medigraphic.com
ISSN 1561-2945 (Print)

2019, Number 3

<< Back Next >>

Revista Cubana de Cirugía 2019; 58 (3)

Application of lipotransference in breast reconstruction due to cancer

Sánchez WL, Torres PSF, Acosta-Batista C, Díaz PYI

Language: Spanish
References: 21
Page: 1-12
PDF size: 432.92 Kb.


ABSTRACT

Introduction: The aesthetic result of breast reconstruction depends on several factors that are difficult to evaluate. The application of lipotransference offers alternatives to achieve better aesthetic results and greater patient satisfaction.
Objective: To introduce the lipotransference technique in the Cuban National Institute of Oncology
Methods: A descriptive, prospective, longitudinal-section study was carried out in 10 patients who underwent lipotransfer technique for breast reconstruction due to cancer, who underwent surgery at the National Institute of Oncology and Radiobiology (INOR), in the period between November 2016 and November 2018.
Results: The technique was applied with better aesthetic results in reconstructed patients with tissue expansion. Tissue availability was improved and the damage from radiation therapy was cushioned. The amount of fat infiltrated was up to 400 ml, which favored improving the quality of the tissues and the contour of the reconstructed breast. Thus obtaining better symmetry.
Conclusions: The application of this complementary technique allows obtaining better aesthetic results and this better symmetry in patients reconstructed for breast cancer.


REFERENCES

  1. Amadou A, Torres Mejía G, Hainaut P, Romieu I. Breast cancer in Latin America: global burden, patterns, and risk factors. Salud Pública Mex. 2014;56:547-54.

  2. Anuario estadístico de salud. Ministerio de Salud Pública. Dirección de registros médicos y estadísticas de salud. La Habana; 2015.

  3. Gutowski KA. Current applications and safety of autologous fat grafts: a report of the ASPS fat graft task force. Plastic and reconstructive surgery. 2009;124(1):272-80.

  4. Ihrai T, Georgiou C, Machiavello JC, Chignon-Sicard B, Figl A. Autologous fat grafting and breast cancer recurrences: Retrospective analysis of a serie of 100 procedures in 64 patients. J Plast Surg Hand Surg. 2013;47:273-5.

  5. Sánchez L. Reconstrucción mamaria en pacientes con patología mamaria. Revista Cubana de Cirugía. 2013;52(2):154-61.

  6. Sánchez L, Mestre B, Galán Y. Reconstrucción mamaria posmastectomía en el Instituto Nacional de Oncología y Radiobiología de Cuba (2008-2012): Rev Cubana Cir. 2014;53(1):60-8.

  7. Sánchez L, Ortiz H, Reyes P, Cárenas I, Mestre B. La reconstrucción mamaria posmastectomía con colgajo miocutáneo de dorsal ancho y expansión tisular. Rev Cubana Cir. 2017:56(3):1-10.

  8. Carrillo G, Rodríguez G. Reconstrucción mamaria postmastectomía con implante de silicona: a propósito de 12 casos (resultados preliminares) Rev Cubana Oncol 14(2);1998:91-101 .

  9. Coleman SR. Facial recontouring with lipostructure. Clin Plast Surg. 1997;24(2):347-67.

  10. Auclair E, Blondeel P, Del Vecchio D.A. Composite breast augmentation: soft-tissue planning using implants and fat. Plastic and reconstructive surgery. 2013;132:558-68.

  11. Paredes H. Los beneficios de la lipotransferencia en la cirugía reconstructiva post cáncer de mama. Centro Integral de la Mama de Clínica Las Condes. Chile; 2017.

  12. López V. Estudio de las Variables Relacionadas con los Resultados de la Reconstrucción Mamaria Diferida tras Mastectomía por Cáncer de Mama. Tesis Doctoral. Universidad de Murcia; 2013.

  13. Smith ML, Clarke-Pearson EM, Vornovitsky M, Dayan JH, Samson W. The efficacy of simultaneous breast reconstruction and contralateral balancing procedures in reducing the need for second stage operations. Arch Plast Surg. 2014;41(5):535-41.

  14. Fu Y, Zhuang Z, Dewing M, Apple S, Chang H. Predictors for contralateral prophylactic mastectomy in breast cancer patients. Int J Clin Exp Pathol. 2015;8(4):3748-64.

  15. Krastev TK, Jonasse Y, Kon M. Oncological safety of autologous lipoaspirate grafting in breast cancer patients: a systematic review. Ann Surg Oncol. 2013;20:111-9.

  16. Khouri RK, Rigotti G, Marchi A, Cardoso E, Rotemberg S.C. Aesthetic applications of Brava-assisted mega volume fat grafting to the breasts: a 9-year, 476-patient, multicenter experience. Plastic and reconstructive surgery. 2014;133:796-807.

  17. Rigotti G, Marchi A, Stringhini P, Baroni G, Galie M, Molino AM, et al. Determining the oncological risk of autologous lipoaspirate grafting for post-mastectomy breast reconstruction. Aesthetic Plast Surg. 2010;34(4):475-80.

  18. Milad AL, Troudy EL, Liseth V, Duque JD. Mastectomía radical con reconstrucción inmediata en el Instituto Autónomo Hospital Universitario de Los Andes, período junio 2012-abril 2015. Rev Chil Cir. 2017;69(3):123-30.

  19. Rietjens M, De Lorenzi F, Rossetto F, Brenelli F, Manconi A. Safetyof fat graf ting in secondary breast reconstruction after cancer. J Plast Reconstr Aesthet Surg. 2011;64(4):477-83.

  20. GLOBOCAN. Estimated Cancer Incidence, Mortality and Prevalence World wide in 2012. International Agency for Research on Cancer. 2012 [acceso 04/11/2018]. Disponible en: http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx

  21. Pinell-White XA, Etra J, Newell M, Tuscano D, Shin K, Losken A, et al. Radiographic implications off at grafting to there constructed breast. Breast J. 2015;21:520-5.




2020     |     www.medigraphic.com