{"id":16690,"date":"2020-08-02T16:39:26","date_gmt":"2020-08-02T12:39:26","guid":{"rendered":"http:\/\/clinichelena.kinsta.cloud\/?page_id=16690"},"modified":"2024-07-02T09:09:07","modified_gmt":"2024-07-02T07:09:07","slug":"sensing-breast-ms-tram","status":"publish","type":"page","link":"https:\/\/www.clinichelena.com\/en\/sensing-breast-ms-tram\/","title":{"rendered":"Sensing Breast Reconstruction  (MS-TRAM)"},"content":{"rendered":"\n<h1 class=\"wp-block-heading\">\u201cSensing Breast\u201d Reconstruction (MS-TRAM)   <\/h1>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-scaled.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-1024x683.jpg\" alt=\"Helena and a patient\" class=\"wp-image-17633\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-1024x683.jpg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-300x200.jpg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-768x512.jpg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-1536x1024.jpg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-2048x1365.jpg 2048w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-480x320.jpg 480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p class=\"ingressi\">Doctor Helena Puonti has been able to create the &#8220;Sensing Breast&#8221; reconstruction technique by adding a microneurovascular approach to the traditional Free Muscle Sparing TRAM* method.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Innovative Breast Reconstructive Surgery<\/h3>\n\n\n\n<p>Since 2001, <a href=\"https:\/\/www.clinichelena.com\/en\/helena-puonti\/\">Helena Puonti<\/a> has been developing a ground-breaking breast reconstruction method that allows the restoration of a high degree of sensation to the breasts after free MS-TRAM reconstruction. Doctor Helena Puonti&#8217;s <a href=\"https:\/\/helda.helsinki.fi\/handle\/10138\/173219\" target=\"_blank\" rel=\"noreferrer noopener\">dissertation<\/a> was published in 2017 and the research included results on ca. 100 patients.<\/p>\n\n\n\n<p>The shape of the newly reconstructed breast is important for the patient&#8217;s quality of life.  But Helena Puonti realised that even more important is the fact that the breast also feels. This is how the idea of the Sensing Breast method was born. <\/p>\n\n\n\n<p>The Sensing Breast method is a further developed version of MS-TRAM breast reconstruction method. The MS-TRAM* flap is the best transplant for breast reconstruction after mastectomy. It is soft and can naturally acquire the necessary shape. It is possible to reconstruct a round and, if necessary, large breast from it.<\/p>\n\n\n\n<p><em>* MS-TRAM stands for Muscle-Sparing Transverse Rectus Abdominis Myocutaneous flap and  microneurovascular describes the method of the flap connection.  <\/em><\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Sensing Breast Improving Day-to-Day Life<\/h3>\n\n\n\n<p>As with other things in life, not always do we remember to appreciate the importance of something until we lose it. And the same goes for the sensitivity of your breasts. <\/p>\n\n\n\n<p>There are many examples, of how not having sensation on the breasts can affect one&#8217;s everyday life. Without sensation, a woman can not feel a hot coffee, tea, or soup spilled on her or feel the pain if the sun is burning and damaging the skin of the breast. Imagine holding a baby in your arms or hugging your kids, without being able to feel their loving embrace. <\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast.jpeg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-1024x683.jpeg\" alt=\"Woman hugging her child\" class=\"wp-image-26189\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-1024x683.jpeg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-300x200.jpeg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-768x512.jpeg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-1536x1024.jpeg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-2048x1366.jpeg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p>In 2017, just days before the publication of Doctor Puonti&#8217;s study, NY Times wrote an <a href=\"https:\/\/www.nytimes.com\/2017\/01\/29\/well\/live\/after-mastectomies-an-unexpected-blow-numb-new-breasts.html\" target=\"_blank\" rel=\"noreferrer noopener\">article on the subject<\/a> showcasing the problems women all around the world face after the traditional breast reconstruction and highlighting the need for the Sensing Breast method.<\/p>\n\n\n\n<section class=\"wp-block-uagb-section uagb-section__wrap uagb-section__background-gradient uagb-block-7f5d1c08\"><div class=\"uagb-section__overlay\"><\/div><div class=\"uagb-section__inner-wrap\">\n<h2 class=\"wp-block-heading\">We are here to help You. <\/h2>\n\n\n\n<p class=\"ingressi\">If you would like to hear more about Your breast reconstruction options and if you would be eligible for the Sensing Breast reconstruction, you can access Helena Puonti&#8217;s consultation quickly and without a referral. <\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Why choose Clinic Helena:<\/h4>\n\n\n\n<ul class=\"ingressi wp-block-list\">\n<li>World-class expertise in breast reconstruction, using the most modern methods.<\/li>\n\n\n\n<li>Helena Puonti&#8217;s unique Sensing Breast-method &#8211; available only at Clinic Helena.<\/li>\n\n\n\n<li>Online consultation available.<\/li>\n\n\n\n<li>We help you with all travel arrangements including visas and invitations.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-uagb-buttons uagb-buttons__outer-wrap uagb-btn__default-btn uagb-btn-tablet__default-btn uagb-btn-mobile__default-btn uagb-block-5ef85789\"><div class=\"uagb-buttons__wrap uagb-buttons-layout-wrap \">\n<div class=\"wp-block-uagb-buttons-child uagb-buttons__outer-wrap uagb-block-f63d4803 wp-block-button\"><div class=\"uagb-button__wrapper\"><a class=\"uagb-buttons-repeater wp-block-button__link\" aria-label=\"\" href=\"https:\/\/www.clinichelena.com\/en\/contact\/\" rel=\"follow noopener\" target=\"_self\" role=\"button\"><div class=\"uagb-button__link\">Contact Us<\/div><\/a><\/div><\/div>\n\n\n\n<div class=\"wp-block-uagb-buttons-child uagb-buttons__outer-wrap uagb-block-da19dcf1 wp-block-button\"><div class=\"uagb-button__wrapper\"><a class=\"uagb-buttons-repeater wp-block-button__link\" aria-label=\"\" href=\"tel:+358442378021\" rel=\"follow noopener\" target=\"_self\" role=\"button\"><div class=\"uagb-button__link\">+358442378021<\/div><\/a><\/div><\/div>\n<\/div><\/div>\n<\/div><\/section>\n\n\n\n<h2 class=\"wp-block-heading\">Sensing Breast &#8211; Method Explained<\/h2>\n\n\n\n<p>In the Sensing Breast technique, the skin and fatty tissue from the lower abdominal area are transplanted to the site of the removed breast. Both the blood vessels <span style=\"text-decoration: underline;\">and the nerves<\/span> are grafted and connected to the blood vessels <span style=\"text-decoration: underline;\">and nerves<\/span> in the chest. The traditional method only connects the blood vessels.<\/p>\n\n\n\n<p>Donor site in the abdomen is then closed directly. The abdominal muscles remain almost intact. A patient of Doctor Puonti&#8217;s has even delivered a baby after this procedure.<\/p>\n\n\n\n<section class=\"wp-block-uagb-columns uagb-columns__wrap uagb-columns__background-none uagb-columns__stack-mobile uagb-columns__valign- uagb-columns__gap-10 align uagb-block-219aeb93 uagb-columns__columns-2 uagb-columns__max_width-theme\"><div class=\"uagb-columns__overlay\"><\/div><div class=\"uagb-columns__inner-wrap uagb-columns__columns-2\">\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-undefined uagb-block-bab82127\"><div class=\"uagb-column__overlay\"><\/div>\n<figure class=\"wp-block-image size-custom-square\"><a href=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/08\/Breast-reconstructions-MS-TRAM-kaavakuva.png\"><img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"300\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/08\/Breast-reconstructions-MS-TRAM-kaavakuva-300x300.png\" alt=\"Breast reconstructions - MS TRAM scheme\" class=\"wp-image-17218\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/08\/Breast-reconstructions-MS-TRAM-kaavakuva-300x300.png 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/08\/Breast-reconstructions-MS-TRAM-kaavakuva-150x150.png 150w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/08\/Breast-reconstructions-MS-TRAM-kaavakuva-255x255.png 255w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-undefined uagb-block-f91b3fce\"><div class=\"uagb-column__overlay\"><\/div>\n<p>In the figure, the blood vessels are marked in red and blue and nerves in yellow.<\/p>\n\n\n\n<p>Epigastric inferior blood vessels are connected to intramammaric vessels.<\/p>\n\n\n\n<p>Intercostal nerves Th XI and XII have been connected to intercostal Th IV and intercostobrachial (ICN) nerve.<\/p>\n\n\n\n<p>Nerve coaptation is covered with the NeuraGen-tube, which prevents the nerves from sprouting.<\/p>\n<\/div>\n<\/div><\/section>\n\n\n\n<h3 class=\"wp-block-heading\">Return of Sensation <\/h3>\n\n\n\n<p>The sensation in the reconstructed breast returns gradually.<\/p>\n\n\n\n<p>The first signs of sensation appear within about seven months after the nerves are sutured, and then skin sensation \u2013 sensitivity to cold, heat, and pain \u2013 gradually starts returning for up to 2-3 years.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method.jpeg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-1024x683.jpeg\" alt=\"\" class=\"wp-image-26194\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-1024x683.jpeg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-300x200.jpeg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-768x512.jpeg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-1536x1024.jpeg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/11\/clinichelena-sensing-breast-method-2048x1366.jpeg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p>What is important is that joining the nerves did not cause pain syndromes to the patients in the study. On the contrary, after the use of this reconstructive micro-neurovascular technique, there was less pain in the new TRAM breast compared to traditional methods of surgery without suturing the nerve endings. <\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><em>Helena Puonti\u2019s research is globally-renowned, state-of-the-art study which forms the basis for the PhD thesis she finished in 2017.<\/em><\/p>\n<\/blockquote>\n\n\n\n<h3 class=\"wp-block-heading\">Results of the Study<\/h3>\n\n\n\n<p>The research has shown that even one nerve of the MS-TRAM flap sutured to a healthy nerve of the breast area can bring good skin sensation to a new breast.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p>There are cases of complete recovery in which the breast gains normal sensation.<\/p>\n<\/blockquote>\n\n\n\n<p>With 2 nerve coaptations of the flap, the sensation recovery improved even further.<\/p>\n\n\n\n<p>After the nerves are connected, the sensation is restored to the TRAM breast to a much greater extent than without the neural coaptation.<\/p>\n\n\n\n<p>According to her research, all breasts regained sensation.<\/p>\n\n\n\n<p>On average, the sensation recovery in the whole group was over half (60%) of the normal breast sensation.<\/p>\n\n\n\n<p>However, there are cases of complete recovery in which the breast gains normal sensation.<\/p>\n\n\n\n<p>Unfortunately, radiotherapy and surgical scarring may impair sensation in the mastectomy area.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Prices<\/h2>\n\n\n\n<p>Breast cancer and breast reconstruction prices vary as all surgeries are designed to fulfill the patient\u2019s needs. You can read more about&nbsp;<a href=\"https:\/\/www.clinichelena.com\/en\/prices-breast-cancer\/\">how the prices are determined here<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Sensing Breast Reconstruction Dissertation, Helena Puonti<\/h2>\n\n\n\n<section class=\"wp-block-uagb-columns uagb-columns__wrap uagb-columns__background-none uagb-columns__stack-mobile uagb-columns__valign- uagb-columns__gap-10 align uagb-columns__reverse-mobile uagb-block-7bef85d3 uagb-columns__columns-2 uagb-columns__max_width-theme\"><div class=\"uagb-columns__overlay\"><\/div><div class=\"uagb-columns__inner-wrap uagb-columns__columns-2\">\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-undefined uagb-block-dd7c58eb\"><div class=\"uagb-column__overlay\"><\/div>\n<p><strong>Effects of microsurgical nerve repair on sensory function after breast reconstruction<\/strong><\/p>\n\n\n\n<p><strong>Helsinki University, medical science, Finland, 27.01.2017<\/strong><\/p>\n\n\n\n<p>A beautiful, naturally-shaped, and symmetrical breast mound will be created for a breast cancer patient after mastectomy using a free abdominal flap. The disadvantage with the breast reconstructed with this method is its lack of sensation, even some spontaneous reinnervation takes place from the surrounding tissues.<\/p>\n\n\n\n<p>The objective of the present study was to find and develop a method of dissecting and reconnecting nerves of the abdominal flap and the chest area in order to reconstruct a breast with sensation for the breast cancer patient. The first aim was to find out, which nerves in the chest and the flap, when coapted, would provide the best sensation to the reconstructed breast. The second aim was to investigate whether the dissecting of the nerves causes additional complications in the abdominal flap donor site. The third aim was to develop a better neurorrhaphy technique, using two nerve pedicles. The fourth aim was to assess and qualify the methods of sensory assessment employed in the study.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-uagb-column uagb-column__wrap uagb-column__background-undefined uagb-block-0951c71f\"><div class=\"uagb-column__overlay\"><\/div>\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/kirjan-kansikuva1.png\"><img loading=\"lazy\" decoding=\"async\" width=\"666\" height=\"938\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/kirjan-kansikuva1.png\" alt=\"Thesis cover - Sensing breast reconstruction\" class=\"wp-image-17836\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/kirjan-kansikuva1.png 666w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/kirjan-kansikuva1-213x300.png 213w\" sizes=\"auto, (max-width: 666px) 100vw, 666px\" \/><\/a><figcaption class=\"wp-element-caption\">Thesis cover<\/figcaption><\/figure>\n<\/div>\n<\/div><\/section>\n\n\n\n<h4 class=\"wp-block-heading\">Focus Group<\/h4>\n\n\n\n<p>Breast reconstruction with a free muscle-sparing transverse rectus abdominis myocutaneous flap (ms-TRAM flap) was performed in this study for 96 breast cancer patients in Savonlinna Central Hospital between 2001 and 2013. The reinnervation of the flap was performed in 44 patients with the novel dual neurorrhaphy technique and in 32 with single neurorrhaphy, and 20 breast reconstruction patients without flap reinnervation functioned as a control group.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Sensory Testing<\/h4>\n\n\n\n<p>The contralateral healthy breasts of 38 breast reconstruction patients were used as the reference site, and 20 healthy volunteer women participated sensory testing of healthy abdominal skin. The skin sensation of the reconstructed breast was assessed two years after the surgery. In addition, between 2006 and 2013, sensory testing of the skin of the mastectomized breast was performed prospectively before the reconstruction surgery, and the healthy breast, abdominal skin and the reconstructed breast skin were also tested one year after the surgery. Sensory tests included clinical sensory examinations, quantitative sensory tests (QST), skin samples, and neurophysiological somatosensory evoked potentials (SEP). Additionally, a patient questionnaire of patients&#8217; subjective sensory changes was carried out.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/10\/HelenaLinkedInArticle-scaled.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"905\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/10\/HelenaLinkedInArticle-1024x905.jpg\" alt=\"Helena Puonti\" class=\"wp-image-25654\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/10\/HelenaLinkedInArticle-1024x905.jpg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/10\/HelenaLinkedInArticle-300x265.jpg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/10\/HelenaLinkedInArticle-768x678.jpg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/10\/HelenaLinkedInArticle-1536x1357.jpg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/10\/HelenaLinkedInArticle-2048x1809.jpg 2048w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\">PhD Helena Puonti<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Nerve Connection<\/h4>\n\n\n\n<p>Both neurorrhaphy techniques provided the reconstructed breast with better skin sensation than without neurorrhaphy, and dual neurorrhaphy resulted in better sensory recovery than innervation with single neurorrhaphy. All available tactile nerves in the chest area proved to be capable of restoring sensation to the ms-TRAM flap breast. No significant complications occurred in the abdominal wall in the flap donor site with either of the neurorrhaphy techniques. Nerve coaptations did not cause pain symptoms, and the increase in the operative time was insignificant.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Sensory Fibre Recovery<\/h4>\n\n\n\n<p>The function of large myelinated sensory fibres (i.e. vibration and tactile detection) recovered best. The poorest recovery took place in small unmyelinated sensory fibres (i.e. thermal detection and sharp-blunt discrimination). As a result of breast cancer treatment, tactile and thermal sensitivity of the mastectomized skin was reduced already before breast reconstruction surgery.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Sensory Assessment Methods<\/h4>\n\n\n\n<p>All methods of sensory assessment employed in the study could detect the nerve damage caused by the surgery and measure nerve regeneration, with the exception of epithelial nerve fibre density (ENFD) testing, which could not identify nerve regeneration in the comparison of innervated and non-innervated breast reconstructions. Additionally objective SEP proved to be quite an insensitive method in diagnosing nerve damage, they might be suitable for follow-up of its recovery. QST and the clinical sharp-blunt discrimination test were the most sensitive tests both for the identification of sensory damage and nerve regeneration.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Conclusions<\/h4>\n\n\n\n<p>Based on this study, we recommend dual neurorrhaphy of the ms-TRAM flap in breast reconstruction for use in clinical practice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Patient Testimonials<\/h2>\n\n\n\n<section class=\"wp-block-uagb-section uagb-section__wrap uagb-section__background-undefined uagb-block-8add7e29\"><div class=\"uagb-section__overlay\"><\/div><div class=\"uagb-section__inner-wrap\"><style>.kt-post-loop16690_eab73a-e4 .kadence-post-image{padding-top:0px;padding-right:0px;padding-bottom:0px;padding-left:0px;}.kt-post-loop16690_eab73a-e4 .kt-post-grid-wrap{gap:30px 30px;}.kt-post-loop16690_eab73a-e4 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.kt-blocks-post-readmore{background-color:var(--ast-global-color-0);border-color:#444444;color:#ffffff;border-radius:50px;padding-top:10px;padding-right:20px;padding-bottom:10px;padding-left:20px;margin-top:20px;margin-right:0px;margin-bottom:20px;margin-left:0px;}.kt-post-loop16690_eab73a-e4 .entry-content .kt-blocks-post-readmore:hover{color:#ffffff;border-color:#555555;background-color:var(--ast-global-color-0);}.kt-post-loop16690_eab73a-e4 .kb-filter-item{border-top-width:0px;border-right-width:0px;border-bottom-width:2px;border-left-width:0px;padding-top:5px;padding-right:8px;padding-bottom:5px;padding-left:8px;margin-top:0px;margin-right:10px;margin-bottom:0px;margin-left:0px;}@media all and (max-width: 1024px){.kt-post-loop16690_eab73a-e4 .kt-blocks-post-grid-item{border-top:1px solid #eeeeee;border-right:1px solid #eeeeee;border-bottom:1px solid #eeeeee;border-left:1px solid #eeeeee;}}@media all and (max-width: 767px){.kt-post-loop16690_eab73a-e4 .kt-blocks-post-grid-item{border-top:1px solid #eeeeee;border-right:1px solid #eeeeee;border-bottom:1px solid #eeeeee;border-left:1px solid #eeeeee;}}<\/style><div class=\"wp-block-kadence-postgrid kt-blocks-post-loop-block alignnone kt-post-loop16690_eab73a-e4 kt-post-grid-layout-grid \"><div class=\"kt-post-grid-layout-grid-wrap kt-post-grid-wrap\" data-columns-xxl=\"2\" data-columns-xl=\"2\" data-columns-md=\"2\" data-columns-sm=\"2\" data-columns-xs=\"1\" data-columns-ss=\"1\"data-item-selector=\".kt-post-masonry-item\" aria-label=\"Post Carousel\"><article class=\"kt-blocks-post-grid-item post-22342 post type-post status-publish format-standard has-post-thumbnail hentry category-testimonials tag-breast-reconstruction tag-ms-tram\"><div class=\"kt-blocks-post-grid-item-inner-wrap kt-feat-image-align-top kt-feat-image-mobile-align-top\"><div class=\"kadence-post-image\"><div class=\"kadence-post-image-intrisic kt-image-ratio-66-67\" style=\"padding-bottom:66.67%;\"><div class=\"kadence-post-image-inner-intrisic\"><a aria-hidden=\"true\" tabindex=\"-1\" role=\"presentation\" href=\"https:\/\/www.clinichelena.com\/en\/testimonials\/helena-saved-my-life\/\" aria-label=\"Helena Saved My Life\" class=\"kadence-post-image-inner-wrap\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-1024x683.jpg\" class=\"attachment-large size-large wp-post-image\" alt=\"Helena and a patient\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-1024x683.jpg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-300x200.jpg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-768x512.jpg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-1536x1024.jpg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-2048x1365.jpg 2048w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/08-480x320.jpg 480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/div><\/div><\/div><div class=\"kt-blocks-post-grid-item-inner\"><header><h2 class=\"entry-title\"><a href=\"https:\/\/www.clinichelena.com\/en\/testimonials\/helena-saved-my-life\/\">Helena Saved My Life<\/a><\/h2><div class=\"kt-blocks-post-top-meta\"><\/div><\/header><div class=\"entry-content\">I was a 34-year-old single mum with a two-year-old daughter, living quite a busy life. I had a demanding job where I was responsible for&#8230;<div class=\"kt-blocks-post-readmore-wrap\"><a class=\"kt-blocks-post-readmore\" href=\"https:\/\/www.clinichelena.com\/en\/testimonials\/helena-saved-my-life\/\">Read more<span class=\"screen-reader-text\"> Helena Saved My Life<\/span><\/a><\/div><\/div><footer class=\"kt-blocks-post-footer\"><div class=\"kt-blocks-post-footer-left\"><div class=\"kt-blocks-tags kt-blocks-post-footer-section\"><span class=\"kt-blocks-tags-icon\"><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"kt-blocks-tag-svg\" width=\"36\" height=\"32\" fill=\"currentColor\" viewBox=\"0 0 36 32\"><title>Tags<\/title><path d=\"M34.939 19.939l-8.879-8.879c-0.583-0.583-1.736-1.061-2.561-1.061h-18c-0.825 0-1.5 0.675-1.5 1.5v19c0 0.825 0.675 1.5 1.5 1.5h18c0.825 0 1.977-0.477 2.561-1.061l8.879-8.879c0.583-0.583 0.583-1.538-0-2.121zM25 24c-1.657 0-3-1.343-3-3s1.343-3 3-3 3 1.343 3 3-1.343 3-3 3z\"><\/path><path d=\"M2 8h21l-0.939-0.939c-0.583-0.583-1.736-1.061-2.561-1.061h-18c-0.825 0-1.5 0.675-1.5 1.5v19c0 0.825 0.675 1.5 1.5 1.5h0.5v-20z\"><\/path><\/svg><\/span><a href=\"https:\/\/www.clinichelena.com\/en\/tag\/breast-reconstruction\/\" rel=\"tag\">Breast Reconstruction<\/a>, <a href=\"https:\/\/www.clinichelena.com\/en\/tag\/ms-tram\/\" rel=\"tag\">MS-TRAM<\/a><\/div><\/div><div class=\"kt-blocks-post-footer-right\"><\/div><\/footer><\/div><\/div><\/article><article class=\"kt-blocks-post-grid-item post-22341 post type-post status-publish format-standard has-post-thumbnail hentry category-testimonials tag-breast-cancer tag-mastectomy tag-ms-tram\"><div class=\"kt-blocks-post-grid-item-inner-wrap kt-feat-image-align-top kt-feat-image-mobile-align-top\"><div class=\"kadence-post-image\"><div class=\"kadence-post-image-intrisic kt-image-ratio-66-67\" style=\"padding-bottom:66.67%;\"><div class=\"kadence-post-image-inner-intrisic\"><a aria-hidden=\"true\" tabindex=\"-1\" role=\"presentation\" href=\"https:\/\/www.clinichelena.com\/en\/testimonials\/tram-flap-reconstruction\/\" aria-label=\"TRAM Flap Reconstruction\" class=\"kadence-post-image-inner-wrap\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-1024x682.jpg\" class=\"attachment-large size-large wp-post-image\" alt=\"Rehabilitation - Psychological support\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-1024x682.jpg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-300x200.jpg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-768x512.jpg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-1536x1024.jpg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-2048x1365.jpg 2048w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2020\/09\/14-480x320.jpg 480w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/div><\/div><\/div><div class=\"kt-blocks-post-grid-item-inner\"><header><h2 class=\"entry-title\"><a href=\"https:\/\/www.clinichelena.com\/en\/testimonials\/tram-flap-reconstruction\/\">TRAM Flap Reconstruction<\/a><\/h2><div class=\"kt-blocks-post-top-meta\"><\/div><\/header><div class=\"entry-content\">The patient had been diagnosed with breast cancer three years earlier and her left breast had been removed then. Losing a breast is always a&#8230;<div class=\"kt-blocks-post-readmore-wrap\"><a class=\"kt-blocks-post-readmore\" href=\"https:\/\/www.clinichelena.com\/en\/testimonials\/tram-flap-reconstruction\/\">Read more<span class=\"screen-reader-text\"> TRAM Flap Reconstruction<\/span><\/a><\/div><\/div><footer class=\"kt-blocks-post-footer\"><div class=\"kt-blocks-post-footer-left\"><div class=\"kt-blocks-tags kt-blocks-post-footer-section\"><span class=\"kt-blocks-tags-icon\"><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"kt-blocks-tag-svg\" width=\"36\" height=\"32\" fill=\"currentColor\" viewBox=\"0 0 36 32\"><title>Tags<\/title><path d=\"M34.939 19.939l-8.879-8.879c-0.583-0.583-1.736-1.061-2.561-1.061h-18c-0.825 0-1.5 0.675-1.5 1.5v19c0 0.825 0.675 1.5 1.5 1.5h18c0.825 0 1.977-0.477 2.561-1.061l8.879-8.879c0.583-0.583 0.583-1.538-0-2.121zM25 24c-1.657 0-3-1.343-3-3s1.343-3 3-3 3 1.343 3 3-1.343 3-3 3z\"><\/path><path d=\"M2 8h21l-0.939-0.939c-0.583-0.583-1.736-1.061-2.561-1.061h-18c-0.825 0-1.5 0.675-1.5 1.5v19c0 0.825 0.675 1.5 1.5 1.5h0.5v-20z\"><\/path><\/svg><\/span><a href=\"https:\/\/www.clinichelena.com\/en\/tag\/breast-cancer\/\" rel=\"tag\">Breast cancer<\/a>, <a href=\"https:\/\/www.clinichelena.com\/en\/tag\/mastectomy\/\" rel=\"tag\">mastectomy<\/a>, <a href=\"https:\/\/www.clinichelena.com\/en\/tag\/ms-tram\/\" rel=\"tag\">MS-TRAM<\/a><\/div><\/div><div class=\"kt-blocks-post-footer-right\"><\/div><\/footer><\/div><\/div><\/article><\/div><\/div><!-- .wp-block-kadence-postgrid --><\/div><\/section>\n\n\n\n<h2 class=\"wp-block-heading\">Related Posts<\/h2>\n\n\n\n<section class=\"wp-block-uagb-section uagb-section__wrap uagb-section__background-undefined uagb-block-db49db38\"><div class=\"uagb-section__overlay\"><\/div><div class=\"uagb-section__inner-wrap\"><style>.kt-post-loop16690_d472c0-8b 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data-columns-ss=\"1\"data-item-selector=\".kt-post-masonry-item\" aria-label=\"Post Carousel\"><article class=\"kt-blocks-post-grid-item post-25831 post type-post status-publish format-standard has-post-thumbnail hentry category-news tag-breast-cancer tag-clinic-helena\"><div class=\"kt-blocks-post-grid-item-inner-wrap kt-feat-image-align-top kt-feat-image-mobile-align-top\"><div class=\"kadence-post-image\"><div class=\"kadence-post-image-intrisic kt-image-ratio-66-67\" style=\"padding-bottom:66.67%;\"><div class=\"kadence-post-image-inner-intrisic\"><a aria-hidden=\"true\" tabindex=\"-1\" role=\"presentation\" href=\"https:\/\/www.clinichelena.com\/en\/news\/european-cross-border-healthcare\/\" aria-label=\"European Cross-border Healthcare\" class=\"kadence-post-image-inner-wrap\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"667\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/07\/Rintojen-omatarkkailu-rintasyopakampanja-1.jpeg\" class=\"attachment-large size-large wp-post-image\" alt=\"Cross-border health care\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/07\/Rintojen-omatarkkailu-rintasyopakampanja-1.jpeg 1000w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/07\/Rintojen-omatarkkailu-rintasyopakampanja-1-300x200.jpeg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/07\/Rintojen-omatarkkailu-rintasyopakampanja-1-768x512.jpeg 768w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><\/a><\/div><\/div><\/div><div class=\"kt-blocks-post-grid-item-inner\"><header><h2 class=\"entry-title\"><a href=\"https:\/\/www.clinichelena.com\/en\/news\/european-cross-border-healthcare\/\">European Cross-border Healthcare<\/a><\/h2><div class=\"kt-blocks-post-top-meta\"><\/div><\/header><div class=\"entry-content\">Did you know, that EU citizens ( and United Kingdom citizens) have the right to access healthcare in any EU country and to be reimbursed&#8230;<div class=\"kt-blocks-post-readmore-wrap\"><a class=\"kt-blocks-post-readmore\" href=\"https:\/\/www.clinichelena.com\/en\/news\/european-cross-border-healthcare\/\">Read more<span class=\"screen-reader-text\"> European Cross-border Healthcare<\/span><\/a><\/div><\/div><footer class=\"kt-blocks-post-footer\"><div class=\"kt-blocks-post-footer-left\"><div class=\"kt-blocks-tags kt-blocks-post-footer-section\"><span class=\"kt-blocks-tags-icon\"><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"kt-blocks-tag-svg\" width=\"36\" height=\"32\" fill=\"currentColor\" viewBox=\"0 0 36 32\"><title>Tags<\/title><path d=\"M34.939 19.939l-8.879-8.879c-0.583-0.583-1.736-1.061-2.561-1.061h-18c-0.825 0-1.5 0.675-1.5 1.5v19c0 0.825 0.675 1.5 1.5 1.5h18c0.825 0 1.977-0.477 2.561-1.061l8.879-8.879c0.583-0.583 0.583-1.538-0-2.121zM25 24c-1.657 0-3-1.343-3-3s1.343-3 3-3 3 1.343 3 3-1.343 3-3 3z\"><\/path><path d=\"M2 8h21l-0.939-0.939c-0.583-0.583-1.736-1.061-2.561-1.061h-18c-0.825 0-1.5 0.675-1.5 1.5v19c0 0.825 0.675 1.5 1.5 1.5h0.5v-20z\"><\/path><\/svg><\/span><a href=\"https:\/\/www.clinichelena.com\/en\/tag\/breast-cancer\/\" rel=\"tag\">Breast cancer<\/a>, <a href=\"https:\/\/www.clinichelena.com\/en\/tag\/clinic-helena\/\" rel=\"tag\">Clinic Helena<\/a><\/div><\/div><div class=\"kt-blocks-post-footer-right\"><\/div><\/footer><\/div><\/div><\/article><article class=\"kt-blocks-post-grid-item post-24436 post type-post status-publish format-standard has-post-thumbnail hentry category-news tag-breast-cancer tag-selfexamination\"><div class=\"kt-blocks-post-grid-item-inner-wrap kt-feat-image-align-top kt-feat-image-mobile-align-top\"><div class=\"kadence-post-image\"><div class=\"kadence-post-image-intrisic kt-image-ratio-66-67\" style=\"padding-bottom:66.67%;\"><div class=\"kadence-post-image-inner-intrisic\"><a aria-hidden=\"true\" tabindex=\"-1\" role=\"presentation\" href=\"https:\/\/www.clinichelena.com\/en\/news\/how-to-check-your-breasts\/\" aria-label=\"How to check breasts by yourself?\" class=\"kadence-post-image-inner-wrap\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/07\/Rintojen-omatarkkailu-rintasyopakampanja-2-1024x682.jpeg\" class=\"attachment-large size-large wp-post-image\" alt=\"\" srcset=\"https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/07\/Rintojen-omatarkkailu-rintasyopakampanja-2-1024x682.jpeg 1024w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/07\/Rintojen-omatarkkailu-rintasyopakampanja-2-300x200.jpeg 300w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/07\/Rintojen-omatarkkailu-rintasyopakampanja-2-768x512.jpeg 768w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/07\/Rintojen-omatarkkailu-rintasyopakampanja-2-1536x1024.jpeg 1536w, https:\/\/www.clinichelena.com\/wp-content\/uploads\/2021\/07\/Rintojen-omatarkkailu-rintasyopakampanja-2.jpeg 1880w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/div><\/div><\/div><div class=\"kt-blocks-post-grid-item-inner\"><header><h2 class=\"entry-title\"><a href=\"https:\/\/www.clinichelena.com\/en\/news\/how-to-check-your-breasts\/\">How to check breasts by yourself?<\/a><\/h2><div class=\"kt-blocks-post-top-meta\"><\/div><\/header><div class=\"entry-content\">It is worth taking breast self-checks into your monthly routines. A good time for a breast self-check could be for example every month after your&#8230;<div class=\"kt-blocks-post-readmore-wrap\"><a class=\"kt-blocks-post-readmore\" href=\"https:\/\/www.clinichelena.com\/en\/news\/how-to-check-your-breasts\/\">Read more<span class=\"screen-reader-text\"> How to check breasts by yourself?<\/span><\/a><\/div><\/div><footer class=\"kt-blocks-post-footer\"><div class=\"kt-blocks-post-footer-left\"><div class=\"kt-blocks-tags kt-blocks-post-footer-section\"><span class=\"kt-blocks-tags-icon\"><svg version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"kt-blocks-tag-svg\" width=\"36\" height=\"32\" fill=\"currentColor\" viewBox=\"0 0 36 32\"><title>Tags<\/title><path d=\"M34.939 19.939l-8.879-8.879c-0.583-0.583-1.736-1.061-2.561-1.061h-18c-0.825 0-1.5 0.675-1.5 1.5v19c0 0.825 0.675 1.5 1.5 1.5h18c0.825 0 1.977-0.477 2.561-1.061l8.879-8.879c0.583-0.583 0.583-1.538-0-2.121zM25 24c-1.657 0-3-1.343-3-3s1.343-3 3-3 3 1.343 3 3-1.343 3-3 3z\"><\/path><path d=\"M2 8h21l-0.939-0.939c-0.583-0.583-1.736-1.061-2.561-1.061h-18c-0.825 0-1.5 0.675-1.5 1.5v19c0 0.825 0.675 1.5 1.5 1.5h0.5v-20z\"><\/path><\/svg><\/span><a href=\"https:\/\/www.clinichelena.com\/en\/tag\/breast-cancer\/\" rel=\"tag\">Breast cancer<\/a>, <a href=\"https:\/\/www.clinichelena.com\/en\/tag\/selfexamination\/\" rel=\"tag\">selfexamination<\/a><\/div><\/div><div class=\"kt-blocks-post-footer-right\"><\/div><\/footer><\/div><\/div><\/article><\/div><\/div><!-- .wp-block-kadence-postgrid --><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"<p>The Sensing Breast method allows the restoration of a high degree of sensation to the breasts after reconstruction.<\/p>\n","protected":false},"author":17,"featured_media":32196,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","site-sidebar-layout":"left-sidebar","site-content-layout":"default","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-16690","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.6 - 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