title: [The early results of autogenous plastic reconstruction of the breast using the TRAM and LDM methods in patients with breast carcinoma. Transverse rectus abdominis muscle. Latissimus dorsi muscle].
abstract: It is the purpose of the study to assess the early results of TRAM (transversus rectus abdominis musculocutaneous flap) and LDM (latissimus dorsi musculocutaneous flap) techniques used in mammary gland reconstruction following mastectomy in breast carcinoma patients. Over a two-year period (Nov 1995 through Nov 1997), nineteen patients presenting breast carcinoma undergo treatment. In ten immediate reconstruction of the breast is undertaken, and in nine the operation is deferred for varying periods of time. TRAM technique is used in 18 cases, and LDM--in one. The mean postoperative follow-up period is 12 months (range 1 to 24 months). Evaluation of results is done with a reference to local relapses and distant metastases, cosmetic outcome of the reconstruction and complications. There is conclusive evidence that in a considerable number of patients autogenous mammary gland reconstruction is practicable as totally complying with the oncologic tenet concerning life style improvement in this high-risk contingent of patients.
authors.forename: A
authors.initials: A
authors.lastname: Dimov
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D018270:Carcinoma, Ductal, Breast / Q000601:surgery*; D018275:Carcinoma, Lobular / Q000601:surgery*; D018276:Carcinoma, Medullary / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D015411:Mastectomy, Modified Radical / Q000534:rehabilitation; D015409:Mastectomy, Radical / Q000534:rehabilitation; D011183:Postoperative Complications / Q000453:epidemiology; D013524:Surgical Flaps