Drucker ZM M, Bertrand SP

Language: Spanish
References: 10
Page: 141-145
PDF size: 67.45 Kb.

ABSTRACT

In breast cancer, in the majority of oncological centers, the recent trend is immediate reconstruction. The options for reconstruction are already well established, their advantages and disadvantages and the main complications. Nevertheless, in an effort to establish the factors that influence in a definitive way the decision of what reconstruction must be undertaken, we evaluated a total of 51 patients reconstructed with autologous tissue, with prosthesis or with a combination of both. The evaluation consisted of an analysis of the aesthetic outcome using a global scale of 10 points, one done by the patient herself and the other by a plastic surgeon not involved in the surgical procedure. Besides other important external factors such as radiotherapy and complications were analyzed for the aesthetic final outcome. Results demonstrated that the best aesthetic evaluations were obtained in patients that were reconstructed with autologous tissue. We believe that whenever possible this should always be the reconstructive option.

REFERENCES

1. Noone BR, Murphy JB, Apear SL, Little JW. A 6 year experience with immediate reconstruction after mastectomy for cancer. Plast Reconstr Surg 1985; 76: 2.

2. Hudson DA, Skoll PJ. Single Stage, Autologous breast restoration. Plast Reconstr Surg 2001; 108: 5.

3. Langstein HN, Cheng MH, Singletary E et al. Breast cancer recurrence after immediate reconstruction: Patterns and significance. Plast Reconstr Surg 2003; 111: 2.

4. Hartrampf CR, Bennett GK. Autogenous tissue reconstruction in the mastectomy patient. Ann Surg; 35: 5.

5. Clough KB, O Donoghue JM, Fitoussi AD et al. Prospective evaluation of late cosmetic results following breast reconstruction: I. Implant reconstruction. Plast Reconstr Surg 2001; 107: 7.

6. Al-Ghazal SK, Fallowfield L, Blamey RW. Comparison of psychological aspects and patient satisfaction following breast conserving surgery, simple mastectomy and breast reconstruction. Eur J Cancer 2000; 36.

7. Al-Ghazal SK, Fallowfield L, Blamey RW. Patient evaluation of cosmetic outcome after conserving surgery for treatment of primary breast cancer. Eur J Surg Oncol 1999; 25.

8. Tzafetta K, Ahmed O, Bahia H et al. Evaluation of the factors related to postmastectomy breast reconstruction. Plast Reconstr Surg 2001; 107: 7.

9. Clough KB, O Donoghue JM, Fitoussi AD et al. Prospective evaluation of late cosmetic results following breast recons-truction : II. TRAM flap reconstruction. Plast Reconstr Surg 2001; 107: 7.

10. Evans GR, Schusterman MA, Kroll SS. Reconstruction and the radiated breast: Is there a role for implants. Plast Reconstr Surg 1995; 96: 5.