5-year revision (2015-2019) of immediate alloplastic reconstruction in Hospital and University Center of Coimbra, Portugal

Introduction: With breast cancer being the most prevalent malignancy worldwide, conservative treatment is of tremendous importance. Nevertheless, in many cases, mastectomy remains the indicated surgical procedure, and like any other amputation, it carries a significant burden on those patients. In t...

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Main Authors: João Baltazar Ferreira, Simone Subtil, Rita Meireles, Miguel Vaz, Carla Diogo
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2023-08-01
Series:Revista Brasileira de Cirurgia Plástica
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Online Access:http://www.rbcp.org.br/export-pdf/3021/en_v36n4a03.pdf
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author João Baltazar Ferreira
Simone Subtil
Rita Meireles
Miguel Vaz
Carla Diogo
author_facet João Baltazar Ferreira
Simone Subtil
Rita Meireles
Miguel Vaz
Carla Diogo
author_sort João Baltazar Ferreira
collection DOAJ
description Introduction: With breast cancer being the most prevalent malignancy worldwide, conservative treatment is of tremendous importance. Nevertheless, in many cases, mastectomy remains the indicated surgical procedure, and like any other amputation, it carries a significant burden on those patients. In the case of mastectomy, immediate breast reconstruction is the standard of care. Alloplastic reconstruction remains the most widely performed type of immediate breast reconstruction. Methods: In this article, the authors present a series of 105 cases of immediate alloplastic reconstruction in 5 years from 2015 to 2019 in Centro Hospitalar e Universitário de Coimbra, Portugal. It includes curative and risk-reducing mastectomies performed by oncologic gynecologists. The reconstruction options offered by the plastic reconstructive team included both direct-to-implant reconstruction and two-stage reconstruction with the use of tissue expanders. Results: Data regarding the oncologic disease, type of mastectomy, patient selection criteria and immediate and late postoperative outcomes with different techniques of immediate reconstruction were collected, analyzed, and compared to literature. In our study, body mass index was the single most significant predictor of complications and, its impact was statistically significant. Conclusion: The results obtained represent an essential step to improving care quality for women undergoing breast reconstruction.
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publishDate 2023-08-01
publisher Thieme Revinter Publicações Ltda.
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spelling doaj-art-a53a392afc9e497aa8e1a51285fdb0122025-08-20T02:51:34ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352023-08-01360438238910.5935/2177-1235.2021RBCP01225-year revision (2015-2019) of immediate alloplastic reconstruction in Hospital and University Center of Coimbra, PortugalJoão Baltazar Ferreira0Simone Subtil1Rita Meireles2Miguel Vaz3Carla Diogo4Hospital and University Center of Coimbra, Coimbra, Portugal, PortugalHospital and University Center of Coimbra, Coimbra, Portugal, PortugalHospital and University Center of Coimbra, Coimbra, Portugal, PortugalHospital and University Center of Coimbra, Coimbra, Portugal, PortugalHospital and University Center of Coimbra, Coimbra, Portugal, PortugalIntroduction: With breast cancer being the most prevalent malignancy worldwide, conservative treatment is of tremendous importance. Nevertheless, in many cases, mastectomy remains the indicated surgical procedure, and like any other amputation, it carries a significant burden on those patients. In the case of mastectomy, immediate breast reconstruction is the standard of care. Alloplastic reconstruction remains the most widely performed type of immediate breast reconstruction. Methods: In this article, the authors present a series of 105 cases of immediate alloplastic reconstruction in 5 years from 2015 to 2019 in Centro Hospitalar e Universitário de Coimbra, Portugal. It includes curative and risk-reducing mastectomies performed by oncologic gynecologists. The reconstruction options offered by the plastic reconstructive team included both direct-to-implant reconstruction and two-stage reconstruction with the use of tissue expanders. Results: Data regarding the oncologic disease, type of mastectomy, patient selection criteria and immediate and late postoperative outcomes with different techniques of immediate reconstruction were collected, analyzed, and compared to literature. In our study, body mass index was the single most significant predictor of complications and, its impact was statistically significant. Conclusion: The results obtained represent an essential step to improving care quality for women undergoing breast reconstruction.http://www.rbcp.org.br/export-pdf/3021/en_v36n4a03.pdfneoplasias mamáriasneoplasias mamárias experimentaismastectomia segmentarmamografiaimplantes mamários
spellingShingle João Baltazar Ferreira
Simone Subtil
Rita Meireles
Miguel Vaz
Carla Diogo
5-year revision (2015-2019) of immediate alloplastic reconstruction in Hospital and University Center of Coimbra, Portugal
Revista Brasileira de Cirurgia Plástica
neoplasias mamárias
neoplasias mamárias experimentais
mastectomia segmentar
mamografia
implantes mamários
title 5-year revision (2015-2019) of immediate alloplastic reconstruction in Hospital and University Center of Coimbra, Portugal
title_full 5-year revision (2015-2019) of immediate alloplastic reconstruction in Hospital and University Center of Coimbra, Portugal
title_fullStr 5-year revision (2015-2019) of immediate alloplastic reconstruction in Hospital and University Center of Coimbra, Portugal
title_full_unstemmed 5-year revision (2015-2019) of immediate alloplastic reconstruction in Hospital and University Center of Coimbra, Portugal
title_short 5-year revision (2015-2019) of immediate alloplastic reconstruction in Hospital and University Center of Coimbra, Portugal
title_sort 5 year revision 2015 2019 of immediate alloplastic reconstruction in hospital and university center of coimbra portugal
topic neoplasias mamárias
neoplasias mamárias experimentais
mastectomia segmentar
mamografia
implantes mamários
url http://www.rbcp.org.br/export-pdf/3021/en_v36n4a03.pdf
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AT simonesubtil 5yearrevision20152019ofimmediatealloplasticreconstructioninhospitalanduniversitycenterofcoimbraportugal
AT ritameireles 5yearrevision20152019ofimmediatealloplasticreconstructioninhospitalanduniversitycenterofcoimbraportugal
AT miguelvaz 5yearrevision20152019ofimmediatealloplasticreconstructioninhospitalanduniversitycenterofcoimbraportugal
AT carladiogo 5yearrevision20152019ofimmediatealloplasticreconstructioninhospitalanduniversitycenterofcoimbraportugal