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Review
. 2006 Mar;93(3):276-81.
doi: 10.1002/bjs.5257.

Skin-sparing mastectomy

Affiliations
Review

Skin-sparing mastectomy

R M Rainsbury. Br J Surg. 2006 Mar.

Abstract

Background: Skin-sparing mastectomy (SSM) is a new technique being used in a variety of clinical settings. This article reviews the published data on SSM to establish its current role in clinical practice.

Methods: A Medline search was carried out using the key words 'skin-sparing mastectomy' to identify English-language articles published between 1990 and 2004 and further material referenced in these publications.

Results: SSM is most commonly used for surgical prophylaxis and to treat in situ and early invasive disease in patients who request immediate breast reconstruction. SSM and non-SSM result in similar surgical and oncological outcomes, but skin flap ischaemia is more common after SSM and is associated with a range of risk factors, including smoking.

Conclusion: SSM has become an established procedure in breast surgery, but there is a lack of prospective data on which to make evidence-based decisions about its use in individual patients.

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