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Intermediate Technical IVT

two-stage reconstruction

Breast reconstruction approach using tissue expander placement followed by permanent implant exchange in a separate procedure.

Full Definition

Two-stage reconstruction is a breast reconstruction technique that involves two separate surgical procedures. The first stage typically involves placement of a tissue expander at the time of mastectomy or during a delayed reconstruction. Over several months, the expander is gradually inflated to stretch the skin and create a pocket for the final implant. The second stage involves removal of the tissue expander and placement of a permanent breast implant. This approach allows for controlled tissue expansion and may accommodate patients who require postoperative radiation therapy.

Usage

Usage note: Hyphenate when used as an adjective; may specify expander-to-implant reconstruction.

In Context

  • "The patient elected for two-stage reconstruction given the planned adjuvant radiation therapy." — Preoperative consultation
  • "Tissue expansion was completed, and the patient is scheduled for second-stage implant exchange." — Follow-up appointment note

Also known as

expander-implant reconstruction

Contrasted with

single-stage reconstruction direct-to-implant

Don't confuse with

tissue expansion

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