Breast Reconstruction Autologous with Implant in Surrey CA
Breast Reconstruction Autologous with Implant in Surrey section, includes general infrmation about Breast Reconstruction Autologous with Implant Procedure, Breast Reconstruction Autologous with Implant Surrey Local News, Breast Reconstruction Autologous with Implant Surrey Surgeon Locator and other Breast Reconstruction Autologous with Implant related material.
Breast Reconstruction Autologous with Implant Procedure
Breast reconstruction is a surgical procedure usually designed to reconstruct the breast of patients who have had a mastectomy due to breast cancer. Depending upon the patient, there may be several different options for breast reconstruction involving breast implants as well as using the patient's own tissues. Not every patient will be a candidate for every reconstructive technique.
Autologous tissue is tissue taken from another part of your body. This animation shows a breast reconstruction that is performed at a later date than the mastectomy. Sometimes a breast reconstruction may take place during the mastectomy.
An incision is made along the previous scar and dissection is carried down through the tissues to the chest wall.
Tissue from the abdomen or the back is dissected from its normal location and rotated into the mastectomy site to re-create the new breast. Important blood vessels are left attached and intact to provide blood to the tissue.
An implant is placed underneath the autologous tissue to increase the size of the reconstructed breast.
The nipple and areola are reconstructed with either local tissue and tattooing or a skin graft from your inner thigh.
Autologous reconstruction with an implant may be a good option in certain candidates; however, this can only be determined after consultation with your surgeon. Depending on the reconstructive technique utilized, the healing time can be from four to eight weeks or longer. If the abdominal tissue is utilized, the healing process will be longer. If the muscle from the back is used, the healing time is usually shorter. Breast reconstruction is a complex procedure and results vary.
The patient is placed in a compression garment or bra. Compression garments are an important part of the recovery process. The garment provides support, comfort and helps to minimize swelling. The patient is usually wearing a bra or some type of supportive garment at all times, except when showering. Healing time is approximately three months. Scarring is variable and often depends on the patient's ability to heal.
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- A ‘blog’ produced by the National Prescribing Centre (NPC) and posted on its website (NPCi) discusses QRISK – a new cardiovascular disease risk scoring system that was developed specifically for use in the UK. A validation study for this system was published recently in the journal ‘Heart’; the study abstract and the calculator itself can be accessed via the links above.
The blog discusses the calculator and the validation study, and discusses its place in comparison with the Framingham method in predicting cardiovascular risk in the general population. The author of the blog concludes (taken directly from the website):
“Health professionals should be aware of the ongoing debate, and also that Framingham-based tools may over-predict CV risk in some sections of the UK population, but not others, such as those in high risk groups (e.g. socio-economically deprived, people of South Asian descent, those with a family history of CV events, etc). Even with these caveats, as the draft NICE full guideline on lipid modification says - estimates of CVD risk derived from equations are not an exact science but are better than clinical judgment alone for the estimation of CVD risk. Of course, health professionals need to take into account patient circumstances and wishes. It would be foolish to have an iron rule that (whatever tool is used) someone with a 19.9% predicted risk can never receive prophylaxis, but someone with a 20.1% risk must always receive prophylaxis. The most important thing is to correctly use a validated tool – be it Framingham, ASSIGN or QRISK as a basis for discussion with patients and not to treat on the basis of individual risk factors.”
- The PSNC reports that the following products from Astra Zeneca have been added to the 'List of Drugs for which Discount is not Deducted' (Part II of the Drug Tariff) with effect from the 1st March 2008:
• Arimidex 1mg tablets
• Casodex 50mg tablets
• Casodex 150mg tablets
• Seroquel 100mg Tablets
• Seroquel 150mg Tablets
• Seroquel 200mg Tablets
• Seroquel 300mg Tablets
Following a decision by AstraZeneca to adjust the basis of calculation of their pharmacy rebates, these seven products now meet the criterion for high cost, low volume items where no discount is available. To ensure the change in their rebate scheme is cost neutral to pharmacy, AstraZeneca will also be making a corresponding downward adjustment to the levels of purchases required to qualify for a monthly rebate. Please see the link above for further details.