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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39(02): 217712352024rbcp0837pt
DOI: 10.5935/2177-1235.2024RBCP0837-PT
Artigo Original

Breast reconstruction: 10 years experience

Article in several languages: português | English

Authors

  • IZADORA LORENA FERREIRA REIS 

    1   Hospital Universitário da Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.
    2   Sociedade Brasileira de Cirurgia Plástica, Juiz de Fora, MG, Brasil.

  • ROMEU FERREIRA DARODA 

    2   Sociedade Brasileira de Cirurgia Plástica, Juiz de Fora, MG, Brasil.

  • CARLAILE SOARES FRANCO 

    1   Hospital Universitário da Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.
    2   Sociedade Brasileira de Cirurgia Plástica, Juiz de Fora, MG, Brasil.

  • GABRIEL FELIPE SILVA 

    1   Hospital Universitário da Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.

  • LARISSA SILVA LEITÃO DARODA 

    1   Hospital Universitário da Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brasil.
    2   Sociedade Brasileira de Cirurgia Plástica, Juiz de Fora, MG, Brasil.
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▪ ABSTRACT

Introduction:

Breast reconstruction after surgical treatment for breast cancer (one of the main cancers that affect women) has been progressively more recommended, given the benefits of psychological recovery and quality of life, whether using implants and/or autologous tissues. The present work aims to demonstrate the team’s experience, and discuss operative techniques and complications concerning data from the world literature, in addition to verifying the applicability of the technique in the team’s clinical practice.

Method:

Retrospective observational study developed at a university hospital in Juiz de Fora based on a review of medical records of patients who underwent mastectomy with breast reconstruction between 2010 and 2020.

Results:

Of the 860 breasts treated, 84% underwent immediate oncological surgery and 16% were late; the main access to the breast tissue was the Stewart incision, followed by extended inframammary, periareolar, and inverted T incisions; regarding reconstructive techniques, 35% of cases used a latissimus dorsi muscle flap, 25% used a prepectoral prosthesis, 20% used a transverse rectus abdominis myocutaneous flap and 10% used a local muscle flap. The most common complications were surgical site dehiscence, followed by skin necrosis, seroma, surgical site infection, and hematoma, in addition to other less common complications such as chronic pain and prosthesis rupture after mammography.

Conclusion:

Post-mastectomy breast reconstruction is essential for a woman’s physical and emotional recovery, with the techniques used in the last ten years being consistent, reliable, with low morbidity, and with excellent aesthetic results when correctly indicated.

Keywords:

Breast - Mammaplasty - Breast neoplasms - Surgical flaps - Muscles - Postoperative complications - Plastic surgery procedures.

Institution: Hospital Universitário da Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG, Brazil.




Publication History

Received: 03 July 2023

Accepted: 05 December 2023

Article published online:
20 May 2025

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
IZADORA LORENA FERREIRA REIS, ROMEU FERREIRA DARODA, CARLAILE SOARES FRANCO, GABRIEL FELIPE SILVA, LARISSA SILVA LEITÃO DARODA. Reconstrução mamária: Experiência de 10 anos. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: 217712352024rbcp0837pt.
DOI: 10.5935/2177-1235.2024RBCP0837-PT