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Tieman JT, Nourian MM, Agbenorku P, Hoyte-Williams PE, Farhat B, Goodwin IA, Swistun L, Foreman KB, Rockwell WB. Developing a Breast Reconstruction Program in a Resource-Constrained Ghanaian Teaching Hospital: Needs Assessment and Implementation. Ann Plast Surg 2021; 86:129-131. [PMID: 33449461 DOI: 10.1097/sap.0000000000002683] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ABSTRACT As the detection of breast cancer in Ghana improves, the incidence of mastectomy has increased and the outcomes have improved. As a secondary result, the need for breast reconstruction is increasing. The cultural hesitation to undergo a mastectomy and live without a breast can be decreased by making breast reconstruction available, cost-effective, and acceptable. Cultural, economic, and technical factors were considered in choosing the best method of breast reconstruction. Discussions, lectures, and cadaver dissections investigated the various reconstructive options. Operative cases were performed using a latissimus musculocutaneous flap, a lower abdominal transverse rectus abdominis myocutaneous (TRAM) flap, and a midabdominal TRAM flap. The midabdominal TRAM was found to be the best choice at Komfo Anokye Teaching Hospital. It is a reliable, robust, well-perfused, single-stage flap that produced excellent patient satisfaction.
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Affiliation(s)
- Joshua T Tieman
- From the Division of Plastic Surgery, University of Utah Health Sciences Center, Salt Lake City, UT
| | - Maziar Mohsen Nourian
- From the Division of Plastic Surgery, University of Utah Health Sciences Center, Salt Lake City, UT
| | - Pius Agbenorku
- Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, School of Medical Sciences, Kumasi, Ghana, Africa
| | - Paa Ekow Hoyte-Williams
- Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, School of Medical Sciences, Kumasi, Ghana, Africa
| | - Boutros Farhat
- Reconstructive Plastic Surgery and Burns Unit, Komfo Anokye Teaching Hospital, Kwame Nkrumah University of Science and Technology, School of Medical Sciences, Kumasi, Ghana, Africa
| | - Isak A Goodwin
- From the Division of Plastic Surgery, University of Utah Health Sciences Center, Salt Lake City, UT
| | - Lukasz Swistun
- From the Division of Plastic Surgery, University of Utah Health Sciences Center, Salt Lake City, UT
| | - Kenneth Bo Foreman
- Department of Neurobiology and Anatomy, University of Utah Health Sciences Center, Salt Lake City, UT
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Simpson AM, Moores N, Swistun L, Ying J, Agarwal JP. Incidence of complications following two-stage expander/implant breast reconstruction: The impact of cancer diagnosis in prophylactic mastectomy. Breast J 2019; 25:757-759. [PMID: 31077489 DOI: 10.1111/tbj.13336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Revised: 03/28/2018] [Accepted: 03/29/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Andrew M Simpson
- Division of Plastic and Reconstructive Surgery, School of Medicine, University of Utah, Salt Lake City, Utah
| | - Neal Moores
- Division of Plastic and Reconstructive Surgery, School of Medicine, University of Utah, Salt Lake City, Utah
| | | | - Jian Ying
- Division of Epidemiology, University of Utah, Salt Lake City, Utah
| | - Jayant P Agarwal
- Division of Plastic and Reconstructive Surgery, School of Medicine, University of Utah, Salt Lake City, Utah
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Pannucci C, Swistun L, MacDonald J, Brooke B, Henke P. The 2005 Caprini Score Predicts Both Baseline Venous Thromboembolism Risk and Effectiveness of Chemoprophylaxis: A Meta-Analysis of 13,412 Surgical Patien. J Vasc Surg Venous Lymphat Disord 2016. [DOI: 10.1016/j.jvsv.2015.10.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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