- IRMS - Nicolae Testemitanu SUMPh
- 1. COLECȚIA INSTITUȚIONALĂ
- MedEspera: International Medical Congress for Students and Young Doctors
- MedEspera 2020
Please use this identifier to cite or link to this item:
http://hdl.handle.net/20.500.12710/12291
Title: | Breast reconstruction on irradiated territory using tissue expander technique and latissimus dorsi flap: a case report |
Authors: | Gologan, Paulina Stoian, Alina Iordachescu, Rodica Zabutnaia, Maria Cebotari, Dana |
Keywords: | breast reconstruction;latissimus dorsi flap;dermotension;actinic radiation |
Issue Date: | 2020 |
Publisher: | MedEspera |
Citation: | GOLOGAN, Paulina, STOIAN, Alina, IORDACHESCU, Rodica, et al. Breast reconstruction on irradiated territory using tissue expander technique and latissimus dorsi flap: a case report. In: MedEspera: the 8th Internat. Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2020, p. 113. ISBN 978-9975-151-11-5. |
Abstract: | Background. Postmastectomy radiation therapy is a well-established risk factor for
complications before and after breast reconstruction.The reconstruction of a large variety of
breast cancer surgery defects, especially on a pathologically modified field can be challenging
for plastic surgeons, autologous tissue transfer being often indicated to achieve improved tissue
quality during breast reconstruction after radiotherapy. The aim was to discuss the approach
in a modified irradiated territory for breast reconstruction and analyze satisfaction with
aesthetic outcome between patient and plastic surgeons.
Case report. A 33 years old female after a total unilateral breast mastectomy due to breast
cancer. After surgery she followed 3 cycles of radiatio-therapy. At 6 months after primary
surgery she undergone a comprehensive multilateral examination after which has received
medical agreement for breast reconstruction of the amputated breast. During examination at
admission in Plastic surgery clinic, she has been complaining on pain in the region of the scar
left after mastectomy which were exacerbated during thoracal inspiration. In the first stage of
the treatment it was decided to remove the aggressive adhered on hemithorax scars and to
reconstruct the remained defect after scars’ removal with a pedicled latissimus dorsi flap. The
second stage - implanting a tissue expander with a maximum volume of 500 ml, followed after
recovering from the first stage. The third stage took place after filling the expandable balloon.
Under the tissue’s excess instead of expander we have placed a mammary prothesis.
Conclusions. Among the plethora of breast reconstruction techniques, the LDF is a versatile,
reliable means for soft tissue coverage, providing form and function with acceptable
perioperative and long-term morbidities, especially in patients with previous radiation. Using
plastic, reconstructive andaestheticsurgerymethods in a correct order allows to rebuild the
breast after oncological amputations even if the region was actinically treated. |
URI: | https://medespera.asr.md/wp-content/uploads/ABSTRACT-BOOK.pdf http://repository.usmf.md/handle/20.500.12710/12291 |
ISBN: | 978-9975-151-11-5. |
Appears in Collections: | MedEspera 2020
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