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Sectoral Resection With Flap Plastic for Breast Cancer treatment in the Best Hospitals in the World

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Adult and Pediatric Gynecology, Mammology, Obstetrics

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology, Obstetrics is included in the ranking of the top German departments specializing in obstetrics and breast cancer treatment! The department offers the full range of diagnostics and treatment of diseases of the female reproductive system, breast pathologies. Also, the specialists of the department provide a comprehensive management of pregnancy, childbirth and postpartum care for both mother and child. Key attention is paid to the treatment of female genital cancers, as well as breast cancer treatment. For this purpose, the department has all the modern therapeutic techniques, as well as its our own innovative developments by the department doctors.

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Helios Hospital Berlin-Buch

9.7/10
location_onGermany, Berlin

Department of Gynecology, Mammology and Obstetrics

The Department of Gynecology, Mammology and Obstetrics offers the full service range in these fields. The department specializes in the treatment of benign and malignant diseases of the female reproductive organs, breast, as well as comprehensive pregnancy management, childbirth and postpartum care. A treatment regimen is developed for each patient individually. Most surgical interventions can be performed using sparing surgical techniques. The department is certified by the German Cancer Society as the Center for Gynecologic Oncology, which indicates strict adherence to national treatment protocols and high quality of treatment.

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Obstetrics, Adult and Pediatric Gynecology

The Department of Obstetrics, Adult and Pediatric Gynecology offers the full range of services in these fields and specializes in the diagnostics and treatment of general gynecological diseases, oncological diseases of the female reproductive system, breast, endometrial pathologies and urinary incontinence. In the clinical practice, only proven accurate diagnostic methods and effective therapeutic measures are used. In addition, the department is the Level I Perinatal Center, in which about 3,000 babies are born annually.

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Obstetrics and Mammology ranks among the top German departments specializing in the provision of obstetric services and breast cancer treatment! The department offers all diagnostic and therapeutic options for patients of all ages with diseases of the female reproductive system, mammary gland, as well as provides the comprehensive pregnancy management, childbirth and postpartum care in accordance with the highest standards of modern obstetrics. One of the priority focuses of the department’s work is the treatment of oncopathology in women. All specialists have excellent qualifications and tremendous experience, and therefore they achieve successful results even in extremely difficult clinical cases.

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Gynecology, Mammology

According to the Focus magazine, the Department of Adult and Pediatric Gynecology, Mammology ranks among the top German medical facilities in the fields of its specialization! The department offers all options of modern medicine for the diagnostics and treatment of diseases of the female reproductive organs and breast. Of particular interest is the treatment of cancers of the female reproductive organs and breast (certification of the German Cancer Society). In addition, the department's doctors have exceptional competence in the treatment of gynecological problems in children of all age groups, including surgical correction of congenital malformations of the reproductive organs. The department is proud of its outstanding treatment results achieved thanks to the professional skills of doctors and excellent technical base.

University Hospital Muenster

9.8/10
location_onGermany, Muenster

Department of Mammology

The Department of Mammology offers the full range of interdisciplinary early diagnostics, surgical and conservative treatment of all diseases and pathologies of the mammary gland in women and men. The department specializes in the treatment of benign and malignant breast tumors and it is a recognized Breast Cancer Center in Muenster. When providing the diagnostics and treatment, the doctors use all modern techniques and the very latest medical advances.

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Gynecology, Obstetrics and Mammology

According to the Focus magazine, the Department of Gynecology, Obstetrics and Mammology ranks among the top German departments specializing in obstetrics and breast cancer treatment! The department offers the full range of services in its areas of specialization and is one of the largest medical facilities of this kind in Germany. Of particular interest is the treatment of oncopathology of the female reproductive system, including breast cancer, first-class obstetric care and comprehensive pregnancy management, gynecologic endocrinology and reproductive medicine. A highly competent team of doctors, who has tremendous experience and keeps abreast of the cutting-edge medical innovations, cares about the health of patients.

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Gynecology and Mammology

According to the Focus magazine, the Department of Gynecology and Mammology ranks among the top German departments specializing in breast cancer treatment! The department offers the full range of accurate diagnostics, conservative and surgical treatment of diseases of the female reproductive system, breast. The department’s state-of-art infrastructure, advanced diagnostic equipment and the highest professionalism of doctors allow for the achievement of excellent treatment results.

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Gynecology and Mammology

According to the Focus magazine, the Department of Gynecology and Mammology ranks among the top German departments specializing in breast cancer treatment! The department offers the full range of diagnostic and therapeutic services in its areas of specialization. Due to its successful clinical activities, the department has the status of a supraregional Competence Center for Surgical and Conservative Gynecologic Oncology, as well as of the leading Breast Cancer Center. All therapeutic measures meet the modern standards of both national and international specialized societies.

University Hospital RWTH Aachen

8.9/10
location_onGermany, Aachen

Department of Gynecology, Mammology and Obstetrics

According to the Focus magazine, the Department of Gynecology, Mammology and Obstetrics ranks among the top German medical facilities specializing in breast cancer treatment and provision of obstetric services! The department provides all modern medical services in the fields of its specialization. The gynecologists treat both general and oncological diseases of the female reproductive sphere. Should surgical treatment be required, minimally invasive techniques will be used. The department's mammologists specialize in the treatment of breast cancer using all the classic and innovative therapeutic options. The department is also the Level I Perinatal Center, in which the patient receives the highest quality pregnancy management, comfortable childbirth and postpartum care.

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Gynecology, Mammology and Obstetrics

The Department of Adult and Pediatric Gynecology, Mammology and Obstetrics offers the diagnostics and treatment of all gynecological diseases. The department specializes in the treatment of breast cancer and cancer of the female reproductive organs. All traditional and modern conservative and surgical methods are used for this purpose. The department also provides reliable and individual obstetric services at the Center for Mother and Child and offers all methods of prenatal diagnostics.

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Gynecology, Obstetrics and Mammology

According to the Focus magazine rating, the Department of Adult and Pediatric Gynecology, Obstetrics and Mammology ranks among the top German departments specializing in breast cancer treatment! The department offers the full range of services in these medical fields. In the field of gynecology, it provides the diagnostics and treatment of all pathologies of the female reproductive system, including the gynecological problems in girls aged from 0 to 18 years. The department's obstetricians provide quality care for expectant mothers before, during and after pregnancy. The department's scope of activities also includes the management of high-risk pregnancies. The key focus of clinical activities is the treatment of oncological diseases of the female genital organs, including breast cancer.

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Mammology

The Department of Mammology offers the full range of modern diagnostics and treatment of breast diseases. Of particular interest to the department's specialists is breast cancer therapy. More than 600 patients with such a diagnosis are treated here annually. The treatment is based on an individual approach, the use of advanced techniques, which often allow the doctor to avoid the radical resection.

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Gynecology, Mammology, Obstetrics and Perinatal Medicine

As the center of advanced medicine, the Department of Gynecology, Mammology, Obstetrics and Perinatal Medicine offers the full range of services in these fields, providing patients with optimal treatment based on the latest scientific achievements and innovative technologies. The scope of the department's tasks includes the diagnosis and treatment of all gynecological diseases, breast pathologies, as well as the management of pregnancy, childbirth, postpartum care for the mother and baby, elimination of fertility problems.

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Breast Center

According to the Focus magazine rating, the Breast Center ranks among the top medical institutions in Germany, specializing in breast cancer treatment! It provides the advanced diagnostics and effective treatment of all benign and malignant breast diseases in women and men. The priority focus is breast cancer therapy at both early and progressive stages. The doctors of the department have in their arsenal a variety of innovative medical and surgical methods, which provide the optimal results.

University Hospital Oldenburg

10/10
location_onGermany, Oldenburg

Department of Mammology, Gynecology and Obstetrics

The Department of Mammology, Gynecology and Obstetrics offers the full service range in these medical fields. The department has 3 operating rooms, where highly qualified doctors perform more than 3,000 operations annually. The department is equipped with 74 beds and 6 beds for outpatient surgeries. Also, the department delivers about 2000 babies every year. All diagnostic and therapeutic services meet the international medical standards.

In the developed countries, sectoral resection is the main treatment option for breast cancer. It is usually followed by breast reconstruction that allows a woman to restore her physical attractiveness. There are many types of breast reconstruction. The approach to breast reconstruction is individualized based on the stage of breast cancer, the size of the primary tumor, the type of the performed surgery, and the need for the subsequent radiation therapy.

What is sectoral breast resection

Sectoral resection is the breast conserving surgery that is performed in women with breast cancer. During the operation, the doctor removes not the whole mammary gland, but only a part of it that is affected by the malignant process. The removed sector can have different sizes, i.e. 1/8, 1/6 or 1/4 of the total breast volume. If a quarter of the breast is removed, this intervention is called a quadrantectomy.

The risk of breast cancer recurrence after a sectoral resection is comparable to the risk of breast cancer recurrence after a mastectomy. Therefore, organ-preserving surgery has become the main method of treating breast cancer in developed countries. The treatment scheme includes not only the removal of the tumor, but also the radiation therapy, as well as a sentinel lymph node biopsy or lymph node dissection (removal of 10 or more axillary lymph nodes).

What is breast reconstruction

Breast reconstruction includes restoring the size and shape of the breast. After removal of the tumor, the mammary gland may shrink and change its shape. These changes negatively affect the woman's appearance and psychological state.

In order to return to an active social life, to feel comfortable and confident, most women prefer to have breast reconstruction after the sectoral resection.

This surgery is not obligatory. The goals of breast reconstruction are no more than aesthetic. Surgery does not affect survival and the risk of breast cancer recurrence.

Widespread methods of breast reconstruction

There are dozens of breast reconstruction methods. Nevertheless, some of them are used more often than others. The most common methods of flap plastic are listed below.

The latissimus dorsi myocutaneous flap (LDM flap) usage is a reliable and low-traumatic method of breast reconstruction. The problem consists in the lack of tissues in the donor area. You can get a flap of no more than 300 ml from the broadest muscle of the back. Therefore, breast reconstruction is sometimes combined with implants.

The LDM flap allows restoring the lower quadrants of the breast, ensuring their natural ptosis. Often, surgeons transfer the LDM flap to the central breast area where the nipple-areola complex is located. In breast reconstruction after breast conserving surgery, this type of flap plastic is used even without a combination with silicone implants.

The main disadvantage of the LDM flap usage is formation of a scar on the back (in the donor area). Seroma often appears, which is an accumulation of fluid inside the tissues. Its presence slows down healing of a surgical wound.

In the best hospitals in the world, surgeons use the endoscopic method of harvesting a flap from the donor area. In addition, in recent years, muscle-preserving perforating flaps have been used in some surgical departments.

TRAM-flap (Transverse Rectus Abdominal Muscle) surgery involves obtaining material for flap plastics from the anterior abdominal wall. The method allows performing tissue transplantation in any volume. In most women, the subcutaneous fat on the abdomen is developed sufficiently so that the surgeon does not need to worry about a possible shortage of donor material.

If blood supply is sufficient, the flap does not atrophy. In addition, as a woman's weight changes, her breasts increase or decrease in proportion to her body mass. When using a TRAM-flap, an aesthetic, inconspicuous scar is formed in the donor area. 

The experience of a surgeon, who performs the flap plastic, is important. If an error in the marking occurs, when one inadequately supplying the muscular-vascular pedicle is selected, partial necrosis (death) of the flap is possible with a loss of up to 50% of its volume. This complication worsens the results of surgery and requires repeated flap plasty.

The best clinics in the world use the microsurgical technique for transferring free TRAM-flaps. The microsurgical technique ensures a good blood supply. In addition, surgeons abroad use flaps that do not increase the risk of hernia development against the background of the anterior abdominal wall weakening.

Many other flaps are used for reconstructive surgery after breast cancer removal. These are DIEP-flap (Deep Inferior Epigastric Artery Perforator flap), s-GAP- and i-GAP-flaps (from the buttocks), LTP-flap (lateral thigh perforator flap), etc. Since there are many methods of breast reconstruction, the doctor has the opportunity to choose the one that will lead to the best result, taking into account all medical factors.

How a doctor chooses a breast reconstruction method

The doctor chooses the optimal breast reconstruction technique based on the following factors.

Oncological diagnosis: the stage of breast cancer, the size of the primary tumor and its location, the volume of sectoral resection performed, the need for the subsequent radiation therapy.

State of the tissues in the area of ​​the upcoming breast reconstruction: the location and size of the scars, tissue density, the presence of post-radiation fibrosis, the size of the breast.

Patient's wishes: whether a woman wants to undergo breast reconstruction at the same time or some time after removal of the tumor, whether a woman wants to tighten the mammary glands, enlarge them or reduce them.

Additional factors: what methods of breast reconstruction are available in the hospital, the hospital’s material and technical resources including the availability of microsurgical equipment, the woman's health state, the state of the donor area, etc.

Influence of radiation therapy for breast cancer on the results of reconstruction

Radiation therapy is always performed for breast cancer treatment after breast conserving surgery. The radiation therapy affects the entire breast and the tumor bed. Sometimes it is also directed at the area of the lymph nodes and the lymph drainage tract.

Radiation therapy increases the clinical efficacy of breast cancer treatment, but impairs the aesthetic results of reconstructive surgery. It causes skin pigmentation, thickening of the mammary gland, and after implantation of breast endoprostheses, increases the degree of capsular contracture (formation of a dense capsule near the implant).

Plastic surgery of the breast with the woman's own tissues can be performed immediately after the sectoral resection. This surgery does not influence the results of breast cancer treatment. With the subsequent irradiation, the aesthetic results of the plasty do not deteriorate as much as in the case of using implants.

However, some women may experience breast deformity after radiation therapy for breast cancer. Such cases often require repeated surgery.

Why is it better to treat breast cancer abroad?

Many patients choose to undergo breast cancer treatment abroad. In the best hospitals in the world, surgery is effective and safe, good clinical and aesthetic results are achieved, modern medicines and the latest radiation methods are used.

Breast cancer is no longer a fatal disease for most women. Abroad, pathology is cured successfully in many patients. Doctors use plastic surgery to restore a woman's attractive appearance after breast cancer therapy.

Advantages of breast cancer treatment abroad include the following:

  1. Well-equipped hospitals. Microsurgical techniques and endoscopic equipment are used during breast cancer removal and breast reconstruction operations. The latest advances in plastic surgery are used for high-quality breast reconstruction.
  2. Better aesthetic results. Foreign doctors can not only cure breast cancer, but also restore the shape of the breast, increase or decrease its size, and perform a lift. If necessary, the nipple-areola complex is restored as well.
  3. Minimal complications. The use of new methods of plastic and reconstructive surgery makes breast reconstruction less invasive, more sparing and safer. In foreign hospitals, such complications as flap rejection, purulent processes, bleeding, etc. are very rare.
  4. Treatment after a surgery. The best foreign specialists achieve excellent clinical results in the treatment of breast cancer. They use the latest methods of radiation therapy that are very precise and safe. If indicated, systemic medicines are used (chemotherapy, hormonal therapy, targeted therapy).
  5. Cost of treatment. In some countries with the developed medicine, such as Germany or Israel, prices are higher, but the level of care is very high. Many patients choose to travel to Turkey, India or Thailand. There are many good hospitals in these countries and the cost of treatment of breast cancer is much lower there.

Breast cancer treatment abroad with Booking Health

If you want to undergo breast cancer treatment at one of the best hospitals in the world, you may use assistance of Booking Health. On the Booking Health portal you can find information about leading healthcare facilities, methods of treating breast cancer and flap plastics, doctors and prices. In addition, you can compare the cost of treatment in different hospitals and book a medical program at the best price.

The medical tourism company Booking Health will organize a trip abroad for breast cancer treatment. Services and benefits of Booking Health include:

  • Choosing a hospital for breast cancer surgery that performs breast reconstruction with the best aesthetic results
  • Reducing the waiting time for breast cancer treatment start and making an appointment in the clinic at a convenient for you date
  • Reducing the cost of treatment of breast cancer; prices for surgery are relatively low due to the exclusion of the additional coefficients for foreign patients
  • Reliable information about your expenses, the cost of treatment and individual medical procedures, funds remaining in the account
  • Elaboration of a medical program without repeating previous examinations
  • Communication with the hospital after the completion of sectoral resection and breast reconstruction
  • Buying and shipping drugs and other medical products
  • Organization of additional diagnostics or treatment in foreign hospitals

Booking Health specialists provide quality organizational and medical services. We will book a hotel and air tickets for you, organize a transfer from the airport to the hospital and back.




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