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Chirurgia 2003 April;16(2):43-8

language: Italian

Breast reconstruction after conservative surgery

Cervelli V., Araco F., Grimaldi M., Badiali V., Cannatà C., Moraci M., Bertucci D.


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Aim. The aim of this study is to show new techniques for plastic surgery of the breast, used for aesthetic purpose in the past, can be used for breast reconstruction after conservative surgery.
Methods. This study has been carried out from January 1990 to December 2002 at the S. Eugenio hospital in Rome. A total of 287 patients have been examined; 68 were excluded for unreal expectation of the results; in 57 patients a surgical procedure was not possible for the huge size of the deformities; 76 patients had a large fibrosis of the remaining glandular tissue, therefore mammographic scan was not able to exclude possible remaining neoplastic foci. Eighty-six patients, average 44 years (35/62) were treated. In 50 patients the ''Tram Flap'' procedure was usedand in 30 the ''Holmstrom'' procedure with prosthesis. One patient was treated with the Benelli's breast reduction procedure or ''Round Block''. In 5 patients that have had a subcutaneous mastectomy, a breast prosthesis was implanted with Lejour's technique. The aesthetic improvement of the breast deformities was considered as good in 90% cases with good satisfaction of the patients. No serious complications have been observed.
Conclusions. The conclusion is drawn that the use of modern techniques for breast reconstruction improve significantly the unaestheticism and deformities of the breast after conservative surgery procedures.

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