Abstract

PASQUALE, GIUSEPPE et al. Experiencia En Reconstrucción Mamaria Posterior A La Mastectomía En El Instituto De Oncologia "Luis Razetti" 2000-2004. Rev. venez. oncol. [online]. 2006, vol.18, n.2, pp.98-102. ISSN 0798-0582.

OBJECTIVES: Analyze the experience with breast reconstruction after mastectomy in a group of patients who received treatment for breast cancer. METHODS: Retrospective review of the medical charts of female patients with a diagnosis of breast cancer who underwent breast reconstruction following mastectomy between January 2000 and December 2004. Age, tumor stage, time between radical surgery and breast reconstruction, surgical technique and postoperative complications were registered. RESULTS: A total of 146 patients underwent breast reconstruction, with a mean age of 41 years. In 110 patients breast reconstruction was performed with a myocutaneous latissimus dorsi flap (75.3 %) and in 36 patients a rectus anterior abdominal flap was done (24.7 %). In 69.9 % of patients breast reconstruction was done immediately after mastectomy. Postoperative complications due to the reconstructive procedure were seen in 30.8 % of patients. The main complication after latissimus dorsi reconstruction was a symptomatic capsular contraction (28.8 %), whereas after a rectus anterior abdominal flap, the abdominal incisional hernia was most commonly observed (13.3 %). CONCLUSIONS: Breast reconstruction after mastectomy is a safe procedure and can be done immediately after mastectomy, employing diverse surgical techniques. Adjuvant radiotherapy does not affect significantly the cosmetic results. These procedures offer considerable psychological benefits to the mastectomized patient and can be performed in any tumor stage without notably influencing postoperative outcome

Keywords : Cancer; breast; treatment; surgery; breast reconstruction; mastectomy.