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Your Health Today

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Online issues:

February 2013 - Urgent Care
August 2012 - Take Care of Your Heart
April 2012 - Sports & Therapy Services
November 2011 - Senior Health
Fall 2011 - Primary Care
Summer 2011 - Breast Cancer Care
Spring 2011 - Heart Care
Winter 2011 - Emergency Services
Fall 2010 - Sleep Center
Summer 2010 - Ask the Doctor

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Surgeons in operating room

Advances in Breast Reconstruction


Microsurgery spares muscle.


Board-certified plastic surgeon Samer Cabbabe, MD, works delicately to restore what breast cancer has taken away. Dr. Cabbabe, who has expertise in all types of breast reconstruction, especially microvascular techniques, comes to St. Anthony's because it is the only private hospital in the region with advanced microsurgical equipment used for breast reconstruction.

“I try to come here and learn from him as often as I can because these advanced procedures are not taught in other places,” says medical resident Matt Nykiel, MD, from Saint Louis University School of Medicine.

Dr. Cabbabe is the only private practitioner in Missouri performing muscle-sparing procedures that utilize fat and skin taken from a women's lower abdomen to reconstruct a breast following cancer surgery. The abdominal flap is transferred to the breast area with an artery or vein attached so that adequate blood supply can be restored once it is microsurgically attached in the chest area. Minimal or no abdominal muscle is taken.

Previous procedures (known as TRAM flaps) removed half of the abdominal wall muscle for each reconstructed breast. With the latest microsurgical procedures, called DIEP and SIEA flap breast reconstruction, patients have fewer complications, a much smaller scar and better results.

“Breast reconstruction has advanced beyond just using implants,” says Dr. Cabbabe. “Women have multiple options to have their breast restored to a firm, natural appearance.”

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