The direct results of breast reconstruction using endoprotheses in patients with breast cancer

Abstract

Aim of research: the study of the direct results of using endoprotheses synchronously with the surgical stage of combined and complex treatment of patients with BC. The improvement of results of the complex treatment of patients with BC by means of determination of indications for using the different variants of reconstructive-plastic operations. Materials and methods. Under observation were 120 patients with BC who underwent the combined and complex treatment during the period 2012–2015years on the base of MIHP “Kharkov regional oncologic center”. For the study and comparative analysis of the treatment effect on the life quality (LQ) indices all patients were separated into 2 groups by the method of temporal randomization. The 1group – 78 patients who underwent the breast reconstruction with the own tissues remodeling. The 2 group – 32 patients who underwent the hypodermic mastectomies with preservation of the nipple-alveolar complex (NAC) and the momentary breast reconstruction with silicone endoprothesis. Results of research. At the all stages of observation the lines of the role and social functioning change in parallel that indicates the absence of the effect of using the reconstructive-plastic operations at the surgical stage of both combined and complex treatment of patients with BC on this LQ index. Conclusions 1. The reconstructive-plastic surgical intervention using endoprotheses synchronously with the hypodermic mastectomy with preservation of NAC allow obtain the good cosmetic results that in its turn leads to the acceleration of psycho-emotional rehabilitation of patients with BC. 2. On the base of research was established the absence of the effect of breast reconstruction on the widening of post-operative complications spectrum and on the planned individually adjuvant therapy in this category of patients Aim of research: the study of the direct results of using endoprotheses synchronously with the surgical stage of combined and complex treatment of patients with BC. The improvement of results of the complex treatment of patients with BC by means of determination of indications for using the different variants of reconstructive-plastic operations. Materials and methods. Under observation were 120 patients with BC who underwent the combined and complex treatment during the period 2012–2015years on the base of MIHP “Kharkov regional oncologic center”. For the study and comparative analysis of the treatment effect on the life quality (LQ) indices all patients were separated into 2 groups by the method of temporal randomization. The 1group – 78 patients who underwent the breast reconstruction with the own tissues remodeling. The 2 group – 32 patients who underwent the hypodermic mastectomies with preservation of the nipple-alveolar complex (NAC) and the momentary breast reconstruction with silicone endoprothesis. Results of research. At the all stages of observation the lines of the role and social functioning change in parallel that indicates the absence of the effect of using the reconstructive-plastic operations at the surgical stage of both combined and complex treatment of patients with BC on this LQ index. Conclusions 1. The reconstructive-plastic surgical intervention using endoprotheses synchronously with the hypodermic mastectomy with preservation of NAC allow obtain the good cosmetic results that in its turn leads to the acceleration of psycho-emotional rehabilitation of patients with BC. 2. On the base of research was established the absence of the effect of breast reconstruction on the widening of post-operative complications spectrum and on the planned individually adjuvant therapy in this category of patients