Reconstructive breast surgery

Abstract

The surgical treatment of breast disease has evolved rapidly over the last three decades and the provision of reconstructive surgery for patients is now common practice. Advances in surgical techniques for breast cancer have seen a move away from radical mastectomy and complete lymph node dissection, and towards breast-conserving treatment. This is in recognition of the importance of the psychological impact of breast surgery, while preserving sound oncological boundaries. Techniques to reconstruct breast tissue have also been employed to correct congenital deformity and reconstruct the victims of burns or trauma. Furthermore, there is a steady rise in the number of prophylactic mastectomies as our understanding of the genetics of breast cancer grows. It is important for GPs to have a working knowledge of the range of reconstructive techniques in order to direct patients to appropriate secondary care and provide good post-operative care. Surgical services for reconstruction vary between regions in the UK; it is important that GPs are able to keep up to date with the procedures available in their locality, and beyond.