Study of different methods of post-mastectomy immediate breast reconstruction
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 5, Issue 3
Abstract
Background: Breast is the symbol of feminity, attractiveness and motherhood. With rising incidence and awareness, breast cancer is one of the commonest cancer in Indian women. Loss or disfiguration of this breast due to benign or malignant lesions, results in loss of feminine attractiveness, an altered body perception leading to intense psychosexual problems and mental depression. Breast reconstruction, when performed during mastectomy, reduces depression and improves well-being in breast cancer survivors. The Current study is designed to analyze different methods of Post mastectomy immediate breast reconstruction, its complications and its feasibility in rural set up. Material and Methods: This non randomized, prospective, single center, interventional study was carried out at department of general surgery, intertiary care hospital. It included 30 patients who underwent Post Mastectomy Immediate Reconstruction during study period. Reconstruction procedure was planned preoperatively and done. T Results: In the present study LD flap was used in 16 (53.3%) patients, with LD flap with Silicone Implant in 6 (20%) patients and with TRAM flap in 8 (26.7%) patients. In the present study, 4 (18.18%) patients who underwent LD flap reconstruction had marginal flap necrosis. Among the patients in whom TRAM Flap reconstruction was done, 5 (62.5 %) patients had Partial Flap Necrosis and 3 (37.5%) patients had Marginal Flap Necrosis, none had Total Flap Necrosis. 22 patients (73.3%) were satisfied with post mastectomy immediate breast Reconstruction while 8(26.7%) patients were not satisfied with the procedure because of Implant Migration which occurred in 1 patient and Partial Flap Necrosis happened in 5 patients, 2 patients had recurrence of carcinoma. All 6 (100%) patients were satisfied after nipple and areola reconstruction. Conclusion: Post mastectomy immediate breast reconstruction should be undertaken whenever possible. LD Flap reconstruction is simple to perform and safest technique of Breast Reconstruction. TRAM flap is cosmetically excellent but good in expert hands.
Authors and Affiliations
Hemant Chaudhari, Milind S Chaudhari
Keywords
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