scholarly journals TWO-STAGE DELAYED RECONSTRUCTION IN PATIENTS WITH BREAST CANCER AFTER MASTECTOMY

2018 ◽  
Vol 8 (2) ◽  
pp. 43-49
Author(s):  
A. D. Zikiryahodzhaev ◽  
E. A. Rasskazova
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Underlying Disease ◽  
Breast Size ◽  
Cancer Breast ◽  
Small Breast ◽  
Delayed Breast Reconstruction ◽  
Observation Period

Delayed breast reconstruction after performing radical mastectomy for cancer is a surgical method of rehabilitation of patients. Breast reconstruction is performed to improve the quality of life of patients with breast cancer. Breast restoration using expander is used in women with a small breast size, as well as in patients who refuse to use patchwork techniques of breast restoration. In P. A. Herzen MORI 27 patients with a diagnosis of breast cancer was performed in delayed breast reconstruction after radical mastectomy.To achieve symmetry in 51,9 % of cases the operations were also performed on the healthy breast. During the observation period up to 4 years, no signs of progression of the underlying disease were found in this group.

scholarly journals Awareness and Acceptability of Breast Reconstruction Among Women With Breast Cancer: A Prospective Survey

2021 ◽  
pp. 253-260
Author(s):  
Nita S. Nair ◽  
Prasanth Penumadu ◽  
Prabha Yadav ◽  
Nitin Sethi ◽  
Pavneet S. Kohli ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Breast Conserving Surgery ◽  
Literacy Rate ◽  
Prospective Survey ◽  
Factors Affecting ◽  
Undergo Breast Reconstruction

PURPOSE Quality of life has become an integral aspect of the management of breast cancer. Many women still need to undergo a modified radical mastectomy (MRM). Factors affecting the choice a woman makes to undergo breast reconstruction (BR) are unclear and are hypothesized to be influenced by socioeconomic factors. We conducted a survey to evaluate the awareness and acceptability of BR among women with breast cancer at our institution. METHODS A novel questionnaire was designed and served to 3 groups of women: planned for MRM, follow up (FU) post-MRM, and FU post breast-conserving surgery. RESULTS Responses were analyzed from 492 women. Of these, 280 (56.91%) were planned for MRM and 212 (43.08%) women were on FU. Almost 45% women were older than 50 years of age, and literacy rate was 87.6%. More than 70% were homemakers and 15 women (3%) were unmarried. The aspects evaluating awareness of BR suggested that 251 (51.01%) women had knowledge about BR. Major source of information was the surgeon (45.81%) and media (32.87%). About 80% women on FU post-MRM did not want reconstruction, and 55% did not opt for BR as they had coped with the mastectomy and did not feel the need for BR. Only 6% cited family or financial reasons and 10% cited recurrence concerns. Among women planned for surgery, 65.71% had not considered BR. When questioned, 25 (12.88%) felt influenced by cost, 102 (52.58%) felt they did not need it, and 20 (10.31%) were worried it would affect treatment. CONCLUSION Our study shows high awareness regarding BR, but only 27.89% women opt for BR independent of economic issues. We recommend all patients should be counseled about the reconstructive options when their MRM is planned.

scholarly journals Autologous breast fibrofatty flaps for immediate breast reconstruction after excision of small cancer mass (<50 mm) improves surgical and aesthetical outcomes and patients’ quality of life

2020 ◽  
Vol 7 (12) ◽  
pp. 3894
Author(s):  
Waseem A Shoda ◽  
Shereen M. Abdel Wahab
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Breast Reconstruction ◽  
Short Form ◽  
Safety Margin ◽  
Immediate Breast Reconstruction ◽  
European Organization ◽  
Duct Carcinoma ◽  
Small Breast

Background: Evaluation of surgical feasibility, aesthetic outcomes and 6-m postoperative (PO) effect of immediate breast reconstruction (IBR) using autologous fibrofatty flaps after localized small breast mass excision.Methods: Total 29 women had duct carcinoma of <50 mm in diameter with N1-3 regional lymphadenopathy were studied. Through diamond-shape incision, breast gland was removed with 1 cm circumferential free safety margin, then the medial and lateral fibrofatty flaps were undermined and approximated for IBR. Breast measurements; the nipple-to-suprasternal notch distance and the nipple-to-nipple distance were determined preoperatively and 6-m PO. Quality of life (QoL) evaluation was performed preoperatively and 6-m PO using the short-form-36 (SF-36), the multidimensional body self-relations questionnaire appearance assessment and the European organization for research and treatment of cancer breast cancer-specific QoL questionnaire scores in breast cancer. Results: Mean operative time was 94.5±15.4 min; mean intraoperative blood loss was 170.1±34.9 ml and 25 patients had returned home on the same operative day. Two patients had PO wound seroma and one patient had wound hematoma, but were resolved spontaneously. PO breast measurements showed non-significant differences in comparison to preoperative measurements of the same breast, and to measurements of the contralateral breast. PO evaluation of QoL showed significantly improved PO scoring in line with improved body image and future perspectives, and sexual scores in comparison to preoperative scorings.   Conclusions: The applied procedure of localized excision of BC mass of<50 mm with IBR using the breast remnant fibrofatty flaps provided acceptable surgical and esthetical outcomes and allowed improvement of patients’ QoL. 

scholarly journals Magnetotherapy and intermittent pneumocompression as a metod of rehabilitation of patient with brest cancer in different periods after radical mastectomy

2019 ◽  
Vol 18 (2) ◽  
pp. 68-75
Author(s):  
Inna S. Evstigneeva ◽  
Marina Yu. Gerasimenko ◽  
Oksana M. Perfileva
Keyword(s):  
Breast Cancer ◽  
Surgical Treatment ◽  
Tissue Oxygenation ◽  
Radical Mastectomy ◽  
Lymph Flow ◽  
Cancer Breast ◽  
Combination Of Methods ◽  
Magnetic Therapy ◽  
Inflammatory Effect

Objective to develop and compare the effectiveness of General magnetic therapy and intermittent pneumocompression in combination with physical therapy and balance therapy, classes with a medical psychologist in patients on day 24 and 1.52 months after surgical treatment for breast cancer (breast cancer). Material and methods. 117 patients aged 25 to 70 years were examined and treated after surgical treatment for breast cancer. All patients underwent intermittent pneumocompression at different times after surgery (24 days and 1.52 months after surgery), followed by General magnetic therapy without interruption. Results. It was found that this combination of methods of physical rehabilitation helped to reduce pain and postoperative edema, increase the volume of movements in the shoulder joint, prevent the development of severe lymphostasis and improve the quality of life. Сonclusion. The contribution of General magnetic therapy to the complex of rehabilitation measures is primarily to increase the number of lymphatic collaterals, increase tissue oxygenation and anti-inflammatory effect. Intermittent pneumocompression contribute to the increase in the number of lymphatic collaterals, stimulates lymph flow.

scholarly journals Timing between Breast Reconstruction and Oncologic Mastectomy—One Center Experience

Medicina ◽  
2020 ◽  
Vol 56 (2) ◽  
pp. 86
Author(s):  
Adelaida Avino ◽  
Laura Răducu ◽  
Lăcrămioara Aurelia Brînduşe ◽  
Cristian-Radu Jecan ◽  
Ioan Lascăr
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Breast Reconstruction ◽  
Conservative Surgery ◽  
Immediate Breast Reconstruction ◽  
Adjuvant Chemoradiotherapy ◽  
Median Period ◽  
Delayed Breast Reconstruction ◽  
Surgery Department

Background and objectives: Breast cancer is the most common cancer in women. The immunohistochemical profile, but also the stage of the tumor determines the therapeutic management, which varies from conservative surgery to mastectomy associated with chemotherapy, hormonal and biological therapy and/or radiotherapy. Mastectomy remains one of the most radical surgical intervention for women, having great consequences on quality of life, which can be improved by realizing immediate or delayed breast reconstruction. The objective of the study was to evaluate the period of time between the mastectomy and the breast reconstruction. Material and methods: We performed a retrospective study on 57 female patients admitted to the Plastic Surgery Department of the Clinical Emergency Hospital “Prof. Dr. Agrippa Ionescu”, Bucharest, Romania. All the patients underwent immediate or delayed breast reconstruction after mastectomy for confirmed breast cancer. Descriptive data analysis was realized with evaluation of type of breast reconstruction considering the staging of the tumor, the invaded lymph nodes, and the necessity of adjuvant chemoradiotherapy. Moreover, the median period between mastectomy and reconstruction was evaluated. Results: The immediate breast reconstruction was performed in patients with stage I, in patients with stage II, delayed reconstruction was performed after minimum six months, and the patients with stage III had the breast reconstructed with free flap (50%), 8–43 months post-mastectomy. Radiotherapy determines the type of breast reconstruction, in most of the cases the latissimus dorsi flap was used with implant (22.6%). Conclusions: Breast reconstruction is an important step in increasing the quality of life for women who underwent mastectomy after breast cancer. The proper timing for breast reconstruction must be settled by a team formed by the patient, the plastic surgeon, and the oncologist.

scholarly journals Breast reconstruction after breast cancer surgery – persistent pain and quality of life 1–8 years after breast reconstruction

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Nina Honkanen ◽  
Laura Mustonen ◽  
Eija Kalso ◽  
Tuomo Meretoja ◽  
Hanna Harno
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Breast Reconstruction ◽  
Perforator Flap ◽  
Persistent Pain ◽  
Rectus Abdominis ◽  
Preoperative Pain ◽  
Significant Difference

Abstract Objectives To assess the long-term outcome of breast reconstructions with special focus on chronic postsurgical pain (CPSP) in a larger cohort of breast cancer survivors. Methods A cross-sectional study on 121 women with mastectomy and breast reconstruction after mean 2 years 4 months follow up. The mean time from breast reconstruction to the follow-up visit was 4 years 2 months. We studied surveys on pain (Brief Pain Inventory, BPI and Douleur Neuropathique 4, DN4), quality of life (RAND-36 health survey), sleep (insomnia severity questionnaire, ISI), mood (Beck’s Depression Index, BDI; Hospital Anxiety and Depression Scale, HADS), and a detailed clinical sensory status. Patients were divided into three groups: abdominal flap (Deep inferior epigastric perforator flap, DIEP; Free transverse rectus abdominis flap, fTRAM, and Pedicled transverse rectus abdominis flap, pTRAM), dorsal flap (Latissimus dorsi flap, LD and Thoracodorsal artery perforator flap, TDAP), and other (Transverse myocutaneous gracilis flap, TMG; implant). Clinically meaningful pain was defined ≥ 4/10 on a numeric rating scale (NRS). We used patients’ pain drawings to localize the pain. We assessed preoperative pain NRS from previous data. Results 106 (87.6%) of the patients did not have clinically meaningful persistent pain. We found no statistically significant difference between different reconstruction types with regards to persistent pain (p=0.40), mood (BDI-II, p=0.41 and HADS A, p=0.54) or sleep (p=0.14), respectively. Preoperative pain prior to breast reconstruction surgery correlated strongly with moderate or severe CPSP. Conclusions Moderate to severe CPSP intensity was present in 14% of patients. We found no significant difference in the prevalence of pain across different reconstruction types. Preoperative pain associated significantly with postoperative persistent pain.

Simultaneous Breast Reconstruction with Transverse Rectus Abdominal Myocutaneous (Tram) Flaps

1998 ◽  
Vol 6 (3) ◽  
pp. 146-148
Author(s):  
Sv Sidorov ◽  
Kv Vardosanidze ◽  
Sp Shevchenko
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Chest Wall ◽  
Radical Mastectomy ◽  
Individual Approach ◽  
Cosmetic Effect ◽  
The Aesthetic

Breast reconstruction with transverse rectus abdominal myocutaneous (TRAM) flaps on pedicles was performed simultaneously with radical mastectomy in 73 patients with breast cancer. In the case of the tumour exceeding the breast borders, or edemo-infiltrative form of cancer, radical mastectomy was accomplished, and the wound defect on the chest wall was closed without technical difficulties, while simultaneously solving the aesthetic part of the operation. Complications were noted in 13 patients (17.8%), and with revision, complications were eliminated without impairing cosmetic effect. Recurrence of the breast cancer was noted in 9.6% of patients, which is explained by the presence of hidden separate metastases not located during the preoperational period or operation. An individual approach in solving the task of simultaneous breast reconstruction with radical mastectomy is necessary in each patient.

scholarly journals EVALUATION OF POSTURE AND QUALITY OF LIFE IN FEMALES UNDERGONE MODIFIED RADICAL MASTECTOMY

2021 ◽  
Vol 10 (4) ◽  
pp. 3233-32337
Author(s):  
Shruti Deshpande
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Social Life ◽  
Radical Mastectomy ◽  
Improve Quality ◽  
Modified Radical Mastectomy ◽  
Social Domain ◽  
Common Cancer ◽  
Environment Domain

Breast cancer is most common cancer in females. Modified radical mastectomy is operation in female which affects social life and physical life. There is also slightly moderate in quality of life in female undergone modified radical mastectomy. The aim of the study was to find “Evaluation of Posture and Quality Of Life in Females undergone Modified Radical Mastectomy’’ This study was carried out in Physiotherapy OPD, Ravi Nair Physiotherapy College and AVBRH, Sawangi (Meghe), Wardha. The objectives included to evaluate posture in female’s undergone Modified radical mastectomy and to evaluate Quality of life. The present study titled “Evaluation of Posture and Quality of Life in females undergone Modified Radical Mastectomy” which comprised of 35 females. The present study showed that slight changes in posture in females undergone modified radical mastectomy and moderately hampered in social domain of quality of life. From the present study we concluded that there is slight changes in posture in female patients undergone MRM and there is good quality of life in physical , psychological , environment domain and moderate quality of life in social domain. This study will helps in evaluating posture and QOL after Modified radical mastectomy. Hence after every modified radical mastectomy conditions, therapists always follow ergonomics to prevent bad posture and improve quality of life. Hence, the evaluation of posture and QOL should be include in all assessment proformas related MRM conditions.

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