US Market Report for Breast Reconstruction 2017 – MedCore
Breast reconstruction following mastectomy for treatment of cancer is becoming increasingly popular in the United States. Breast reconstruction is a plastic surgery procedure in which the shape of the breast is rebuilt. The number of these reconstructive procedures represents less than 30% of plastic surgery breast augmentation procedures. Breast reconstruction is typically performed after mastectomy, although not all mastectomy patients elect to have reconstructive surgery. Elderly patients are not only less likely to opt for breast reconstruction surgery, but are less likely to proceed with a mastectomy following breast cancer diagnosis. The incidence of breast cancer has been increasing in women under the age of 40, and this population is much more likely not only to proceed with mastectomy, but to follow up with a breast reconstruction procedure. Over 130,000 mastectomies were performed in the U.S. in 2016, and of these, over 70% of patients elected for breast reconstruction surgery. This percentage was significantly higher in the U.S. compared with other countries. Therefore, in the United States, the number of breast reconstruction procedures is highly correlated with the number of mastectomies performed. The Womens Health and Cancer Rights Act (WHCRA), established in 1998, ensures full reimbursement for most procedures done on women with breast cancer who elect to have their breasts rebuilt following mastectomy. The procedure is extremely involved and is done in an inpatient setting. Breast reconstructions have started to be conducted immediately after the mastectomy procedure to reduce recovery time.
- Year: 2017
- Scope: 2013-2023
- Region: United States
- Published Date: 7/1/2017
- Pages: 530
- Type: MedCore
General Report Contents– Market Analyses include: Unit Sales, ASPs, Market Value & Growth Trends– Market Drivers & Limiters for each chapter segment– Competitive Analysis for each chapter segment– Section on recent mergers & acquisitionsThere are two main types of breast reconstruction procedures: tissue expander/implant based procedures and autologous tissue procedures. Tissue expander/implant (TEI) procedures involve the use either of an artificial implant or a saline filled implant that is expanded over time as the patient heals. TEI procedures account for approximately 80% of breast reconstructions. The higher percentage of TEI procedures compared to previous years is related to the increasing incidence of bilateral reconstructions, because if a patient elects to have both breasts reconstructed, usually the TEI procedure is their only option due to the limited amount of tissue that can be harvested during autologous procedures. The remaining breast reconstructions were completed with autologous tissue using techniques, of which the most popular were transverse rectus abdominis myocutaneous (TRAM) flap, deep inferior epigastric perforators (DIEP) flap, and latissimus dorsi myocutaneous (LDM) flap. TRAM flap procedures were the most popular type of autologous breast reconstruction procedure in 2016, constituting about 40% of autologous procedures, whereas DIEP and LDM flap procedures accounted for approximately 28% and 32% respectively. Due to the increased amount of tissue, including a significant amount of muscle, required to fully reconstruct a breast, complications related to abdominal weakness are more likely to arise following autologous breast reconstructions than any other type of autograft procedure from different indications. The recent introduction of the free TRAM flap procedure, which was designed to minimize these post-surgery complications, has partially remedied this problem.
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