Tag: microsurgery

Democratization in Microsurgery: The Proximie System

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Democratization is a noun. The meaning of democratization as it pertains to microsurgery is the action of making training and education available through technology, in this case, microsurgery in breast reconstruction. The chosen field of microsurgery requires hours of training and practice. Observing colleagues perform this sophisticated and complex surgery increases their own skill set with the primary goal being improving patient outcomes in breast reconstruction. My guests are going to discuss their cross-continental experience working live in the operating theater practicing democratization in microsurgery using the Proximie System. An Introduction of the Microsurgeons Using the Proximie System I invited back to the DiepCJourney podcast two internationally known microsurgeons. Dr. Joe Dusseldorp practices in Sydney, Australia and is a fellow of the Royal Australasian College of surgeons. He has a keen interest in microsurgery and did his training overseas to achieve this status. He is also trained to do robotic Continue Reading →

Robotic Assisted DIEP Flap Breast Reconstruction in Australia

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Since I had my own DIEP flap breast reconstruction at PRMA in late 2014 performed by Dr. Minas Chrysopoulo I have been fascinated with this surgery. I feel one strong reason people choose the profession of microsurgery is out of passion. The satisfaction of what is accomplished each day must linger long after they leave work and in fact drive them to do better. I invite you to learn more from one such surgeon I met via social media, Dr. Joe Dusseldorp. Join me in learning more about robotic assisted DIEP flap breast reconstruction in Australia. The Progress of DIEP Flap and Value of Robotic Assisted DIEP Over time, I have seen so much progress in surgical procedures and robotic assisted DIEP is just one of them. Dr. Joe agrees and points out this is just ONE technique. His comment, “Surgery doesn’t change overnight. It’s lots of little incremental steps Continue Reading →

Episode 19: Efficient DIEP Flaps

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DIEP flaps are a type of breast reconstruction using a patient’s own tissue to reconstruct breasts after mastectomy for those affected by breast cancer. DIEP stands for deep inferior epigastric perforators. Epigastric refers to the abdominal area. The underlying tissue and perforators (blood vessels) are disconnected by the microsurgeon from the abdominal area and transplanted to the breast area to create soft, warm, tissue much like the breasts removed during mastectomy. We hope Episode 19: Efficient DIEP Flaps, has piqued your curiosity. Efficient DIEP Flaps Study To do an efficient DIEP flap requires years of training, skill, planning, and a team. My guest, Dr. Nicholas Haddock is one of the Breast Reconstruction Team at UT – Southwestern Department of Plastic Surgery in Dallas, TX. He works with Dr. Sumeet Teotia performing state of the art autologous breast reconstruction in the Dallas/Fort Worth area in Texas. In our discussion we reference the PRS Global Continue Reading →

Global Collaboration and Learning on the Topic of Breast Reconstruction

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Collaboration is defined as an action working together with someone to produce or create something. My chosen profession is education. Working with my team in school districts to share ideas exhilarated me. Now, as a nonprofit leader and Founder of DiepCFoundation, I frequently experience global collaboration and learning on the topic of breast reconstruction. Developing a Community of Collaboration Our geographic world is expansive but our ability to collaborate is only an email, text, or message away. When I opened the DiepCJourney private Facebook page, often referred to by members as “The Journey” in the summer of 2015, I had no idea the global relationships that would develop on this page, let alone the other social media accounts I use for the Foundation. The need for education, support, and resources for all options of breast reconstruction after mastectomy continues. I witness this every day on “The Journey”. I set the Continue Reading →

Perfusion Monitor: Flap Monitoring in Microsurgical Breast Reconstruction

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Plastic surgeons use medical devices in reconstructive surgery to optimize patient outcomes in breast reconstruction. I receive a number of inquiries from ladies asking how a flap is monitored after tissue-based breast reconstruction. This is a concerning topic for patients who know the intricacies of microsurgery but do not always think to put it on their list of questions to ask their surgeon during their consult. I would like to present this information about a perfusion monitor used for flap monitoring in microsurgical breast reconstruction. I reached out to Dr. Minas Chrysopoulo of PRMA in San Antonio who performed my DIEP flap breast reconstruction to tell me about the monitoring system they find great success with. The information I was given about flap monitoring at my consult gave me and my husband a great deal of comfort. We felt having Dr. C being able to monitor the flap all evening Continue Reading →

Breast Reconstruction Education and the Circle of Giving

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Wednesday of this past week, October 21, 2002, was BRADay2020. BRADay is a daily event for me, providing education and resources to empower women and men with information to make an informed decision about options for breast reconstruction after mastectomy. For the second year in a row, I was graciously invited by Microsoft to make a presentation about my personal Journey for their Microsoft Gives campaign but more importantly to educate . I left there with a full heart. This is what happened after my presentation on breast reconstruction education and the circle of giving. The presentation was conducted using the Microsoft Teams program. Since I have been using ZOOM to record videos for the Foundation, this was a new platform for me. Thomas set up a one on one meeting with me before the formal presentation to walk me through the ins and outs of Microsoft Teams. He made Continue Reading →

Lost Breast Sensation after Mastectomy Restored 10 Years Later

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Tara begins by telling us the painful story of losing her mother to breast cancer when she was only eighteen. In an ironic twist of fate, Tara’s mother lost her own mother, Tara’s grandmother, from breast cancer at the same age. Having experienced this, she describes it as a “dark cycle that would just keep happening”. This is Tara’s story of lost breast sensation after mastectomy restored 10 years later. With other family members who had a cancer diagnosis, Tara was encouraged to have genetic testing by her then partner. She had no idea at the time what having genetic testing would actually mean and how it would change her life if she tested positive. When the results came back that she was in fact a carrier of a BRCA gene mutation, she went to see a surgeon to discuss what her options were. She was given two options. She Continue Reading →

Nerve Graft: Restoring Sensation to the Breast

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Sensation to the breast is important to most women. Nerves in the breast provide this sensation. This feeling provides protection from heat and cold temperatures. The breast is an erogenous zone for several women providing sexual sensation, especially in the nipple and areola area. Nerves are cut at the time of mastectomy when cancerous tissue is removed leaving numbness to the chest. During breast reconstruction, some surgeons perform a procedure using a nerve graft restoring sensation to the breast. Location of the Nerves Restoring Sensation to the Breast The breast is comprised of an intricate web of nerves running through the breast tissue. Surgeons tend to speak about the two sides of the breast looking at it from the front. Draw an imaginary line from the arm pit area running down the side. This is the area of the chest referred to as the lateral area. The area at the Continue Reading →

Are All DIEP Flaps the Same?

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It is a fair question to ask don’t you think?  It is even a better question to discuss at your initial consult when you want to use your tummy tissue to reconstruct your breasts. If you have been affected by breast cancer and are facing a mastectomy, I think you should ask your plastic surgeon, “Are all DIEP flaps the same? The video embedded in the blog will give you talking points for a discussion with your plastic surgeon. I was fortunate to interview Drs. Pankaj Tiwari and Ergun Kocak of Midwest Breast in Ohio to help the reader understand the nuances and differences in tummy flap breast reconstruction. What are the Differences in Flap Procedures using the Tummy? These surgeons point out the scar on the outside looks similar to a tummy tuck scar. But what happens on the inside as Dr. Kocak says, “it’s entirely different”. Let’s take Continue Reading →

Microsurgery in Breast Reconstruction after Mastectomy

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I had the opportunity to attend the American Society of Reconstructive Microsurgeons meeting recently. As a patient advocate attending, I was particularly focused on microsurgery in breast reconstruction after mastectomy. It gave me the chance to have in depth conversations with plastic surgeons who dedicate intense hours of training to become microsurgeons.  The conference attendees included medical students interested in this specialty, plastic surgeons who are currently in fellowship training for microsurgery, and those seasoned veterans sharing the latest techniques and methods of surgical skills to achieve optimal outcomes for patients. The ASRM conference took place at a hotel with all of the sessions easily accessible. This conference felt comfortable, informal, and intimate to me. These microsurgeons reflected the feeling, this group is like a small tribe who understand the rigors of microsurgical training and how it can positively change the lives of patients. Why Should you Find a Microsurgeon Continue Reading →