University hospitals tend to perform surgery in a bigger and more serious way
For example, they cut it off
And a patient needs to be in the hospital for about one to two weeks
(Compared to university hospitals) Our hospital is relatively smaller
We perform surgery as small as we can
(Possible to leave the hospital on the very day) So that the patient can go home on the day of the surgery
Because we need to... go home...
Because the doctor needs to go home
(Of course) Yes
(SHINYU CLINIC)
(There are different types of breast cancer surgery?!)
When we hear someone had gotten breast cancer surgery
(Is it not?!) Most people tend to think of a mastectomy
Like flattening breast
There are two types: complete and partial
(Misunderstood truth) Only 30 percent of the patients get a complete mastectomy
The rest of them get a partial mastectomy
Almost 60 to 70 percent of the patients
It's not completely cutting off, but partially
A breast is divided quarterly
On the spot where the cancer is located
The part of the quarterly-divided breast will be cut off
And the rest, three-quarters, remains
(The half remains at least) Cutting off more 50 percent is not a common case
Even if a patient gets breast surgery
It's not common for a patient to have big breast cancer
It's rare
(Advanced cancer The state that the cancer spreads beyond the primary part) We called it advanced
Advanced breast cancer is
As of today
A rare case
Because the cancer can be detected in advance
So the patients visit the hospital when in 1st or 2nd stage
So now we have a totally different surgery process compared to the past
(Focus on the trend) We need to look into the trend
(Complete mastectomy is easier) If a complete mastectomy is performed
There's nothing left
So we can make breasts with implants
But today's trend is
To perform a partial mastectomy
(Different patients, different shapes..) Every patient has different shapes
They have different dented parts
(Hard to make shapes) It's hard to make shapes
If a breast is dented after surgery
(To reshape by autografting) We use patients' fats on their belly or back
To fill the dented part
We perform it in this way
Is it possible to reshape only in university hospitals?
People usually think of reshaping as a hard and big surgery
(Maybe most people) They would think that it's possible only in university hospitals
That was the common opinion
(Our hospital is available) There were so many patients like that
So I had no choice but to do it
(Subscription)
There are two kinds of reconstructive techniques
There's an immediate reconstruction
There's a delay reconstruction
(Immediate reconstruction=Reconstruction proceeds simultaneously with surgery)
It's actually convenient
I mean, at a university hospital
They usually have breast cancer surgery
They do it right away at the university hospital
(Delayed reconstruction=rebuilding after time) It's a little ambiguous to rebuild after delay
When should they do it
Breast cancer usually
Has the most recurrence within two years
All cancers are like that
They feel relieved after 2 years
After 5 years
They feel very relieved
I mean, thinking about rebuilding it by then
If you keep going to a university hospital
(Patients are exhausted...) You'll feel uncomfortable
It's so hectic
There are a lot of people
University hospitals are mostly rebuilding
There are more and more people
Who come to private hospitals and do it
(What's the difference between SHINYU's breast reconstruction and a university hospital?)
University hospitals have big surgeries
Cut it big!!
Patients have to stay at the hospital for a week or two
That's what they do
(Compared to university hospitals) For us.. our hospital is small
(Can be discharged on the same day with a little touch) I'll touch it a little bit
So that they can go home right away on that day
That's how I do it
(How do you do it??)
This is a trend, too
We also refer to trends in the U.S
But the trend in the U.S
(Reconstruction using only self-organization in the past) In the past, they used the belly fat of the patient
There were a lot of things like it
(At some point, they started using implants) It's gradually changing to implants
Our country is following them in that direction
We mostly put in implants
(Patient will feel comfortable) Because it's simple
(Simple reconstruction method: It's possible only when you have enough skin) But you have to see
How much skin you have left
If you don't have much skin
To get rid of belly fat or back fat
You need to take the skin from there and cover it over the area
(Method of breast reconstruction, implant + autograft) It can't only use implants
Using the autograft tecnique
There are quite a few cases that use both
I usually put in implants
But I couldn't handle it by only using implants
I had no choice but to use back/belly fat
(Same for complete mastectomy and partial mastectomy) For those who have been controlled safely
It's the same for those who have done partial mastectomy
Is there a problem with not getting the breast reconstruction??
If the patient says it's okay
They don't have to do it
Everything is like that
Even if it's uneven or asymmetrical
If they say it doesn't matter to them, they don't have to do it
But if that bothers them
One side is too big and the other side is too small
If they correct the difference
People are very comfortable
(Doctor who used to perform breast cancer surgery) You used to perform breast cancer surgeries
You must be good at reconstructive surgery?
So for those who came
During the breast cancer check-up
I also found quite a few breast cancer relapses
(Awesome) I sometimes find it
It's really absurd
Since I had done breast cancer surgery before
(I'll always repay your trust) I think they trust me more and come