scholarly journals Clinical Study about Latissimus Dorsi Based Breast Reconstruction at a Tertiary Health Centre in Mangalore, India

2021 ◽  
Vol 10 (34) ◽  
pp. 2905-2909
Author(s):  
Gopinathan S
Keyword(s):  
Breast Cancer ◽  
Body Image ◽  
Clinical Study ◽  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Breast Cancer Survivors ◽  
Health Centre ◽  
Tram Flap ◽  
Immediate Reconstruction ◽  
Health Care Centre

BACKGROUND The most common cancer among urban Indian women is breast cancer. Mastectomy causes loss of body image and negatively impacts the quality of life. Restoration of body image is an important step for breast cancer survivors. Recent reconstruction options are autologous or implant-based reconstruction or combined approach. This present clinical study was done to describe about latissimus dorsi based breast reconstruction (BR) at a tertiary health centre. METHODS This retrospective study was conducted at a tertiary health care centre from Jun 2018 to Dec 2020. Eligible desiring patients’ divided into the small, medium and large breasts and were willing to undergo BR were taken up for surgery. Patients considered as suitable candidates were further assessed for the option of reconstruction by latissimus dorsi (LD) flap, LD flap with an implant. All the patients were fully explained about the procedure. RESULTS The total number of mastectomies were 158 and breast reconstruction was done in 45 patients, with a percentage of 29 %. In our study, majority of the patients (91.1 %) underwent immediate breast reconstruction. Reconstructive methods used in our study were autologous LD flap (64.4 %), LD flap with silicone implant (24.2 %) and pedicled transverse rectus abdominis myocutaneous (TRAM) flap (11.2 %) based on the size of the contralateral breast. The most common type of reconstruction in our study was the LD flap (64.4 %). CONCLUSIONS Immediate reconstruction of mastectomy defects was offered to all interested patients. Autologous or implant-based can be done safely with minimum morbidity. Latissimus dorsi flap-based breast reconstruction is a cost-effective, safe, reliable method at a tertiary health centre. KEY WORDS Breast Reconstruction, Flap, LD Flap, Implant

scholarly journals High Incidence of Axillary Web Syndrome among Breast Cancer Survivors after Breast Reconstruction

Breast Care ◽  
2019 ◽  
Vol 15 (4) ◽  
pp. 366-371
Author(s):  
Hsiu-Chen Huang ◽  
Hui-Hua Liu ◽  
Li-Yun Yin ◽  
Chao-Hui Weng ◽  
Chien-Liang Fang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Odds Ratio ◽  
Breast Cancer Survivors ◽  
Intraoperative Radiotherapy ◽  
Evidence Base ◽  
Immediate Reconstruction ◽  
Axillary Web Syndrome ◽  
Surgical Methods ◽  
Educational Guidance

Objective: The aim of this study was to identify if breast reconstruction is a surgical risk factor for axillary web syndrome (AWS) in breast cancer (BC) patients. Methods: The data of 207 patients who have been diagnosed with unilateral BC and who had mastectomy and lymph node dissection were retrospectively reviewed. Information of their clinical and pathological data, whether they had immediate ­reconstruction and intraoperative radiotherapy, surgical methods, and postoperative complications during the 3 months after their surgery (AWS, lymphedema, seroma, and myofascial adhesion) were collected, and the incidence of AWS was compared between different surgical methods. ­Results: The overall incidence of AWS was 48.8% in 207 patients. Of the 22 patients who received reconstruction, 19 developed AWS, yielding an incidence of 86%. Multivariate logistic regression modeling showed that patients who underwent reconstruction had a significantly higher incidence of AWS (odds ratio, 4.74), as did patients with postoperative complication of myofascial adhesion (odds ratio, 7.07). Conclusions: BC survivors after breast reconstruction are susceptible to AWS, and there is a significant association between myofascial adhesion and AWS. Our results can stimulate further investigation and provide an evidence base for the development of educational guidance for patients who plan to undergo breast reconstruction.

scholarly journals Outcomes of skin sparing mastectomy with immediate breast reconstruction with Latissimus dorsi (LD) flap in surgical treatment of breast cancer

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
S M Othman ◽  
A K Elfekky ◽  
M E Elshinawi ◽  
A G Othman
Keyword(s):  
Breast Cancer ◽  
Lymph Node ◽  
Breast Reconstruction ◽  
Latissimus Dorsi ◽  
Breast Conservation ◽  
Immediate Breast Reconstruction ◽  
Breast Conservation Surgery ◽  
Autologous Reconstruction ◽  
Immediate Reconstruction ◽  
Aesthetic Result

Abstract Introduction Breast cancer is a devastating disease affecting women of all ages worldwide with the age incidence in Egypt being one decade younger than the mean age incidence, the latissimus dorsi (LD) flap is an important volume-replacement option due to its stability and versatility as an autologous flap. LD flap could be used for total breast reconstruction after mastectomy in selective cases or to fill a large quadrantectomy defect. Aim The aim of this study is to estimate the oncologic and aesthetic outcomes and the procedure-related complications of latissimus dorsi (LD) flap with skin sparing mastectomy in management of breast cancer. Patients On 25 patients breast cancer underwent skin-sparing mastectomy with immediate reconstruction using LD flap, Methods All patients were subjected to : (Complete history taken, General examination, Local examination and routine investigations) Surgical procedures 25 patients with breast cancer underwent skin-sparing mastectomy with immediate reconstruction with LD flap. Results Mean age of included patients was 41.12 years with mean BMI 29.17 kg/m2, regarding tumor classification DCIS represented 8% LCIS represented 20% IDC represented 32% ILC represented 40% of all patients, Positive lymph node 1-3 in 40% of patients and more than 3 in 20% of patients and 40% of patients had negative lymph node,96% of patients had no recurrence on the other hand only 4% shows locoregoinal recurrence, Regarding postoperative immediate complications 72% of patients showed no complications. Discussion In the current study we aimed to estimate the oncologic and aesthetic outcomes and the procedure-related complications of latissimus dorsi (LD) flap with skin sparing mastectomy in management of breast cancer. Conclusion Skin sparing mastectomy with immediate breast reconstruction using latissimus dorsi muscular flap allows single-stage, totally autologous reconstruction with a satisfactory aesthetic result, low morbidity, and good quality of life. Recommendations Breast cancer patients are best managed by a multidisciplinary team, Breast conservation surgery does often leave a significant deformity which can best be corrected by an immediate LD flap reconstruction, this method is simple and effective, our concept should be further analyzed in larger comparative studies.

scholarly journals Survey of Psychosocial Problems Facing Breast Cancer Survivors after Undergoing a Mastectomy and Their Awareness of Breast Reconstruction

2011 ◽  
Vol 14 (Suppl 1) ◽  
pp. S70 ◽  
Author(s):  
Il Yong Chung ◽  
Eunyoung Kang ◽  
Eun Joo Yang ◽  
Jae-Young Lim ◽  
Eun-Kyu Kim ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Cancer Survivors ◽  
Breast Cancer Survivors ◽  
Psychosocial Problems

Emotional expectations reported by hospitalized women in southeastern Brazil before being submitted to mastectomy with immediate breast reconstruction: A clinical-qualitative study

2017 ◽  
Vol 41 (S1) ◽  
pp. s507-s507
Author(s):  
G.L. Almeida ◽  
R.M.C. Sena ◽  
V.L.P. Alves ◽  
C. Cardoso-Filho ◽  
E.R. Turato
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Immediate Breast Reconstruction ◽  
University Hospital ◽  
Southeastern Brazil ◽  
Immediate Reconstruction ◽  
Female Population ◽  
Competing Interest ◽  
Health Assistant ◽  
The Aesthetic

IntroductionBreast cancer is a type that more affects female population in the world. Surgical indication, present in most cases, is a mutilating procedure and mentally traumatic for majority of women subjected. Thus, immediate breast reconstruction, which is the choice to rebuild the breast during the mastectomy surgery, is an alternative to reduce discomforts associated with loss of the breast, in addition to being associated potentially with improved emotional and psychosocial quality of life.ObjectiveTo discuss, from psychological viewpoint, the emotional expectations about surgical results of a planned mastectomy with immediate breast reconstruction, reported by women with breast cancer treated in a university hospital in Campinas, state of São Paulo.MethodQualitative design, particularized in the clinical-qualitative method, adequate to health assistant settings, using the semi-directed interview with open-ended questions in-depth, fully transcribed and after submitted to content clinical-qualitative analysis. Intentional sample closed by criterion of information theoretical saturation with 12 sequential participants.ResultsAmongst the emergent categories from free-floating readings, we have chosen the following to presentation:.–The desire of healing above expectations of the aesthetic aspects;–The perception of the surgical approach predominantly with aesthetic effects;–The desire of a contra-lateral healthy breast withdrawal, too.ConclusionsFace the proposal of mastectomy with immediate reconstruction, days before the surgery, women reported to be well emotionally organized for the procedure, although in different ways. This occurs probably due to emotional meanings built by many experiences from their psychological histories, as well as from values provided by the socio-cultural environments.Disclosure of interestThe authors have not supplied their declaration of competing interest.

A pilot study of a body image intervention for breast cancer survivors

Body Image ◽  
2018 ◽  
Vol 27 ◽  
pp. 21-31 ◽  
Author(s):  
Helena Lewis-Smith ◽  
Phillippa Claire Diedrichs ◽  
Diana Harcourt
Keyword(s):  
Breast Cancer ◽  
Body Image ◽  
Pilot Study ◽  
Cancer Survivors ◽  
Breast Cancer Survivors

Does Immediate Tissue Expander Placement Increase Immediate Postoperative Complications in Patients with Breast Cancer?

2015 ◽  
Vol 81 (2) ◽  
pp. 143-149
Author(s):  
Hossein Masoomi ◽  
Keyianoosh Z. Paydar ◽  
Gregory R. D. Evans ◽  
Emily Tan ◽  
Karen T. Lane ◽  
...  
Keyword(s):  
Breast Cancer ◽  
United States ◽  
Hospital Mortality ◽  
Breast Reconstruction ◽  
Complication Rate ◽  
Tissue Expander ◽  
The United States ◽  
Immediate Breast Reconstruction ◽  
Perioperative Outcomes ◽  
Immediate Reconstruction

The objectives of this study were to evaluate 1) the rate of immediate breast reconstruction; 2) the frequency of immediate tissue expander placement; and 3) to compare perioperative outcomes in patients who underwent breast reconstruction after mastectomy for breast cancer with immediate tissue expander placement (TE) with those with no reconstruction (NR). Using the Nationwide Inpatient Sample database, we examined the clinical data of patients with breast cancer who underwent mastectomy with or without immediate TE from 2006 to 2010 in the United States. A total of 344,253 patients with breast cancer underwent mastectomy in this period in the United States. Of these patients, 31 per cent had immediate breast reconstruction. We only included patients with mastectomy and no reconstruction (NR: 237,825 patients) and patients who underwent only TE placement with no other reconstruction combination (TE: 61,178 patients) to this study. Patients in the TE group had a lower overall postoperative complication rate (2.6 vs 5.5%; P < 0.01) and lower in-hospital mortality rate (0.01 vs 0.09%; P < 0.01) compared with the NR group. Fifty-three per cent of patients in the NR group were discharged the day of surgery compared with 36 per cent of patients in the TE group. Using multivariate regression analyses and adjusting patient characteristics and comorbidities, patients in the TE group had a significantly lower overall complication rate (adjusted odds ratio [AOR], 0.6) and lower in-hospital mortality (AOR, 0.2) compared with the NR group. The rate of immediate reconstruction is 31 per cent. TE alone is the most common type of immediate reconstruction (57%). There is a lower complication rate for the patients who underwent immediate TE versus the no-reconstruction cohort.

Distress and body image due to altered appearance in posttreatment and active treatment of breast cancer patients and in general population controls

2017 ◽  
Vol 16 (2) ◽  
pp. 137-145 ◽  
Author(s):  
Danbee Kang ◽  
Eun-Kyung Choi ◽  
Im-Ryung Kim ◽  
Seok Jin Nam ◽  
Jeong Eon Lee ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Body Image ◽  
General Population ◽  
Cancer Patients ◽  
Active Treatment ◽  
Breast Cancer Survivors ◽  
Breast Cancer Patients ◽  
Skin Changes ◽  
Population Controls

ABSTRACTObjective:Our objective was to evaluate long-term altered appearance, distress, and body image in posttreatment breast cancer patients and compare them with those of patients undergoing active treatment and with general population controls.Method:We conducted a cross-sectional survey between May and December of 2010. We studied 138 breast cancer patients undergoing active treatment and 128 posttreatment patients from 23 Korean hospitals and 315 age- and area-matched subjects drawn from the general population. Breast, hair, and skin changes, distress, and body image were assessed using visual analogue scales and the EORTC BR–23. Average levels of distress were compared across groups, and linear regression was utilized to identify the factors associated with body image.Results:Compared to active-treatment patients, posttreatment patients reported similar breast changes (6.6 vs. 6.2), hair loss (7.7 vs. 6.7), and skin changes (5.8 vs. 5.4), and both groups had significantly more severe changes than those of the general population controls (p < 0.01). For a similar level of altered appearance, however, breast cancer patients experienced significantly higher levels of distress than the general population. In multivariate analysis, patients with high altered appearance distress reported significantly poorer body image (–20.7, CI95% = –28.3 to –13.1) than patients with low distress.Significance of results:Posttreatment breast cancer patients experienced similar levels of altered appearance, distress, and body-image disturbance relative to patients undergoing active treatment but significantly higher distress and poorer body image than members of the general population. Healthcare professionals should acknowledge the possible long-term effects of altered appearance among breast cancer survivors and help them to manage the associated distress and psychological consequences.

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