{"id":7334,"date":"2022-01-31T09:00:00","date_gmt":"2022-01-31T09:00:00","guid":{"rendered":"https:\/\/www.hancockhealth.org\/?p=7334"},"modified":"2023-09-06T13:35:27","modified_gmt":"2023-09-06T13:35:27","slug":"understanding-breast-reconstruction","status":"publish","type":"post","link":"https:\/\/www.hancockhealth.org\/fr\/2022\/01\/understanding-breast-reconstruction\/","title":{"rendered":"Reconstruction mammaire 101"},"content":{"rendered":"
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\n Conseils de sant\u00e9<\/a> <\/div>\n\n

Reconstruction mammaire 101<\/h1>\n\n
\n\n 31 janvier 2022<\/span>\n\n
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Le Dr Sewit Amde aime son travail de chirurgienne plasticienne et reconstructrice pour de nombreuses raisons, notamment en aidant \u00e0 r\u00e9conforter et \u00e0 autonomiser les femmes qui ont subi une mastectomie. <\/p>\n<\/div>

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Elle rencontre souvent des femmes juste apr\u00e8s avoir re\u00e7u un diagnostic de cancer, lorsqu'elles ont peur. Elle les accompagne ensuite tout au long du processus de reconstruction mammaire, lorsqu'elles choisissent la taille et la forme de leurs nouveaux seins. <\/p>\n<\/div>

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\u00ab Ma participation au processus les aide \u00e0 se sentir mieux face aux d\u00e9cisions qu\u2019ils doivent prendre concernant leur cancer. Je pense que la reconstruction mammaire est toujours un \u00e9l\u00e9ment plus positif de ce qu\u2019elles doivent vivre \u00bb, a d\u00e9clar\u00e9 le Dr Amde. \u00ab Nous avons souvent l\u2019occasion de rire un peu et de ne pas trop parler du cancer. Au moment o\u00f9 nous avons termin\u00e9, ils se sentent entiers et ils sont pr\u00eats \u00e0 laisser tout cela derri\u00e8re eux. C'est un privil\u00e8ge de vivre ce voyage avec nos patients. Amde, qui est chirurgien doublement certifi\u00e9, r\u00e9alise deux types de reconstruction mammaire<\/a> proc\u00e9dures \u00e0 Hancock Health.<\/p>\n<\/div>

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Implants mammaires <\/h2>\n<\/div>
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La plupart des proc\u00e9dures de reconstruction mammaire en Am\u00e9rique (environ 75%) sont bas\u00e9es sur des implants, a d\u00e9clar\u00e9 le Dr Amde.<\/p>\n<\/div>

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Le processus n\u00e9cessite g\u00e9n\u00e9ralement deux proc\u00e9dures, une en m\u00eame temps que la mastectomie et une autre, la pose des implants, quelques mois plus tard. Lors de la premi\u00e8re intervention, votre chirurgien placera un expanseur tissulaire l\u00e0 o\u00f9 se trouvaient vos seins. L'extenseur est ensuite progressivement rempli de solution saline, \u00e9tirant votre poitrine et la pr\u00e9parant pour les implants. Une fois les expanseurs remplis \u00e0 la taille de poitrine souhait\u00e9e, une deuxi\u00e8me proc\u00e9dure est programm\u00e9e pour placer les implants mammaires.<\/p>\n<\/div>

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La premi\u00e8re proc\u00e9dure \u2013 la mastectomie et la mise en place des expanseurs tissulaires \u2013 se d\u00e9roule g\u00e9n\u00e9ralement en hospitalisation, n\u00e9cessitant une nuit \u00e0 l\u2019h\u00f4pital. La seconde, lors de la pose des implants, est ambulatoire, permettant de rentrer chez soi le jour m\u00eame. <\/p>\n<\/div>

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Une fois la deuxi\u00e8me proc\u00e9dure termin\u00e9e, le temps de r\u00e9cup\u00e9ration est estim\u00e9 entre trois et six semaines.<\/p>\n<\/div>

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Utiliser votre propre tissu pour un nouveau sein <\/h2>\n<\/div>
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Une autre fa\u00e7on de proc\u00e9der \u00e0 une reconstruction mammaire consiste \u00e0 d\u00e9placer une partie de votre peau et de vos tissus, soit de votre abdomen, soit de votre dos, vers votre poitrine, formant ainsi votre nouveau sein.<\/p>\n<\/div>

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Le Dr Amde utilise cette m\u00e9thode lorsqu'elle a besoin de tissus et de peau provenant d'une autre partie du corps pour terminer la proc\u00e9dure. Les radioth\u00e9rapies endommagent parfois les tissus thoraciques et la peau, il est donc n\u00e9cessaire d'utiliser une autre partie du corps pour construire de nouveaux seins ; les femmes qui retardent leur reconstruction des mois ou des ann\u00e9es apr\u00e8s leur mastectomie utilisent \u00e9galement g\u00e9n\u00e9ralement des tissus provenant d'autres parties de leur corps pour leurs nouveaux seins.<\/p>\n<\/div>

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Ce type de reconstruction, qui est similaire \u00e0 la proc\u00e9dure d'implantation mammaire d\u00e9crite ci-dessus, est une proc\u00e9dure hospitali\u00e8re, vous serez donc hospitalis\u00e9 pendant un ou plusieurs jours en fonction de votre situation individuelle. Le temps de r\u00e9cup\u00e9ration est d'environ six semaines.<\/p>\n<\/div>

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Aussi naturel que possible<\/h2>\n<\/div>
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Les patientes ayant subi une reconstruction mammaire peuvent g\u00e9n\u00e9ralement choisir que leurs nouveaux seins soient plus gros ou plus petits que leurs seins d'origine d'une ou deux tailles. <\/p>\n<\/div>

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\u00abNous prenons toujours en compte ce que veut le patient\u00bb, a d\u00e9clar\u00e9 le Dr Amde.<\/p>\n<\/div>

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Les tatouages sont \u00e9galement disponibles lorsque le mamelon et l'ar\u00e9ole d'un patient ne peuvent pas \u00eatre pr\u00e9serv\u00e9s, mais il est pr\u00e9f\u00e9rable d'essayer d'utiliser les parties du corps d'origine. Le tatouage m\u00e9dical n\u2019est pas suffisamment performant pour reproduire \u00e0 quoi ressemblent r\u00e9ellement les ar\u00e9oles, a-t-elle d\u00e9clar\u00e9.<\/p>\n<\/div>

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L'assurance paiera-t-elle ? <\/h2>\n<\/div>
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La r\u00e9ponse est probablement. Bien que vous deviez consulter votre compagnie d'assurance avant vos proc\u00e9dures, la plupart des r\u00e9gimes d'assurance couvrent les co\u00fbts de la reconstruction mammaire dans les situations m\u00e9dicalement n\u00e9cessaires, y compris les diagnostics de cancer et les mastectomies. (Ces proc\u00e9dures sont diff\u00e9rentes des augmentations mammaires, des liftings mammaires et des r\u00e9ductions mammaires, qui sont consid\u00e9r\u00e9es comme des proc\u00e9dures esth\u00e9tiques et ne sont g\u00e9n\u00e9ralement pas couvertes par les r\u00e9gimes d'assurance.)<\/p>\n<\/div>

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\u00ab M\u00eame s'il semble qu'une grande partie de ce que nous faisons soit esth\u00e9tique, elle reste nuanc\u00e9e \u00bb, a d\u00e9clar\u00e9 le Dr Amde. <\/p>\n<\/div>

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Des recherches ont montr\u00e9 que les femmes qui subissent une reconstruction apr\u00e8s une mastectomie sont plus confiantes et ont une vision plus positive de la vie, et c'est en partie la raison pour laquelle les r\u00e9gimes d'assurance couvrent la reconstruction mammaire.<\/p>\n<\/div>

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\u00ab Ce que mes patients me disent, c'est qu'apr\u00e8s leur reconstruction, ils ont le sentiment de pouvoir recommencer \u00e0 porter ce qu'ils portaient dans le pass\u00e9 \u00bb, a d\u00e9clar\u00e9 le Dr Amde. \u00ab Elles n\u2019ont tout simplement pas l\u2019impression de devoir continuellement modifier leur vie parce qu\u2019il leur manque un sein. \u00bb<\/p>\n<\/div>

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Une autre bonne nouvelle est que quelle que soit la m\u00e9thode que vous choisissez, la reconstruction mammaire est consid\u00e9r\u00e9e comme une proc\u00e9dure s\u00fbre. Si vous voulez en savoir plus sur reconstruction mammaire<\/a> ou toute autre intervention chirurgicale que nous effectuons, contactez le Dr Amde au Chirurgie plastique et reconstructive de Hancock<\/a> et visitez notre site chirurgical \u00e0 HancockSurgery.com.<\/a><\/p>\n<\/div>

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