Abstract
Immediate breast reconstruction using endoprostheses is the most commonly performed reconstructive breast procedure in both the UK, USA and Russia, reaching 80% of all types of reconstruction. Tertiary reconstruction after previous breast surgeries may be required in case of complications of failed breast reconstruction or recurrence of disease. In foreign literature, the term tertiary reconstruction is commonly used for repeat reconstructive surgery. A literature review was conducted using the keywords: “одномоментная реконструкция молочной железы”, “reoperation in breast reconstruction”, “secondary reconstruction after immediate breast reconstruction”, “tertiary reconstruction with autologous tissue”.It has been established that repeated operations using anterior abdominal wall flaps after one-stage breast reconstruction have a good healing outcome and satisfy the aesthetic needs of patients.Conclusion. Tertiary reconstruction after a long period of implant placement is motivated by undesirable symptoms (breast pain, psychological discomfort), cosmetic dissatisfaction of patients, late infections, development of cancer of the contralateral breast or recurrence of the disease on the side of reconstruction.
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