169 Can Volume Replacement with Local Perforator Flaps Reduce the Trauma to Patients Caused by Mastectomies and Cost of Reconstructions in Breast Cancer Treatment?
نویسندگان
چکیده
Abstract Aim National reported mastectomy rate varies from 25% - 45%. Improved screening and raised breast awareness raise the demand for cancer treatment. 45% of treatment will be mastectomies, some them followed by reconstruction. Mastectomy +/-reconstruction is a traumatic procedure which affects quality life patients plus extra cost NHS We would like to investigate if technique local perforator flaps can reduce volume mastectomies. Method Retrospective review yearly operations 2016 2020 in Ipswich Hospital. Results 1367 surgical performed cancer.In 2016,52/273(19%) had 8/273(2.9%) underwent flap operation. In 2017, 85/292 (29,1%) 13/292 (4,4%) surgery. 2018, number mastectomies was 74/299 (24.7%), while 4/299 (1.3%) 2019, amount increased 24/305(7.8%) remained equivalent percentages [72/305 (23.6%)]. Finally, 2020, despite presence COVID19 decrease management cancer, 16/198(8.5%) surgery only 34/198 (18%) mastectomy.0/57 (0,00%) failed. Conclusions Local have resulted 11.1% reduction (also reducing reconstructions). The exchange reconstruction with conserving reduces operating time without compromising oncological outcome or patient satisfaction.
منابع مشابه
Abstract: Oncoplastic Volume Replacement Using Local Perforator Flaps
M oday, Sptem er 6, 2016 days (40–1083). There were a number of surgical indications: malignancy (n=25), risk reduction (n=40), revision (n=32) and delayed reconstruction (n=8). Incision type varied; wise pattern (32), IMF (48) and transverse/vertical (20). Mean mastectomy weight was 473g (73–1679), and median implant volume: 409cc (165–620). Length of stay was 0.96 days. Four patients experien...
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15 صفحه اولPerforator Relocation in Free Style Local Perforator Flaps
Local perforator flaps have evolved over the time to provide complete and stable coverage of soft tissue defects. Technical advances and experience with the perforator flaps have allowed the harvest of local perforator flaps in a free style manner by offering greater freedom in flap selection. We have proposed a technical modification in the harvest of a perforator flap by relo-cating the perfo...
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2022
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znac039.100