Assessment of immediate symmetrization in breast reconstruction
INTRODUCTION: The surgical treatment of breast cancer frequently results in mutilation. Breast reconstruction in mastectomized women aims to create a new esthetically acceptable breast symmetrical to the contralateral breast. The objective of this study was to assess the feasibility of symmetrizatio...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2017-03-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/1813/en_v32n1a08.pdf |
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| author | Marcela Caetano Cammarota Milena Carvalho Almeida Galdino Rafael Quaresma de Lima Conrado Miranda de Almeida Ismar Ribeiro Junior Luciano Gomes Moura Leonardo Martins Costa Daher Daniel Augusto dos Santos Soares Fabricio Tavares Mendonça José Carlos Daher |
| author_facet | Marcela Caetano Cammarota Milena Carvalho Almeida Galdino Rafael Quaresma de Lima Conrado Miranda de Almeida Ismar Ribeiro Junior Luciano Gomes Moura Leonardo Martins Costa Daher Daniel Augusto dos Santos Soares Fabricio Tavares Mendonça José Carlos Daher |
| author_sort | Marcela Caetano Cammarota |
| collection | DOAJ |
| description | INTRODUCTION: The surgical treatment of breast cancer frequently results in mutilation. Breast reconstruction in mastectomized women aims to create a new esthetically acceptable breast symmetrical to the contralateral breast. The objective of this study was to assess the feasibility of symmetrization of the contralateral breast simultaneously with breast reconstruction, discuss possible complications, and perform a brief review of the literature.
METHODS: A retrospective study was conducted in the Department of Plastic Surgery of Hospital Daher from October 2013 to February 2015. Breast reconstruction outcomes immediately after mastectomy for breast cancer were assessed, and all patients undergoing symmetrization of the contralateral breast in the same surgical stage using the same surgical technique were selected for inclusion and statistical analysis.
RESULTS: The study comprised 42 patients within the established criteria, totaling 21 reconstructions with simultaneous symmetrization (Group 1) and 21 symmetrization procedures in two stages (Group 2). The mean age was 53.86 years in Group 1 and 52.62 years in the control group. The groups were comparable in all variables. Data regarding postoperative complications were analyzed. Some of the studied patients did not complete all stages of reconstruction. The group that underwent immediate symmetrization attained more symmetry. The patients aged 45 years and with lower body mass index attained more symmetry in Group 1.
CONCLUSION: The implementation of symmetrization procedures at the same stage of unilateral breast reconstruction is associated with low complication rates and revision surgeries. In selected cases, immediate symmetrization may be preferable to the procedure in another surgical stage. |
| format | Article |
| id | doaj-art-a3fcf500672b47f496b000e1341bce70 |
| institution | Kabale University |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2017-03-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-a3fcf500672b47f496b000e1341bce702025-08-20T03:37:03ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352017-03-013201566310.5935/2177-1235.2017RBCP0008Assessment of immediate symmetrization in breast reconstructionMarcela Caetano Cammarota0Milena Carvalho Almeida Galdino1Rafael Quaresma de Lima2Conrado Miranda de Almeida3Ismar Ribeiro Junior4Luciano Gomes Moura5Leonardo Martins Costa Daher6Daniel Augusto dos Santos Soares7Fabricio Tavares Mendonça8José Carlos Daher9Sociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilHospital Daher Lago Sul, Brasília, DF, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilINTRODUCTION: The surgical treatment of breast cancer frequently results in mutilation. Breast reconstruction in mastectomized women aims to create a new esthetically acceptable breast symmetrical to the contralateral breast. The objective of this study was to assess the feasibility of symmetrization of the contralateral breast simultaneously with breast reconstruction, discuss possible complications, and perform a brief review of the literature. METHODS: A retrospective study was conducted in the Department of Plastic Surgery of Hospital Daher from October 2013 to February 2015. Breast reconstruction outcomes immediately after mastectomy for breast cancer were assessed, and all patients undergoing symmetrization of the contralateral breast in the same surgical stage using the same surgical technique were selected for inclusion and statistical analysis. RESULTS: The study comprised 42 patients within the established criteria, totaling 21 reconstructions with simultaneous symmetrization (Group 1) and 21 symmetrization procedures in two stages (Group 2). The mean age was 53.86 years in Group 1 and 52.62 years in the control group. The groups were comparable in all variables. Data regarding postoperative complications were analyzed. Some of the studied patients did not complete all stages of reconstruction. The group that underwent immediate symmetrization attained more symmetry. The patients aged 45 years and with lower body mass index attained more symmetry in Group 1. CONCLUSION: The implementation of symmetrization procedures at the same stage of unilateral breast reconstruction is associated with low complication rates and revision surgeries. In selected cases, immediate symmetrization may be preferable to the procedure in another surgical stage.http://www.rbcp.org.br/export-pdf/1813/en_v32n1a08.pdfbreast cancerbreast neoplasmsmammoplastymastectomy |
| spellingShingle | Marcela Caetano Cammarota Milena Carvalho Almeida Galdino Rafael Quaresma de Lima Conrado Miranda de Almeida Ismar Ribeiro Junior Luciano Gomes Moura Leonardo Martins Costa Daher Daniel Augusto dos Santos Soares Fabricio Tavares Mendonça José Carlos Daher Assessment of immediate symmetrization in breast reconstruction Revista Brasileira de Cirurgia Plástica breast cancer breast neoplasms mammoplasty mastectomy |
| title | Assessment of immediate symmetrization in
breast reconstruction |
| title_full | Assessment of immediate symmetrization in
breast reconstruction |
| title_fullStr | Assessment of immediate symmetrization in
breast reconstruction |
| title_full_unstemmed | Assessment of immediate symmetrization in
breast reconstruction |
| title_short | Assessment of immediate symmetrization in
breast reconstruction |
| title_sort | assessment of immediate symmetrization in breast reconstruction |
| topic | breast cancer breast neoplasms mammoplasty mastectomy |
| url | http://www.rbcp.org.br/export-pdf/1813/en_v32n1a08.pdf |
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