The Romanian National Breast Reconstruction Program - Results and Conclusions after 5 Years

The optimization of the breast reconstruction treatment protocols and the introduction of state-subsidized national programs are global priorities. The present paper presents the results obtained within the National Program of Breast Reconstruction at the „Bagdasar-Arseni” Emergency Clinical Hospita...

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Main Authors: BEJINARIU Catalin Gheorghe, MARINESCU Silviu Adrian, ENESCU Mircea Dan
Format: Article
Language:English
Published: Bucharest College of Physicians 2019-03-01
Series:Modern Medicine
Subjects:
Online Access:https://medicinamoderna.ro/wp-content/uploads/2019/03/2019-1-23.pdf
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author BEJINARIU Catalin Gheorghe
MARINESCU Silviu Adrian
ENESCU Mircea Dan
author_facet BEJINARIU Catalin Gheorghe
MARINESCU Silviu Adrian
ENESCU Mircea Dan
author_sort BEJINARIU Catalin Gheorghe
collection DOAJ
description The optimization of the breast reconstruction treatment protocols and the introduction of state-subsidized national programs are global priorities. The present paper presents the results obtained within the National Program of Breast Reconstruction at the „Bagdasar-Arseni” Emergency Clinical Hospital, highlighting the advantages and disadvantages of the surgical techniques used. Materials and Methods: The results obtained after 71 surgical interventions were used for the study. The methodology used involved the use of demographic data, patient history, and the description of the surgical methods and techniques that were used. Results: Among the main results, the paper highlights the fact that mammary reconstruction by using the ‘expander-implant’ surgical technique was 5 times more frequent than the „implant-myocutaneous flap” technique. Post-operative complications have been present in 57% of the patients who associate comorbidities. Breast reconstruction using the TRAM (transverse rectus abdominis muscle) flap was the rescue solution for severe complications. Conclusions: The TRAM flap was proven to be the best technique in the treatment of difficult cases. Carrying out these statistical analyzes related to projects of a national scale form the solid foundation of documented studies that bring a significant contribution to the development of the Romanian medical system.
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spelling doaj-art-4a908800f74f4efa808edfaa7b5784a02025-08-20T02:17:40ZengBucharest College of PhysiciansModern Medicine1223-04722360-24732019-03-012612330https://doi.org/10.31689/rmm.2019.26.1.23The Romanian National Breast Reconstruction Program - Results and Conclusions after 5 YearsBEJINARIU Catalin Gheorghe0MARINESCU Silviu Adrian1ENESCU Mircea Dan2Department of Plastic and Reconstructive Surgery, „Bagdasar Arseni” Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Plastic and Reconstructive Surgery, „Bagdasar Arseni” Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Plastic and Reconstructive Surgery, „Grigore Alexandrescu” Emergency Clinical Hospital, Bucharest, RomaniaThe optimization of the breast reconstruction treatment protocols and the introduction of state-subsidized national programs are global priorities. The present paper presents the results obtained within the National Program of Breast Reconstruction at the „Bagdasar-Arseni” Emergency Clinical Hospital, highlighting the advantages and disadvantages of the surgical techniques used. Materials and Methods: The results obtained after 71 surgical interventions were used for the study. The methodology used involved the use of demographic data, patient history, and the description of the surgical methods and techniques that were used. Results: Among the main results, the paper highlights the fact that mammary reconstruction by using the ‘expander-implant’ surgical technique was 5 times more frequent than the „implant-myocutaneous flap” technique. Post-operative complications have been present in 57% of the patients who associate comorbidities. Breast reconstruction using the TRAM (transverse rectus abdominis muscle) flap was the rescue solution for severe complications. Conclusions: The TRAM flap was proven to be the best technique in the treatment of difficult cases. Carrying out these statistical analyzes related to projects of a national scale form the solid foundation of documented studies that bring a significant contribution to the development of the Romanian medical system.https://medicinamoderna.ro/wp-content/uploads/2019/03/2019-1-23.pdfbreast reconstructionmastectomysilicone implantsbreast expander
spellingShingle BEJINARIU Catalin Gheorghe
MARINESCU Silviu Adrian
ENESCU Mircea Dan
The Romanian National Breast Reconstruction Program - Results and Conclusions after 5 Years
Modern Medicine
breast reconstruction
mastectomy
silicone implants
breast expander
title The Romanian National Breast Reconstruction Program - Results and Conclusions after 5 Years
title_full The Romanian National Breast Reconstruction Program - Results and Conclusions after 5 Years
title_fullStr The Romanian National Breast Reconstruction Program - Results and Conclusions after 5 Years
title_full_unstemmed The Romanian National Breast Reconstruction Program - Results and Conclusions after 5 Years
title_short The Romanian National Breast Reconstruction Program - Results and Conclusions after 5 Years
title_sort romanian national breast reconstruction program results and conclusions after 5 years
topic breast reconstruction
mastectomy
silicone implants
breast expander
url https://medicinamoderna.ro/wp-content/uploads/2019/03/2019-1-23.pdf
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