Publications by authors named "B Munder"

Background: Achieving symmetrical outcomes in bilateral autologous breast reconstruction is challenging, particularly in cases of asymmetrical recipient sites. Tissue pre-expansion is proposed to improve aesthetics by enlarging the skin envelope for refined breast shaping. This study examines its efficacy in bilateral DIEP flap reconstructions.

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Article Synopsis
  • Breast cancer is the most prevalent cancer among women, and breast reconstruction can utilize either autologous fat tissue, implants, or both, with no increased risk of cancer recurrence after reconstruction compared to mastectomy alone.
  • The study aimed to assess the recurrence rates following deep inferior epigastric perforator (DIEP) flap reconstruction and share experiences in managing any local recurrences.
  • A total of 666 patients underwent DIEP flap reconstruction across two breast centers, revealing a 2% recurrence rate, with options for tumor resection while preserving the DIEP flap.
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Background: Total deep inferior epigastric perforator (DIEP) flap failure is a significant concern in autologous breast reconstruction. Literature on secondary reconstruction options following total flap failure is limited. This study outlines the outcomes of patients who underwent reconstruction post-DIEP flap failure at our institution.

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Article Synopsis
  • The study assesses whether TissuGlu, a surgical adhesive, can be a safe and effective alternative to traditional drainage methods for managing post-operative fluid in breast reconstruction surgeries.
  • The trial involved 58 female participants, focusing on comparing rates of seroma formation and overall patient satisfaction between those treated with and without drains post-surgery.
  • Results showed a slightly higher seroma rate in the TissuGlu group (17%) compared to the drainage group (10%), but no significant statistical difference was observed; however, patient satisfaction was reported higher in the adhesive group.
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Introduction: Reduction mammaplasty in patients with gigantomastia is challenging. The Double-Unit technique with a Superomedio-Central pedicle and inverted-T incision is the standard technique for reduction mammaplasty in our clinic. The aim of this study was to review our approach in cases with gigantomastia in comparison with the current literature.

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