The Macmillan Cancer Support


charity says NHS centres should make available the full range of breast reconstruction options, including advice on saline and silicone implants.


brands on the market — understandable, if not clinically justified — in the wake of the PIP implant scandal. In the US, under the 1998 Federal Breast


Reconstruction Law, beneficiaries of health plans/health insurers undergoing mastectomy are covered for reconstruction of the breast on which the mastectomy has been performed, and surgery and reconstruction of the other breast to produce a symmetrical appearance. Physical complications may be subject to coinsurance. Individual states interpret the law in different ways3


,


4056 silkann prime_Layout 1 25/05/2012 10:55 Page 1 procedure availability improving, the last


and sometime impose (18- or 24-month) time limits for delayed surgery. So, with clinical standards rising and


part of the jigsaw is to improve patient and public awareness of the concept, in the way that the Dallas texting initiative has gone some way to chieve. Fortunately, the awareness wave is


| RECONSTRUCTIVE SURGERY | ANALYSIS References


1. Breast Reconstruction After Mastectomy. American Cancer Society. Atlanta, Georgia, 2010. http://tinyurl.com/2dx2ct8 (accessed 15August 2012)


already rolling. Given the assertion by the ASPS that 70% of women diagnosed with breast cancer remain in the dark about their reconstruction options following a mastectomy, the US Center for Restorative BreastSurgery (CRBS) is leading an initiative called 'BRA Day USA', on 17 October 2012. The Plastic Surgery Foundation (PSF) is a co-organiser with the ASPS. The groups say that there remains a


'consistent lack of awareness among patients regarding their rights and options for breast reconstruction'. This can have devastating results, which is what this BRA Day aims to do: 'educate and empower these women', according to CRBS co- founder and surgeon, Scott Sullivan MD. BRA Day USA is just one example of


awareness-raising initiatives surrounding breast reconstruction. Details can be found at www.bradayusa.org, and, of course, on Facebook (Facebook.com/


2. National Mastectomy and Breast reconstruction Audit 2011. NHS Information Centre. London, 2011. http://tinyurl.com/cj3t93u (accessed 15August 2012)


3. State Laws on Breast Reconstruction. American Society of Plastic Surgeons. Illinois 2011. http:// tinyurl.com/d8a9rgm (accessed 15August 2012)


BreastReconAwareness) and Twitter (@ BRADayUSA).


Conclusions More generally, what is happening in breast reconstruction is indicative of how health care is changing, and indeed moving from the prescriptive delivery of services to a system whereby the patient has a decision- making role in his or her own care, and is increasingly able to self-manage. It is a maturing approach to health care which is centred on improving outcomes.


aesthetic cannula innovations


Introducing a new range of flexible aesthetic cannulas from Sterimedix - a world leader in single-use cannulas.


Silkann is designed and manufactured in the UK to the highest levels of quality and consistency using state of the art manufacturing techniques.


• A new and unique screw type polycarbonate hub to reduce the risk of cannula detachment • Indicator on the hub to show port orientation during injection • The best port quality and consistency of port position • Ports designed to optimise the flow and performance of fillers whilst reducing injection forces. • Fully compatible with all syringes that conform to ISO 594-2


For more information call:


+44 (0)1527 405860 or visit: www.silkann.com


sales@sterimedix.com Silkann is a registered trade mark of Sterimedix Limited prime-journal.com | September2012 ❚


17


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84