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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2006, Number 1

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An Med Asoc Med Hosp ABC 2006; 51 (1)

Breast reconstruction with bilateral TRAM flap in patients with mastectomy by modelant mastopathy

Hadad TJL, Nieto PA, Saade JA, González LS, Muñoz OR, Rizo G

Language: Spanish
References: 18
Page: 24-.28
PDF size: 149.01 Kb.


ABSTRACT

Disease by adjuvants, is an autoimmune disease, that follows the injection or implant of foreign substances into the body. It is characterized by a systemic inflammatory response, which involves arthritis, arthralgias, local and regional adenopathy with an elevation of the serum globulins. Among the substances that have been recognized to trigger this disease mineral and vegetable oils, bacteria and silicon. In this article we include a study of six female patients, treated from March 2002 until March 2003, with an average age of 37.6 years old with a history of having injected their breasts with a foreign substance. All of the patients required the removal of the foreign substance and breast reconstruction. The patients were subjected to a subcutaneous mastectomy (5/6) and total mastectomy (1/6) and were reconstructed with a TRAM procedure simultaneous or immediate to the mastectomy. After a follow-up of fourteen months, only one patient presented with a haematoma, partial necrosis of the areola in another patient and partial necrosis of the graft without total loss of it in a third patient. The general outcome of the procedures was satisfactory in all of the patients with an acceptable morbidity of the donor site.


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