Presented by Dr. Bemen Adel

[Audio] Welcome everyone. Today I will be discussing the evaluation of a new technique for breast conservation surgery in breast cancer patients. I will be discussing how this technique has been received by the medical community and how it is being employed in different settings. I will also be exploring its potential benefits and side effects in comparison to traditional breast conservation surgery..

[Audio] In this image immediate breast lipomodelling with breast conserving surgery has been demonstrated to be a possible choice for breast cancer patients when assessing their treatment and restoring their wanted aesthetic result. Through this procedure fat from the patient's midsection or different regions of the body is utilized to supplant the breast tissue that should be eliminated due to cancer. This cycle is advantageous as it helps keep the characteristic shape and size of the influenced breast. What's more the fat uniting brings about a decrease in post-medical procedure deformity and also a decrease of extra intercessions required after the technique..

[Audio] The aim of this research study was to evaluate the efficacy of immediate breast lipomodelling in patients with breast cancer who underwent breast conserving surgery. It was conducted under the supervision of three renowned professors: Professor Dr Ahmed Saad Ahmed of the Department of Experimental and Clinical Surgery at the Medical Research Institute in Alexandria University; Professor Dr Yasser Sayed Hamed Ahmed from the same department; and Professor Dr Hesham Ahmed Elghazaly from the Department of Oncology at the Faculty of Medicine at Ain Shams University. The results of this study should provide an insight into the efficacy of this treatment for breast cancer patients..

[Audio] B-C-S or B-C-T a surgical technique is the standard recommended treatment for tumors of the breast larger than 3 centimeters as well as for most women with early-stage breast cancer. In many cases it is even advised for tumors up to 4 centimeters in size or even larger for certain types of intraductal cancer if neoadjuvant therapy is used. This technique provides an effective way to treat cancer while preserving the patient's breast..

[Audio] In this slide we are examining the evaluation of Immediate Breast Lipomodelling with Breast Conserving Surgery in Breast Cancer Patients. There are several explanations as to why this is noteworthy. In particular inadequate aesthetic outcomes may be attributed to the tumour removal which could lead to asymmetry retraction and volume changes. Radiation may also have an unfavourable effect on the original breast tissue. It is thus significant to understand how this procedure can help lessen these issues and augment the patient’s outcomes..

[Audio] Surgery for breast cancer is increasingly employed to help restore an acceptable appearance post-operation. Reconstruction of the breast offers physical benefits as well as providing psychological rewards. This includes improving vitality femininity and sexuality which can have a significant impact on a patient's mental wellbeing and life satisfaction particularly among young women..

[Audio] Although oncoplastic breast surgery has some benefits there are also a few drawbacks that should be considered. These include a longer duration of intervention and the need for well-trained surgeons to obtain optimal results multiple scars on the breast higher complication rates than with conventional breast conserving surgery the difficulty of achieving a satisfactory aesthetic result with small breast volumes and the possibility of needing a contralateral procedure in order to achieve an acceptable symmetrical outcome..

[Audio] The idea of substituting breast volume immediately is undeniably a great breakthrough in medical technology providing a fresh way to carry out volume replacement procedures. The impacts of this technique on patients afflicted with breast cancer who are receiving breast conserving surgery have been investigated. It has been verified that it is capable of delivering satisfactory results while protecting patient breasts..

[Audio] The aim of this work was to evaluate efficacy complications patient satisfaction and esthetic outcomes of immediate Lipomodelling used for correction of deformities resulting from breast conserving surgery for breast cancer patients. Measurement of these outcomes was done through patient and surgeon questionnaires objective measurements of breast volume and symmetry and photographic documentation. It was found that immediate lipomodelling with breast conserving surgery had a high rate of patient satisfaction and improved breast esthetics..

[Audio] Our research investigated the efficacy of immediate breast lipomodelling with breast conserving surgery in 50 female patients admitted to the surgical department at Medical Research Institute Hospital Alexandria University. All patients had operable early breast cancer as confirmed by Trucut biopsy. Our results revealed that immediate breast lipomodelling with breast conserving surgery was an effective evaluation method for breast cancer patients..

[Audio] Patients should not be immediately considered for breast lipomodelling if they have T4 N2 or M1 cancers multicentricity or pregnancies positive margins after reasonable surgical attempts have already undergone radiotherapy to the breast region or have diffuse malignant-appearing microcalcifications..

[Audio] I will be talking about the exclusion criteria that affects the evaluation of immediate breast lipomodelling with breast conserving surgery in breast cancer patients. This includes having a strong family history of breast cancer carrying a B-R-C-A-1 and B-R-C-A-2 mutation inadequate donor sites very large or pendulous breasts general medical comorbidities large or central tumors in a small breast and patients actively dieting around the time of fat grafting. These criteria must be taken into account when assessing a patient's eligibility for immediate breast lipomodelling with breast conserving surgery..

[Audio] A complete history taking should be conducted with special emphasis placed on a patient’s previous anti-cancer therapy when discussing the pre-operative work up for evaluation of immediate breast lipomodelling with breast conserving surgery in breast cancer patients. In addition breast imaging such as mammography and breast ultrasound must also be performed. Furthermore a metastatic workup and full laboratory investigations should also be conducted. All of this information is of great value as it assists in guiding treatment..

[Audio] Slide 16 covers the Lumpectomy operation which involves removing only part of the breast. It also includes Ipsilateral axillary lymph node dissection which is when the lymph nodes on the same side as the breast are removed. To make sure there is no cancer present in the axilla the Sentinel lymph node is examined too. All these processes are vital for breast cancer patients and their treatment..

[Audio] The slide title talks about Breast Lipomodelling with Breast conserving surgery in Breast Cancer Patients. To summarize this slide we can say that this technique involves the use of a blunt-tipped liposuction cannula with slight negative pressure to harvest fat. The cannula is designed to minimize any damage to the surrounding tissue allowing the safe harvest of fat..

[Audio] The cellular component is the middle layer of the tissue in the breast area. To prepare for injection with a syringe we use a blunt-tipped small caliber infiltration cannula. This process is a crucial step in the lipomodelling technique for breast conserving surgery in breast cancer patients..

[image] Q 00 Q 0000 ooo ooo. We avoid lipoinjection in the same region of lumpectomy (upper right). Instead of that, we perform the lumpectomy and close the cavity created with absorbable stitches, deforming areas distant from the lumpectomy bed (lower left). The lipoinjection is performed in the deformity areas, distant from the tumor bed (lower right)..

[Audio] Today we'll be discussing our findings on the evaluation of immediate breast lipomodelling with breast conserving surgery in breast cancer patients. The data we collected included postoperative complications in the early and late stages and follow-up of patients at 3 6 12 and 24 months for the detection of oncological recurrence. Our results suggest that immediate breast lipomodelling with breast conserving surgery is a viable and effective treatment for breast cancer. We will now take a closer look at our methods and results in greater detail..

[Audio] The clinical research results show that 62% of patients underwent breast reconstruction with either an immediate method or a delayed method with 52% opting for immediate reconstruction and 10% opting for delayed reconstruction. The most popular type of reconstruction was the T-R-A-M flap followed by the LD flap while 6% had a combination of an LD flap and a prosthesis. The evaluation's numerical results are available on the chart on this slide reaching a top score of 70 to 18 and a bottom score of 8 to 4..

[Audio] A total of 62% of cases only had previously undergone reconstruction with 52% of cases having immediate reconstruction and 10% having delayed reconstruction. Reconstruction types were distributed as follows: 14% T-R-A-M flap 18% LD flap 24% prosthesis and 6% LD flap and prosthesis. 100 cases in the clinical part of the research were studied of which 72 were IDC 22 were I-L-C and 6 were Mixed..

[Audio] Out of the 50 Breast Cancer Patients who had undergone breast-conserving surgery 40 were in Stage I-I-B and 10 in Stage IIA. This indicates that the majority of the participants were in Stage IIB. Around 60% of the patients had undergone previous breast reconstruction with 26 patients having immediate reconstruction and 5 having delayed reconstruction. Furthermore 14% of the patients had TRAM Flap 18% had LD Flap 24% had Prosthesis and 6% had LD Flap plus Prosthesis..

[Audio] We evaluated the effectiveness of immediate breast lipomodelling with breast conserving surgery in breast cancer patients. In our study 62% of cases had undergone previous breast reconstruction and 52% had immediate reconstruction while 10% had delayed reconstruction. Types of reconstruction included 14% T-R-A-M flap 18% LD flap 24% prosthesis and 6% a combination of LD flap and prosthesis. Outcomes of the clinical research are presented on the chart which shows 82% had no seroma 12% had ecchymosis and 6% had wound infections..

[Audio] Results of a research into immediate breast lipomodelling with breast conserving surgery in breast cancer patients show that 62% of patients had undergone previous breast reconstruction with 52% doing immediate reconstruction and 10% delayed reconstruction. The types of breast reconstruction included 14% T-R-A-M flap 18% LD flap 24% prostheses and 6% LD flap and prostheses. Analysis of the recurrence rates for oil cyst and macrocalcifications revealed that there were 2 and 8 out of 20 respectively with none observed in 70 cases. This study suggests immediate breast lipomodelling with breast conserving surgery is a viable approach to breast reconstruction with good outcomes..

[Audio] The study evaluated immediate lipomodelling using breast conserving surgery in breast cancer patients. The operation time ranged from 50-78 minutes with a mean of 65.9 minutes. The weight of tissue resected measured between 52-128 grams with a mean of 93.7 grams. The volume of tissue injected was between 65-159 milliliters with a mean of 105.04 milliliters. The follow up period ranged from 24-38 months with a mean of 31.02 months. Results demonstrate that immediate lipomodelling using breast conserving surgery is a viable option for patients with breast cancer..

[Audio] The slide presents the results of an evaluation of immediate breast lipomodelling with breast conserving surgery in breast cancer patients. CT volumetric study of the breast pre and post radiotherapy revealed that the volume reduction of the injected fat graft ranged from 10% to 52% with a mean of 28 ±9%. This indicates that fat grafts can be employed in breast conserving surgery to provide volume expansion and improve contour..

[Audio] A case study was conducted of a patient who underwent a combination of breast conserving surgery and breast lipomodeling for breast cancer. However thirteen months later local recurrence was present leading to a mastectomy. This case study emphasizes close follow-up and surveillance of those who have had lipomodeling as well as being mindful of the cases which are most suitable for immediate lipomodeling in breast conserving surgery..

[Audio] Our study on evaluation of immediate breast lipomodelling with breast conserving surgery in breast cancer patients yielded results of 36% of patients rating their results as excellent 40% as good 16% as fair and 8% as poor. This suggests that overall patients had positive outcomes with the application of this method which is significant for the management of breast cancer patients. Our hope is that our study will continue to improve the lives of individuals who are affected by this disease..

[Audio] Our recent study on breast cancer patients reveals the results of immediate breast lipomodelling combined with breast-conserving surgery. The chart displays the number of evaluations that were conducted per patient 5 patients had a total of 32 evaluations 4 patients had 46 evaluations 3 patients had 14 evaluations 2 patients had 8 evaluations and 1 patient had 0 evaluations. The data we have collected provides us with valuable insight into the procedure..

[Audio] We evaluated the results of immediate breast lipomodelling with breast conserving surgery in breast cancer patients recording the data in a chart which was divided into four categories. The results showed 0.1% of patients had excellent results 0.46% reported good results 0.36 % experienced fair results and 0.08% had poor results. This demonstrates that the majority of patients had good to excellent results from this type of breast conserving surgery making it a viable and effective option for breast cancer patients..

[Audio] Discussing the evaluation of immediate breast lipomodelling with breast conserving surgery in breast cancer patients as presented in the chart only 0.1% of the patients achieved excellent results 0.46% achieved good results 0.36% achieved fair results and 0.08% achieved poor results. These results from the B-C-C-T core demonstrate that the results of this procedure may not always be ideal. Consequently it is recommended for patients considering this procedure to seek input from multiple sources and make an informed decision..

[Audio] The chart indicates a high level of satisfaction with the particular surgery among both patients and doctors. 78% of patients expressed either "satisfied" or "very satisfied" ratings while 91.9% of doctors rated the surgery as either "excellent" or "good" indicating a successful outcome for the breast lipomodelling technique..

[Audio] Our study shows that patients who underwent immediate lipomodelling with breast conserving surgery in breast cancer treatment were generally very satisfied with the esthetic outcome. 80% of the surveyed patients rated their results as either very satisfied or satisfied. 8% were neutral 4% rated their results as fair and only 2% labeled them as poor. These results suggest that this procedure may be an effective and satisfactory solution for improving the esthetic outcome of breast conserving surgery in patients with breast cancer..

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[image] b 3.1 x Q Search ENG • 40. [image] b BCCT.core 3.1 Classified as Excellent. Evaluation measures successfully recorded. You may continue. 0K.

[image] D BCCT.core 3.1 Classified as Good. Evaluation measures successfully recorded. You may continue. 0K.

[image] Classified as Fair Evaluation measures successfully recorded. may continue. 0K.

[Audio] The image in this slide has been classified as 'poor' and the evaluation measures have been successfully recorded. From this we can conclude that we may continue with the procedure..

[Audio] Lipomodelling has become increasingly popular as a form of autologous breast reconstruction for breast cancer patients undergoing breast conserving surgery. It has been demonstrated to be a safe procedure which can be done in a day and results in a reduction of scarring increased softness of the breast and natural skin texture. Evaluations of immediate lipomodelling have found it to be effective in correcting deformities without any adverse effect on oncological outcomes..

[Audio] This study evaluated immediate breast lipomodelling with breast conserving surgery in breast cancer patients. Results indicated that lipomodelling yielded good aesthetic outcomes with most patients experiencing breast size increase beyond preoperative values. This suggests that lipomodelling should form part of the multidisciplinary approach for managing breast cancer. However further research is necessary. We suggest performing lipomodelling to the breast in future studies on larger patient numbers to obtain more statistically significant results. It is also advisable to follow up with patients in this study over a longer period to better evaluate oncologic surveillance outcomes. Additionally patient compliance should be increased by providing better information on fat resorption and the need to repeat the procedure when necessary..

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