Study of post-mastectomy immediate breast reconstruction in rural set up

Abstract

Background: As the number of mammary reconstruction surgeries performed has increased in recent years, reconstructive surgery of the nipple and areola has also become more widespread. This study was planned to check feasibility of Post mastectomy Immediate Breast Reconstruction in rural set up. Methodology: Prospective observational study conducted in 30 patients with diagnosed breast malignancy. After proper evaluation, history and physical examination patient were posted for surgery. LD flap and TRAM flap surgery depending on the stage of the patient and extent of the disease were done. Patients were evaluated in the post-operative period for pain, discomfort, development of complications. All the patients were followed up for 6 months during which patient complications and satisfaction noted. Results: Mean age of patients undergoing immediate post-operative breast reconstruction was 39.5 yrs (28-55yrs). 39.28% patients who underwent Post Mastectomy Immediate Breast Reconstruction had stage II A of Breast Carcinoma, 35.72% patients had stage IIB, 14.28% patients had stage IIIA disease and 10% patients had stage IIIB disease. 18.18% patients who underwent LD flap reconstruction had marginal flap necrosis. Conclusion: LD Flap reconstruction is simple to perform and safest technique of Breast Reconstruction. TRAM flap is cosmetically excellent but good only in expert hands. Nipple and areola reconstruction is final stage after immediate breast reconstruction is not mandatory and depends on patient’s choice. This study concludes that Post Mastectomy Immediate Breast Reconstruction can be feasible in rural set up.