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- Title
Totally implantable vascular access device (TIVAD) placement: a modified technique that takes post-procedure aesthetic aspects into account.
- Authors
Liberale, Gabriel
- Abstract
Major progress has been made in breast cancer reconstruction surgery. The standard technique for totally implanted vascular access device (TIVAD) implantation generally requires an incision for port insertion on the anterior part of the thorax that leaves a scar in the middle of the neckline in patients who have undergone mastectomy with complex breast reconstruction. The aim of this technical note is to report our revised surgical technique for TIVAD placement. In patients with breast cancer, we take a lateralized approach, performing an oblique incision on the lowest part of the deltopectoral groove. This allows us to introduce the port and to place it on the anterolateral part of the thorax, thus avoiding an unaesthetic scar on the anterior part of the thorax. Our modified technique for TIVAD implantation is described.
- Subjects
BREAST cancer surgery; PATIENT satisfaction; BREAST implants; MASTECTOMY complications; BREAST cancer patients
- Publication
Supportive Care in Cancer, 2017, Vol 25, Issue 4, p1137
- ISSN
0941-4355
- Publication type
journal article
- DOI
10.1007/s00520-016-3503-9