4.2 at latest follow-up (p<0.0001). The average JSSF score significantly improved from 67.3±9.4 points before surgery to 98.8±3.0 points at the latest follow-up (p<0.0001). Conclusion: Extra-articular dorsal closing-wedge osteotomy using a polyblend suture was carried out to treat Freiberg disease. The bone union was observed in all cases with improved clinical results. Fixation using a polyblend suture was considered to be useful.
C. Griep - One of the best experts on this subject based on the ideXlab platform.
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morbidity of immediate breast reconstruction ibr after mastectomy by a subpectorally placed Silicone Prosthesis the adverse effect of radiotherapy
Ejso, 2000Co-Authors: C. M. E. Contant, C. Griep, A N Van Geel, B Van Der Holt, T. WiggersAbstract:Aims This study evaluates the incidence of local complications after immediate breast reconstruction (IBR) following mastectomy with a subpectorally placed Silicone Prosthesis, with emphasis on the effect of radiation treatment on IBR. Methods The medical records of 100 women, who underwent a mastectomy followed by IBR with a subpectorally placed Silicone Prosthesis at the University Hospital Rotterdam/Daniel den Hoed Cancer Center, between March 1990 and March 1995, were reviewed. Thirteen prostheses were implanted prior to radiation treatment, and 15 prostheses were implanted after irradiation of the chest wall. Results Early complications were seen in 15% of the IBR and were more often in irradiated women. At long-term follow-up, the most common complication was capsular contracture (21%). This occurred significantly more around prostheses placed in a previously irradiated area (P<0.0005), or which were irradiated after IBR (P=0.001). Loss of Prosthesis was seen in 11 cases, and was significantly (P<0.005) more in irradiated women (n=5; 18%) compared to women who were not irradiated (n=6; 7%).Conclusions Complications after IBR with a Silicone Prosthesis were more common in women who were treated with radiotherapy prior to or after IBR following mastectomy than in women who were not irradiated. In particular, capsular contracture around a Prosthesis placed in a previously irradiated area was significantly increased. The use of musculocutaneous flaps, such as the transverse rectus abdominis muscle or latissimus dorsi flap, is preferable for reconstruction of previously irradiated breasts. There is no indication to remove the Prosthesis before radiation therapy of the chest wall.
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Morbidity of immediate breast reconstruction (IBR) after mastectomy by a subpectorally placed Silicone Prosthesis: the adverse effect of radiotherapy.
European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, 2000Co-Authors: C. M. E. Contant, A.n. Van Geel, B. Van Der Holt, C. Griep, R. Tjong Joe Wai, T. WiggersAbstract:Aims This study evaluates the incidence of local complications after immediate breast reconstruction (IBR) following mastectomy with a subpectorally placed Silicone Prosthesis, with emphasis on the effect of radiation treatment on IBR. Methods The medical records of 100 women, who underwent a mastectomy followed by IBR with a subpectorally placed Silicone Prosthesis at the University Hospital Rotterdam/Daniel den Hoed Cancer Center, between March 1990 and March 1995, were reviewed. Thirteen prostheses were implanted prior to radiation treatment, and 15 prostheses were implanted after irradiation of the chest wall. Results Early complications were seen in 15% of the IBR and were more often in irradiated women. At long-term follow-up, the most common complication was capsular contracture (21%). This occurred significantly more around prostheses placed in a previously irradiated area (P
Albert N. Van Geel - One of the best experts on this subject based on the ideXlab platform.
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Motivations, satisfaction, and information of immediate breast reconstruction following mastectomy
Patient education and counseling, 2000Co-Authors: C. M. E. Contant, Anneke M E A Van Wersch, Theo Wiggers, Rudy Tjong Joe Wai, Albert N. Van GeelAbstract:Abstract This study evaluated patients’ motivations for, and satisfaction with, the treatment and information of immediate breast reconstruction (IBR) with a Silicone Prosthesis. It studied satisfaction more deeply by relating it to the quality of life, body-image and sexual functioning. Seventy-three patients who received mastectomy, followed by IBR with a subpectoral Silicone Prosthesis, completed a self-report questionnaire concerning their motivations for, perceived advantages of and satisfaction with IBR, the information received, quality of life, body image, and sexual functioning. Despite the fact that 50% of the reconstructions resulted in complications or complaints, 70% of the women were satisfied with the reconstruction and only 12% would never choose IBR again. Satisfaction was strongly correlated with the need for information. The higher the patient’s expectations, the higher their need for information. The most common perceived advantage of IBR was the avoidance of an external Prosthesis. A majority of patients were satisfied with the breast reconstruction. However, a sizeable proportion needed more information about breast reconstruction and the use of the Silicone Prosthesis. To avoid too high expectations more attention should be given to possible complications and the moderate cosmetic results.