Análise da participação de hospital universitário em um mutirão nacional de reconstrução mamária / Analysis of the participation of a university hospital in a national program for breast reconstruction
Rev. bras. cir. plást
;
33(3): 305-311, jul.-set. 2018. ilus
Article
in English, Portuguese
| LILACS
| ID: biblio-965535
RESUMO
Introdução:
Mesmo com os avanços das cirurgias conservadoras, a mastectomia ainda é uma cirurgia bastante realizada. Todavia, muitas pacientes não conseguem submeter-se à reconstrução imediata, passando a integrar uma crescente fila à espera da cirurgia reparadora. Com o intuito de diminuir tal demanda, foram criados os programas de mutirão cirúrgicos. O objetivo deste trabalho é analisar os resultados referentes ao 2º Mutirão Nacional de Reconstrução Mamária (MNRC), realizado no Serviço de Cirurgia Plástica do Hospital Universitário Walter Cantídio (SCPMR-HUWC).Método:
Estudo de coorte prospectiva, no qual foram avaliadas as 16 pacientes submetidas à reconstrução mamária no 2º MNRM no SCPMR-HUWC. As pacientes foram acompanhadas pelo período de 6 meses e os dados obtidos foram tabelados e analisados.Resultados:
16 pacientes, todas mulheres, foram submetidas à reconstrução mamária pós-mastectomia. A idade variou entre 39 e 72 anos, com média de 49 anos. Dentre as complicações precoces, foram observados seroma em região dorsal (13%), necrose parcial da pele da mastectomia (6%), deiscência parcial da ferida operatória (13%) necrose do retalho de grande dorsal (6%). Nenhuma das pacientes apresentou complicações tardias. O período de internação variou de 1 a 5 dias. Todas as pacientes que estavam na fila do SCPMR-HUWC de cirurgia foram operadas.Conclusões:
Foi verificado alto grau de satisfação por parte das pacientes operadas e bons resultados obtidos, com poucas repercussões funcionais. Assim, concluímos que os mutirões de reconstrução mamária pós-mastectomia são uma alternativa viável em termos de saúde pública.ABSTRACT
Introduction:
Despite advances in conservative surgeries, mastectomy is still a commonly performed procedure. However, many patients are unable to undergo immediate reconstruction. Such patients are integrated into a growing queue for restorative surgery. With the intention of reducing this demand, surgical Task Force programs were created. The objective of this study was to analyze the results of the second National Task Force of Breast Reconstruction (NTFBR), performed at the Plastic Surgery Service of Walter Cantídio University Hospital (SCPMRHUWC).Method:
A prospective cohort study was conducted, in which 16 patients underwent breast reconstruction at SCPMRHUWC. The patients were followed up for 6 months, and their data were tabulated and analyzed.Results:
All 16 female patients underwent breast reconstruction after mastectomy. The patients' ages ranged from 39 to 72 years. Among the early complications, seroma in the dorsal region (13%), partial necrosis of the mastectomy skin (6%), partial dehiscence of the operative wound (13%), and necrosis of the large dorsal flap (6%) were observed. None of the patients had late complications. The period of hospitalization ranged from 1 to 5 days. All patients who were in the SCPMR-HUWC queue for surgery were operated on.Conclusions:
In this study, a high degree of satisfaction was verified by the operated patients, and good results were obtained with few functional complications. Thus, we conclude that the Task Force of breast reconstruction after mastectomy is a viable alternative in terms of public health.
Fulltext
- http://rbcp.org.br/details/2160/pt-BR/analise-da-participacao-de-hospital-universitario-em-um-mutirao-nacional-de-reconstrucao-mamaria
- http://rbcp.org.br/details/2160/en-US/analysis-of-the-participation-of-a-university-hospital-in-a-national-program-for-breast-reconstruction
- http://fi-admin.bvsalud.org/document/view/979sv
- http://fi-admin.bvsalud.org/document/view/2r5bf
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Mammaplasty
/
Breast Implantation
/
Plastic Surgery Procedures
/
Mastectomy
Type of study:
Evaluation studies
/
Observational study
Limits:
Adult
/
Aged
/
Female
/
Humans
Language:
English
/
Portuguese
Journal:
Rev. bras. cir. plást
Journal subject:
General Surgery
Year:
2018
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Federal do Ceará/BR
/
University of Belgrade/RS
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