RESUMO
Radical mastectomy, though is considered to be the main method of the breast cancer treatment, influences the physical and psychological rehabilitation of patients extremely negatively. Reconstructive silicone endoprosthesing alternates radical mastectomy. Complications of the procedure analysed using the experience of 120 women with breast cancer. The on-time detection of complications drastically improves long-term aesthetic results.
Assuntos
Implantes de Mama/efeitos adversos , Mama/cirurgia , Mamoplastia , Complicações Pós-Operatórias , Géis de Silicone , Adulto , Implantes de Mama/normas , Neoplasias da Mama/cirurgia , Diagnóstico Precoce , Análise de Falha de Equipamento/estatística & dados numéricos , Feminino , Humanos , Mamoplastia/efeitos adversos , Mamoplastia/métodos , Mamoplastia/normas , Mastectomia Radical/métodos , Pessoa de Meia-Idade , Satisfação do Paciente , Complicações Pós-Operatórias/classificação , Complicações Pós-Operatórias/cirurgia , Falha de Prótese , Resultado do TratamentoRESUMO
Presented herein is an experience with the treatment of 60 patients with lymphedema of the extremities, who had undergone transplantation of "lymphatic flaps". The treatment success is analyzed in both free microsurgical autotransplantation of tissue complexes (52 patients) containing intact lymphatic structures and in transposition (8 patients). The authors evaluate the potential of radio-nuclide diagnostic techniques for quantification of the effectiveness of surgical treatment. After transplantation and transposition of different types of "lymphatic flaps" good results were obtained in 36 (60%) patients. The prospects of the use of "lymphatic flaps" are assessed from the standpoint of the current concepts related to the surgical treatment of lymphedema of the extremities.