Breast reconstruction: 10 years experience
Introduction: Breast reconstruction after surgical treatment for breast cancer (one of the main cancers that affect women) has been progressively more recommended, given the benefits of psychological recovery and quality of life, whether using implants and/or autologous tissues. The present work aim...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2024-06-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/3440/1983-5175-rbcp-39-02-e0837-en.pdf |
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| author | Izadora Lorena Ferreira Reis Romeu Ferreira Daroda Carlaile Soares Franco Gabriel Felipe Silva Larissa Silva Leitão Daroda |
| author_facet | Izadora Lorena Ferreira Reis Romeu Ferreira Daroda Carlaile Soares Franco Gabriel Felipe Silva Larissa Silva Leitão Daroda |
| author_sort | Izadora Lorena Ferreira Reis |
| collection | DOAJ |
| description | Introduction: Breast reconstruction after surgical treatment for breast cancer (one of the main cancers that affect women) has been progressively more recommended, given the benefits of psychological recovery and quality of life, whether using implants and/or autologous tissues. The present work aims to demonstrate the team’s experience, and discuss operative techniques and complications concerning data from the world literature, in addition to verifying the applicability of the technique in the team’s clinical practice.
Method: Retrospective observational study developed at a university hospital in Juiz de Fora based on a review of medical records of patients who underwent mastectomy with breast reconstruction between 2010 and 2020.
Results: Of the 860 breasts treated, 84% underwent immediate oncological surgery and 16% were late; the main access to the breast tissue was the Stewart incision, followed by extended inframammary, periareolar, and inverted T incisions; regarding reconstructive techniques, 35% of cases used a latissimus dorsi muscle flap, 25% used a prepectoral prosthesis, 20% used a transverse rectus abdominis myocutaneous flap and 10% used a local muscle flap. The most common complications were surgical site dehiscence, followed by skin necrosis, seroma, surgical site infection, and hematoma, in addition to other less common complications such as chronic pain and prosthesis rupture after mammography.
Conclusion: Post-mastectomy breast reconstruction is essential for a woman’s physical and emotional recovery, with the techniques used in the last ten years being consistent, reliable, with low morbidity, and with excellent aesthetic results when correctly indicated. |
| format | Article |
| id | doaj-art-2d1d09ee3e8645a8a036c8be4bb0e899 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-2d1d09ee3e8645a8a036c8be4bb0e8992025-08-20T03:58:07ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352024-06-0139210.5935/2177-1235.2024RBCP0837-ENBreast reconstruction: 10 years experienceIzadora Lorena Ferreira Reis0Romeu Ferreira Daroda1Carlaile Soares Franco2Gabriel Felipe Silva3Larissa Silva Leitão Daroda4Hospital Universitário da Universidade Federal de Juiz de Fora, Juiz de Fora, MG, BrazilSociedade Brasileira de Cirurgia Plástica, Juiz de Fora, MG, BrazilHospital Universitário da Universidade Federal de Juiz de Fora, Juiz de Fora, MG, BrazilHospital Universitário da Universidade Federal de Juiz de Fora, Juiz de Fora, MG, BrazilHospital Universitário da Universidade Federal de Juiz de Fora, Juiz de Fora, MG, BrazilIntroduction: Breast reconstruction after surgical treatment for breast cancer (one of the main cancers that affect women) has been progressively more recommended, given the benefits of psychological recovery and quality of life, whether using implants and/or autologous tissues. The present work aims to demonstrate the team’s experience, and discuss operative techniques and complications concerning data from the world literature, in addition to verifying the applicability of the technique in the team’s clinical practice. Method: Retrospective observational study developed at a university hospital in Juiz de Fora based on a review of medical records of patients who underwent mastectomy with breast reconstruction between 2010 and 2020. Results: Of the 860 breasts treated, 84% underwent immediate oncological surgery and 16% were late; the main access to the breast tissue was the Stewart incision, followed by extended inframammary, periareolar, and inverted T incisions; regarding reconstructive techniques, 35% of cases used a latissimus dorsi muscle flap, 25% used a prepectoral prosthesis, 20% used a transverse rectus abdominis myocutaneous flap and 10% used a local muscle flap. The most common complications were surgical site dehiscence, followed by skin necrosis, seroma, surgical site infection, and hematoma, in addition to other less common complications such as chronic pain and prosthesis rupture after mammography. Conclusion: Post-mastectomy breast reconstruction is essential for a woman’s physical and emotional recovery, with the techniques used in the last ten years being consistent, reliable, with low morbidity, and with excellent aesthetic results when correctly indicated.http://www.rbcp.org.br/export-pdf/3440/1983-5175-rbcp-39-02-e0837-en.pdfbreastmammaplastybreast neoplasmssurgical flapsmusclespostoperative complicationsplastic surgery procedures |
| spellingShingle | Izadora Lorena Ferreira Reis Romeu Ferreira Daroda Carlaile Soares Franco Gabriel Felipe Silva Larissa Silva Leitão Daroda Breast reconstruction: 10 years experience Revista Brasileira de Cirurgia Plástica breast mammaplasty breast neoplasms surgical flaps muscles postoperative complications plastic surgery procedures |
| title | Breast reconstruction: 10 years experience |
| title_full | Breast reconstruction: 10 years experience |
| title_fullStr | Breast reconstruction: 10 years experience |
| title_full_unstemmed | Breast reconstruction: 10 years experience |
| title_short | Breast reconstruction: 10 years experience |
| title_sort | breast reconstruction 10 years experience |
| topic | breast mammaplasty breast neoplasms surgical flaps muscles postoperative complications plastic surgery procedures |
| url | http://www.rbcp.org.br/export-pdf/3440/1983-5175-rbcp-39-02-e0837-en.pdf |
| work_keys_str_mv | AT izadoralorenaferreirareis breastreconstruction10yearsexperience AT romeuferreiradaroda breastreconstruction10yearsexperience AT carlailesoaresfranco breastreconstruction10yearsexperience AT gabrielfelipesilva breastreconstruction10yearsexperience AT larissasilvaleitaodaroda breastreconstruction10yearsexperience |