Transaxillary breast augmentation: The impact on axillary lymphatic drainage and sentinel lymph node evaluation

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bookPart
Data de publicação
2015
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Scopus
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SPRINGER BERLIN HEIDELBERG
Autores
MUNHOZ, A. M.
Citação
Munhoz, A. M.; Gemperli, R.. Transaxillary breast augmentation: The impact on axillary lymphatic drainage and sentinel lymph node evaluation. In: . AESTHETIC SURGERY OF THE BREAST: SPRINGER BERLIN HEIDELBERG, 2015. p.291-301.
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Resumo
Currently, alternative incisions for breast augmentation have been described, and among the techniques available, the axillary approach has gained status as an attractive technique due to the aesthetic results and the scar placement in a less visible position. However, the future impact of the procedure on the lymphatic drainage patterns and sentinel lymph node (SLN) detection remains controversial. To date little information is available regarding the feasibility of SLN identification in patients with previous transaxillary breast augmentation. The results of our studies and the lymphatic pattern observed suggest that the lymphatic breast drainage is more similar to a rich and extended network than to a few lymph trunks. According to some authors, based on oncological surgeries, even in the situation where this lymphatic channel is disrupted, due to the presence of a variable network of flexible lymphatics, the SLN has the potential to be mapped. However, additional long-term studies are necessary to investigate the accuracy of SLN biopsy in subgroups of breast cancer patients with previous breast implants. © 2015 Springer-Verlag Berlin Heidelberg. All rights reserved.
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https://observatorio.fm.usp.br/handle/OPI/51040
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Coleções
Livros e Capítulos de Livros - FM/MCG
Livros e Capítulos de Livros - HC/ICHC
Livros e Capítulos de Livros - LIM/04
Livros e Capítulos de Livros - ODS/03