Mastectomía radical con reconstrucción inmediata en el Instituto Autónomo Hospital Universitario de Los Andes, período junio 2012-abril 2015

Abstract

IntroductionBreast reconstruction is a fundamental part of the treatment of women with mastectomies. After finding that rebuilding a negative effect on the neoplastic disease, but is critical to the physical and psychological rehabilitation of the patient, its development has been favored. Selecting the right process depends on multiple factors such as patient age, stage of disease, smoking, obesity, adjuvant treatment, experience and technical capacity of the center where they will perform the reconstruction, among other. Materials and methodsA study of prospective, observational, descriptive and comparative clinical trial type was held between myocutaneous flaps extended dorsal and TRAM, in patients undergoing elective surgery. ResultsA total of 36 patients were included, divided into 2 groups of 20 patients TRAM group and 16 expanded dorsal group, with a mean age of 45.45±9,50 years old in the TRAM and the expanded dorsal group of 56.09±9.07 years old with a BMI in both groups ranged between 25.0-29.9. They were performed in 19 patients radical modified mastectomy Madden+TRAM type representing 80%, where 15% of this group symmetrize. A Halsted+TRAM bipedicled was performed representing 5%; the dorsal group underwent modified radical mastectomy Madden 100%, symmetrize the 31.3%. Overall complications was observed in patients TRAM group predominated operative wound infection and necrosis with 25.0% each, followed by seroma and wound dehiscence with 10% each, describing only one hernia totaling 11 patients, where 3 patients had 2 or more complications associated previously described; in extended dorsal group seroma they predominated with 18.8% and 12.5% necrosis, totaling 4 patients alike with 2 associated complications. ConclusionsThe post-mastectomy breast reconstruction with different techniques is a safe procedure that must be implemented in all centers where patients with breast cancer, and our service are handled Surgical Oncology.