par Lejour, Madeleine ;Eder, Helga
Référence Annales de Chirurgie Plastique, 25, 1, page (57-71)
Publication Publié, 1980
Article révisé par les pairs
Résumé : 80 breast reconstructions after radical mastectomy have been performed, 70 cases by implantation of a silicone prosthesis and, later, by reconstruction of the areola mainly using the remaining one. Of the utmost importance in this type of treatment is the correlation of the counterlateral breast to adjust its volume to the volume of the reconstructed one. In 10 cases, a cutaneous integration was needed, and in five cases an epigastric flap was used, in 4 cases a flap from the latissimus dorsi, in one case a cutaneous flap from the opposite breast. Also in this treatment two operations are needed, the first consisting in the cutaneous integration, the second in the prosthesis insertion and areolar reconstruction. More than 50% of the cases underwent two operations, 5 a single operation, 9 three operations and 2 four operations. Complications are modest and mainly limited to hematoma, three cases of infections and four cases of late healing of the scar. Final results are good and met the patients requirements. This procedure is recommended also when the complete recovery from tumour is not absolutely certain, because of the psychologic help given by the reconstruction. (Caronni - Milan)