Immediate and delayed two-stage post-mastectomy breast reconstruction with implants. Our experience of general surgeons.
BACKGROUND
Breast reconstruction after a mastectomy, today is considered the best choice to improve the quality of life for the patient. The aim of the procedure is to consider the aesthetic results obtained and the various involvements, comparing them with those already reported in literature. METHODS. There is no certain data of the number of breast reconstructions performed in Italy in the few years. In 1999, in Veneto, reconstruction surgery after total breast removal, represented only 16% of the operations. In our surgery Division, from 1996 to 2000, there were breast reconstructions performed, either immediately or delayed on 87 patients out of 118 after mastectomy. 73.7% none over the age of 60 (range 27-60). The breast removal technique used is the Madden, while, for the reconstruction we have put into effect the submuscle prosthetic implant; 63 patients were subject to follow-up treatment during the period of 10 to 36 months.


RESULTS
Seventy-eight percent of the women have judged the final aesthetic results the same or better than expected. Based on reconstruction with prosthesis, is the preferred procedure, even with serious complications which do not always influence the final results. This preference is because of the reduced operation time and the psychological and physical benefits due to immediate restoral of the mammary volume and shape.


CONCLUSIONS
Some problems (Garavaglia Law) have slowed down the diffusion in Italy of this type of treatment which is now receiving more and more request and approval by the women affected with breast cancer.
Racano
C
C
Department of General Surgery, ASL n. 15, Cittadella (PD), Italy. chirgen.cittadella@tin.it
Fania
P L
PL
Motta
G B
GB
Belloni
C
C
Lazzarini
E
E
Isoardi
R
R
Boccù
C
C
Duodeci
S
S
D'Agosto
M
M
Ragni
L
L
D000328:Adult; D018427:Breast Implants; D001943:Breast Neoplasms / Q000601:surgery; D018567:Breast Neoplasms, Male / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy; D008875:Middle Aged; D009558:Nipples / Q000601:surgery; D013997:Time Factors; D015626:Tissue Expansion / Q000009:adverse effects / Q000379:methods