Breast reconstruction

BREAST RECONSTRUCTION

 

Breast cancer today represent the most prevalent form of cancer for women and the second most common cause of death right behind lung cancer. 29% of all cancers for women is breast cancer.

 

Today’s Breast Cancer Therapy includes surgical treatment and radiotherapy, and if necessary chemotherapy as well as whether it is necessary to remove the entire breast or only one part thereof. The operation is considered the primary treatment for breast cancer.

 

After removal of the breast remains defect. This defect is both a woman’s aesthetic and emotional disadvantage. Wearing different types of breast implants are not an adequate substitute for women.

 

Breast reconstruction can be done in many ways due to the patient’s constitution, lifestyle, and the patient’s wishes.

 

Breast reconstruction

 

BREAST RECONSTRUCTION WITH THE IMPLANTS AND EXPANDER IMPLANTS

 

This form of breast reconstruction is done with the help of silicone implants placed under the pectoral muscle. Depending on the indication, operative treatment can be performed using multiple types of implants (plain implants, expander implants, Becker implants). It represents the simplest form of, what is an advantage. The disadvantages are the possibility of aesthetic breast asymmetry, a thin cover of implants, complications in the form of a capsule.

 

BREAST RECONSTRUCTION OF THE MUSHROOM CARE (LATISSIMUS DORSI FLAP)

 

This form of reconstruction is done by a linked muscular lobe (m. Latisimus dorsi) in combination or without a permanent silicone implant. The advantage of this operation is a shorter duration of operation compared to free microvascular lutes, adequate implant cover and simpler breast symmetrization. The disadvantages are the possibility of creating a capsule around the implants, a possible weakness of the arm, in the absence of muscle function.

 

BREAST RECONSTRUCTION FREE MUSCULAR LOBE DIEP

 

DIEP (Deep Inferior Epigastric Perforator Flap) is a method by which the breast is reconstructed by the free slit of the stomach tissue, and the muscle is almost completely preserved. This form of breast reconstruction is the most demanding method of reconstruction, which is done with the help of microsurgical techniques. The breast is formed from the abdominal wall tissue, which is used as a free muscular lobe, and besides, you receive a free belly tension surgery (by type of abdominoplasty). The advantages of this method are that the breast reconstruction uses its own tissue, and it is not necessary to use implants, a natural aesthetic result after surgery.

 

PREOPERATIVE PREPARATION

 

General health check and basic laboratory analysis are mandatory for all patients. It would be preferable to stop smoking, and taking drugs and preparations that affect blood coagulation.

During preoperative preparation, photo documentation should be completed, it is completed with photos during and after the surgery, as well as during rewinding.

 

SURGERY

 

  • Anesthesia: All surgical procedures for breast reconstruction are performed in general endotracheal anesthesia.
  • Duration: Depending on the selected reconstruction method, the surgical procedure lasts from 90 to 300 minutes.

 

POSTOPERATIVE FLOW

 

All general surgical complications are possible, such as hemorrhage, hematoma formation, swelling, underbites, infections, as well as ischemia and necrosis of the tissue are possible if it is the reconstruction of the free leaf. Our kind staff will explain to you all the steps.

 

COMPLICATIONS

 

Complications may indicate bleeding, hematoma formation, islet, outbursts, infections, and minor inequalities.

 

PRICE 1500 € – 3500 €

Dr. Nedžad RUSTEMPAŠIĆ
Vascular surgery

Objavio je preko 30 stručnih radova iz oblasti vaskularne hirurgije u referentnim naučnim časopisima. Kao autor/koautor napisao je 5 knjiga iz oblasti vaskularne i opće hirurgije od kojih je njegova knjiga o laserskom tretmanu proširenih vena koja je napisana  2016.g. ujedno i  prva knjiga na ovu temu u regiji. Dugogodišnji je edukator velikog broja vaskularnih hirurga u čitavoj BiH  a u zvanju docenta predavao je na Katedri za hirurgiju  na Medicinskom fakultetu u Sarajevu.

Uradio je preko 3000 operacija na krvnim sudovima a tokom svog dvadesetogodišnjeg angažmana na KCUS-u obavljao je funkciju šefa Odjela za vaskularnu hirurgiju i šefa Klinike za vaskularnu hirurgiju. Kao član transplantacionog tima uspješno je obavljao transplantacije bubrega uključujući i prvu nesrodnu transplantaciju bubrega u istoriji KCUS-a. 

Prvi je vaskularni hirurg iz BiH koji je započeo sa tretmanom proširenih vena savremenom laserskom metodom od 2011. god.

Obrazovanje

  • 2000. god. - Doktor medicine
  • 2006. god. - Specijalista opšte hirurgije
  • 2010. god. - Subspecijalista vaskularne hirurgije
  • 2010. god. - Magistar medicinskih nauka
  • 2013. god. - Doktor medicinskih nauka

Dosadašnja stručna edukacija:

  1. 2006. god. NAL Hospital, Throllatan, Švedska - usavršavanje hirurške tehnike iz oblasti vaskularne hirurgije.
  2. 2007. god. Brno, Bolnica Sveta Ana, Češka Republika, usavršavanje hirurške tehnike iz oblasti vaskularne hirurgije.
  3. 2007. god. Bolnica Zvezdara, Beograd, Srbija workshop:Konstrukcija AVF (arteriovenske fistule) za potrebe hemodijaliznog tretmana.
  4. 2009. god. Oslo, Norveška, Edukacija u sklopu Evropskog udruženja vaskularnih hirurga:  Kurs kolor doplera pregleda ekstremitetnih i vratnih arterija.
  5. 2009. god. Oslo, Norveška. Edukacija u sklopu Evropskog udruženja vaskularnih hirurga: Praktično usavršavanje karotidne endarterektomije.
  6. 2010. god. KCUS, NIR, škola (kurs ) kolor doplera
  7. 2011. god. Bolnica Nal, Trollhattan, Švedska - bazični kurs za endovaskularne intervencije.
  8. 2011. god. Ljubljana, Slovenija, Odjel kardiovaskularne hirurgije, Univerzitetsko klinički centar Ljubljana, Slovenija: Usavršavanje hirurške tehnike iz oblasti vaskularne hirurgije.
  9. 2011. god. Maribor, Slovenija,  Odjel za vaskularnu hirurgiju Univerzitetsko klinički centar Maribor: Usavršavanje hirurške tehnike iz oblasti vaskularne hirurgije.
  10.  2012. god. Bolnica Nal, Trollhattan, Švedska: Obrada podataka za izradu   doktorske disertacije pod mentorstvom prof. dr Johana Tjarnstroma, šefa  vaskularne hirurgije Regionalne bolnice NAL.
  11. 2012. god. Istanbul Turska; trening za laserski tretman proširenih vena i tretman proširenih kapilara (prof. dr Kürşat Bozkurt).
  12.  2013. god. Beograd, Srbija. Laserski tretman proširenih vena (Dr Petar Dragić).
  13. 2014. god. Maastricht, Nizozemska, Evropski venski centar za trening Evropskog udruženja  vaskularnih hirurga: Savremeni endovaskularni tretman proširenih vena
  14. 2015. god. Bon, Univerzitetska Klinika, Njemačka, Savremeni endovaskularni tretman proširenih vena
  15. 2015-2016. god. Federalno ministarstvo zdravstva BiH i Ekonomski fakultet u Sarajevu: Edukacija  iz zdravstvenog menadžmenta  ( SHCE 1,2,3 )
  16. 2017. god. Riga, Latvija, Internacionalni flebološki master kurs, endovenska termalna ablacija u modernom tretmanu proširenih vena