Haddad TJL, Torres GB, Bello SJA, Sánchez FE, Ruiz MS, Chávez AV, Vecchyo CC, Miranda HH, Sandoval GF

Language: Spanish
References: 0
Page: 210-219
PDF size: 164.96 Kb.

ABSTRACT

The main objective was to make a retrospective analysis of breast reconstruction procedures for mastectomy patients secondary to breast cancer, Phyllodes tumor, and Poland Syndrome, at the Plastic Surgery Department of the Hospital General de Mexico, between January 1995 and December 2000. Data such as name, age, preoperative diagnosis, selection of the procedure, intraoperative records, operating time, complications, postoperative outcome, secondary procedures and secondary therapy for cancer were obtained. 135 patients were breast reconstructed, most of them in the age group of 36 to 45 years old. Main diagnosis was breast carcinoma. One hundred and twenty three procedures were unilateral. Most patient were delayed reconstructions (67 cases), the mean time after mastectomy was 3 years, and 62 patients were reconstructed immediately after mastectomy. The reconstructive method most frequently used was the TRAM flap in 85 patients. Eighty eight patients underwent to secondary reconstructive procedures, mainly neoformation of nipple-aréola complex with contralateral mammoplasty and flap remodeling. The most frequent complication was partial epidermolysis of the flap. Fifty two patients were submitted to postreconstruction chemotherapy and 21 to radiotherapy without complications. All patients are candidates for breast reconstruction. We consider that autologous tissues is the best choice, of these, TRAM flap is the most popular in our service because provides volume, sufficient skin coverage, and also the patient receives an “extra” cosmetic procedure such as dermolipectomy, and avoid the need of breast prosthesis. The reconstructive procedures do not interfere with the recurrence, outcome or adjuvant chemotherapy and radiotherapy.