Srpski arhiv za celokupno lekarstvo 2011 Volume 139, Issue 7-8, Pages: 470-475
https://doi.org/10.2298/SARH1108470A
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Breast reconstruction: Correlation between different procedures, reconstruction timing and complications
Anđelkov Katarina (Bolnica „Colić”, Beograd)
Sforca Markos (UNIFESO Medicinski fakultet, Rio de Žaneiro, Brazil)
Granić Miroslav (Kliničko-bolnički centar „Bežanijska kosa”, Beograd)
Ivanov Dejan (Klinika za abdominalnu, endokrinu i transplantacionu hirurgiju, Klinički centar Vojvodine, Novi Sad + Medicinski fakultet, Novi Sad)
Colić Miodrag (Klinika za opekotine, plastičnu i rekonstruktivnu hirurgiju, Klinički centar Srbije, Beograd + Medicinski fakultet, Beograd)
Introduction. Improved psychophysical condition after breast reconstruction
in women has been well documented Objective. To determine the most optimal
technique with minimal morbidity, the authors examined their results and
complications based on reconstruction timing (immediate and delayed
reconstruction) and three reconstruction methods: TRAM flap, latissimus
dorsi flap and reconstruction with tissue expanders and implants. Methods.
Reconstruction was performed in 60 women of mean age 51.1 years. We analyzed
risk factors: age, body mass index (BMI), smoking history and radiation
therapy in correlation with timing and method of reconstruction.
Complications of all three methods of reconstruction were under 1.5-2-year
follow-up after the reconstruction. All data were statistically analyzed.
Results. Only radiation had significant influence on the occurrence
of complications both before and after the reconstruction, while age,
smoking and BMI had no considerable influence of the development of
complications. There were no statistically significant correlation between
the incidence of complications, time and method of reconstruction.
Conclusion. Any of the aforementioned breast reconstruction techniques can
yield good results and a low rate of re-operations. To choose the best
method, the patient needs to be as well informed as possible about the
options including the risks and benefits of each method.
Keywords: breast reconstruction, complications, TRAM flap, silicon implants, m. latissimus dorsi flap, risk factors
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