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International Journal of Surgery Science
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International Journal of Surgery Science
Vol. 3, Issue 1, Part E (2019)

Study of post-mastectomy immediate breast reconstruction in rural set up

Author(s): Dr. Vijay Potey, Dr. Vijay Kanake and Dr. Pawan Survase
Abstract:
Background: As the number of mammary reconstruction surgeries performed has increased in recent years, reconstructive surgery of the nipple and areola has also become more widespread. This study was planned to check feasibility of Post mastectomy Immediate Breast Reconstruction in rural set up.
Methodology: Prospective observational study conducted in 30 patients with diagnosed breast malignancy. After proper evaluation, history and physical examination patient were posted for surgery. LD flap and TRAM flap surgery depending on the stage of the patient and extent of the disease were done. Patients were evaluated in the post-operative period for pain, discomfort, development of complications. All the patients were followed up for 6 months during which patient complications and satisfaction noted.
Results: Mean age of patients undergoing immediate post-operative breast reconstruction was 39.5 yrs (28-55yrs). 39.28% patients who underwent Post Mastectomy Immediate Breast Reconstruction had stage II A of Breast Carcinoma, 35.72% patients had stage IIB, 14.28% patients had stage IIIA disease and 10% patients had stage IIIB disease. 18.18% patients who underwent LD flap reconstruction had marginal flap necrosis.
Conclusion: LD Flap reconstruction is simple to perform and safest technique of Breast Reconstruction. TRAM flap is cosmetically excellent but good only in expert hands. Nipple and areola reconstruction is final stage after immediate breast reconstruction is not mandatory and depends on patient’s choice. This study concludes that Post Mastectomy Immediate Breast Reconstruction can be feasible in rural set up.
Pages: 276-279  |  1484 Views  424 Downloads
How to cite this article:
Dr. Vijay Potey, Dr. Vijay Kanake, Dr. Pawan Survase. Study of post-mastectomy immediate breast reconstruction in rural set up. Int J Surg Sci 2019;3(1):276-279. DOI: https://doi.org/10.33545/surgery.2019.v3.i1e.47
International Journal of Surgery Science