Immediate breast reconstruction using permanent expanders
INTRODUCTION: Breast cancer has become increasingly prevalent, resulting in a greater number of patients undergoing mastectomies. Post-mastectomy immediate reconstruction is an important alternative treatment in the various stages of breast reconstruction. METHODS: A retrospective study...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2017-12-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/1890/en_v32n4a09.pdf |
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| author | Gustavo Felipe Pasqual Luciana De Vasconcelos Sá Pasqual |
| author_facet | Gustavo Felipe Pasqual Luciana De Vasconcelos Sá Pasqual |
| author_sort | Gustavo Felipe Pasqual |
| collection | DOAJ |
| description | INTRODUCTION: Breast cancer has become increasingly prevalent, resulting in a greater number of patients undergoing mastectomies. Post-mastectomy immediate reconstruction is an important alternative treatment in the various stages of breast reconstruction.
METHODS: A retrospective study was conducted with 34 patients who underwent mastectomy or adenomastectomy, with or without preservation of the areola-papillary complex, followed by immediate reconstruction using a permanent expander. The expander used was of the Becker type 35 and anatomically shaped, having a volume ranging from 365 to 565 ml, with the 460-ml expander being the most frequently used.
RESULTS: The results were considered "highly satisfactory" by 85% of the patients. The complication rate was 17.6%; two patients had skin necrosis on the edges of the surgical wound, two patients presented scar retraction in the surgical wound, one patient presented seroma, and only one patient had expander loss because of late infection after the start of chemotherapy. Thirteen patients underwent radiotherapy, of whom 53% (n = 7) had mild radiodermatitis and 30% (n = 4) had moderate radiodermatitis without other complications.
CONCLUSION: Immediate reconstruction using definitive expanders presents a good treatment option for patients who will undergo total or partial mastectomy. |
| format | Article |
| id | doaj-art-76b4c8d658374cae8feec2f882c2a00d |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2017-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-76b4c8d658374cae8feec2f882c2a00d2025-08-20T03:14:57ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352017-12-01320452352710.5935/2177-1235.2017RBCP0085Immediate breast reconstruction using permanent expandersGustavo Felipe Pasqual0Luciana De Vasconcelos Sá Pasqual1Hospital da Luz, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilINTRODUCTION: Breast cancer has become increasingly prevalent, resulting in a greater number of patients undergoing mastectomies. Post-mastectomy immediate reconstruction is an important alternative treatment in the various stages of breast reconstruction. METHODS: A retrospective study was conducted with 34 patients who underwent mastectomy or adenomastectomy, with or without preservation of the areola-papillary complex, followed by immediate reconstruction using a permanent expander. The expander used was of the Becker type 35 and anatomically shaped, having a volume ranging from 365 to 565 ml, with the 460-ml expander being the most frequently used. RESULTS: The results were considered "highly satisfactory" by 85% of the patients. The complication rate was 17.6%; two patients had skin necrosis on the edges of the surgical wound, two patients presented scar retraction in the surgical wound, one patient presented seroma, and only one patient had expander loss because of late infection after the start of chemotherapy. Thirteen patients underwent radiotherapy, of whom 53% (n = 7) had mild radiodermatitis and 30% (n = 4) had moderate radiodermatitis without other complications. CONCLUSION: Immediate reconstruction using definitive expanders presents a good treatment option for patients who will undergo total or partial mastectomy.http://www.rbcp.org.br/export-pdf/1890/en_v32n4a09.pdfbreastmammoplastybreast neoplasmsdevices for tissue expansion |
| spellingShingle | Gustavo Felipe Pasqual Luciana De Vasconcelos Sá Pasqual Immediate breast reconstruction using permanent expanders Revista Brasileira de Cirurgia Plástica breast mammoplasty breast neoplasms devices for tissue expansion |
| title | Immediate breast reconstruction using
permanent expanders |
| title_full | Immediate breast reconstruction using
permanent expanders |
| title_fullStr | Immediate breast reconstruction using
permanent expanders |
| title_full_unstemmed | Immediate breast reconstruction using
permanent expanders |
| title_short | Immediate breast reconstruction using
permanent expanders |
| title_sort | immediate breast reconstruction using permanent expanders |
| topic | breast mammoplasty breast neoplasms devices for tissue expansion |
| url | http://www.rbcp.org.br/export-pdf/1890/en_v32n4a09.pdf |
| work_keys_str_mv | AT gustavofelipepasqual immediatebreastreconstructionusingpermanentexpanders AT lucianadevasconcelossapasqual immediatebreastreconstructionusingpermanentexpanders |