scholarly journals Breast reconstruction following amputation for cancer

2009 ◽  
Vol 66 (6) ◽  
pp. 427-433
Author(s):  
Milan Visnjic ◽  
Predrag Kovacevic ◽  
Ljiljana Paunkovic ◽  
Goran Djordjevic ◽  
Dragana Budjevac ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Late Complications ◽  
Tram Flap ◽  
Primary Reconstruction ◽  
Modified Radical Mastectomy ◽  
Reconstruction Methods ◽  
Acceptable Method ◽  
Flap Elevation

Background/Aim. Today, breast reconstruction is a widely accepted method in the treatment of breast cancer after modified radical mastectomy. Reconstruction methods are associated with an acceptable number of complications and reconstruction favorably impacts quality of life. The aim of the study was to present our experience in breast reconstruction. Methods. We presented here a four-year experience with 84 patients with breast reconstruction after modified radical mastectomy. Results. Implant reconstructions were most common, 44 (52.3%), with primary reconstruction in 31(70.4%) and secondary in 13 (29.5%) women. Lattisimus dorsi flap (LDF) and implant were utilized in 32 (38%) of the patients, with primary reconstruction in 24 (75%) and secondary in 8 (25%) women. Transversal rectus abdominis myocutaneous (TRAM) flap was rarely used - just in 8 (9.5%) patients and only for secondary breast reconstruction. Postoperatively, some early complications such as hematoma, seroma, infections and partial flap necrosis were observed in 10 (11.9%) patients. Late complications, such as implant rejection, hypertrophic scarring and hernias at the flap elevation site, were noted in 10 (11.9%) cases. Implant loss occurred in 5 (5.9%) cases. All the complications were successfully managed, and patients rated their reconstruction as follows: excellent, 49 (59%) cases; very good, 20 (24%), and good, 14 (16.8%). In one case, disease progression was observed 6 months after the primary breast reconstruction. Conclusion. Breast reconstruction is an acceptable method in the treatment of breast cancer in patients in the need for or with already performed mastectomy. The choice of reconstruction approach depends on the breast volume, patient's wish and experience of surgical team. Our results suggest the advantage of breast reconstruction with LDF with implant, since the technique is safe, complications relatively rare and easily manageable, and the results are excellent or very good in each woman.

scholarly journals Well-Being, Depression, and Anxiety following Oncoplastic Breast Conserving Surgery versus Modified Radical Mastectomy Followed by Late Breast Reconstruction

2021 ◽  
Vol 18 (17) ◽  
pp. 9320
Author(s):  
Daciana Grujic ◽  
Cătălina Giurgi-Oncu ◽  
Cristina Oprean ◽  
Zorin Crăiniceanu ◽  
Ica Secoșan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Clinical Symptoms ◽  
Clinical Care ◽  
Statistical Significance ◽  
Radical Mastectomy ◽  
Well Being ◽  
Breast Conserving Surgery ◽  
Modified Radical Mastectomy ◽  
Group I

Breast cancer requires complex clinical care. Well-being is an intricate concept, encompassing physical, functional, emotional, and social aspects. Background: This study aims to evaluate the relationship between the type of surgery our patients underwent and the timing of the reconstructive surgery with physical, emotional, social, and functional well-being. Furthermore, through our research we tried to identify potential mental health comorbidities in patients with breast cancer, clinical symptoms, and well-being in women with breast cancer, depending on the type of required surgery. Methods: The study included 69 women diagnosed with breast cancer, in stages I to III, divided in two groups: I—patients with oncoplastic breast-conserving surgery and contralateral correction surgery, for symmetry reasons; II—patients who underwent modified radical mastectomy and late breast reconstruction with contralateral symmetrisation. We evaluated socio-demographic aspects, alongside depression, anxiety, stress (DASS 21), and well-being (FACT-B). Data were statistically processed; statistical significance was set at p < 0.05. Results: Clinical elements of depression, anxiety, and stress were noted in both groups, without statistical significance (p > 0.05). Significant differences were found regarding psycho-emotional (p = 0.035) and functional well-being (p = 0.001), with higher scores for group I. The chi-square test indicated statistically significant differences (at p < 0.01) between the groups, regarding the frequency of scores on items B4 and B9 (FACT-B items, related to feminine aesthetics and desirability), with evidently higher scores in group I than in group II. Conclusions: The state of well-being, as well as the items related to femininity and sexuality had higher values in the group of women treated by oncoplastic conservative surgery compared to late reconstruction after modified radical mastectomy.

Modified radical mastectomy with immediate breast reconstruction

1983 ◽  
Vol 72 (5) ◽  
pp. 741
Author(s):  
John C. Kelleher ◽  
L. H Wilkinson ◽  
O. A Peloso ◽  
W. G. Dail
Keyword(s):  
Breast Reconstruction ◽  
Radical Mastectomy ◽  
Immediate Breast Reconstruction ◽  
Modified Radical Mastectomy

scholarly journals Traumatic Neuroma in a Breast Cancer Patient After Modified Radical Mastectomy: A Case Report

2011 ◽  
Vol 64 (5) ◽  
pp. 515 ◽  
Author(s):  
Eun Young Kim ◽  
Doo Kyoung Kang ◽  
Tae Hee Kim ◽  
Ku Sang Kim ◽  
Hyunee Yim
Keyword(s):  
Breast Cancer ◽  
Case Report ◽  
Cancer Patient ◽  
Breast Cancer Patient ◽  
Radical Mastectomy ◽  
Modified Radical Mastectomy ◽  
Traumatic Neuroma

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.

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 Comparison of the Effectiveness of Full Negative Pressure with Half Negative Pressure on Suction Drain in Reducing Post-Modified Radical Mastectomy Seroma

2019 ◽  
Vol 2 (2) ◽  
pp. 24-31
Author(s):  
Gulraj Singh ◽  
Mulawan Umar ◽  
Nur Qodir
Keyword(s):  
Breast Cancer ◽  
Negative Pressure ◽  
Radical Mastectomy ◽  
Control Group ◽  
Breast Cancer Patients ◽  
Modified Radical Mastectomy ◽  
Pressure Groups ◽  
Suction Drain ◽  
Significant Difference ◽  
June July

Abstract Introduction: Modified radical mastectomy (MRM) is a breast cancer treatment option that is still operable. One of the postoperative complications that can be found is the formation of seroma. High negative suction drain is done to treat seroma after surgery but it can contribute to increase the length of stay in hospital. Methods: This study was a clinical randomized control trial (cRCT) conducted on 30 breast cancer patients in June - July 2019 at Moehammad Hoesin Hospital in Palembang. This study divided the two sample groups, each group consisting of 15 patients. One group was given half negative pressure on suction drain (experimental group) and the other used full negative pressure on suction drain (control group). Results: There was a significant difference (p <0.005) between the full and half negative pressure groups where there were more seroma events in the full vacuum group in 9 (60%) cases and half vacuum in 2 (30%) but there were no significant differences in long period of stay (p> 0.005). Conclusion: Half negative pressure is more effective in treating seroma than full negative pressure.

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