Comparación de los efectos de la radioterapia sobre los resultados estéticos y complicaciones en reconstrucciones mamarias inmediatas versus diferidas con TRAM pediculado
Autores/as
Gladys Ibáñez R.
Hospital San José. Unidad Patología Mamaria
Mauricio Ibáñez R.
Clínica Dávila. Unidad de Cirugía Plástica
Nicolás Pereira C.
Hospital Clínico Universidad de Chile. Departamento de Cirugía
Negative effect of post-mastectomy radiotherapy in transverse rectus abdominus myocutaneous (TRAM) flap breast reconstruction remains unclear. The immediate post-mastectomy TRAM has shown better cosmetic results than delayed reconstruction, making it necessary to define the effects of radiation on this type of reconstruction. The aim of this study is to compare the effect of radiotherapy on immediate and delayed reconstruction with TRAM, analyzing aesthetic results and complications. We reviewed medical records of 23 patients undergoing mastectomy with TRAM reconstruction and radiation therapy between 2004-2009, distributed in those undergoing immediate reconstruction (n=12) and delayed post-radiotherapy (n=11). Cosmetic results and complications were compared between the groups. There were no differences in age, prevalence of comorbidities or clinical stage. Regarding the aesthetic result of immediate TRAM, 50% were classified as excellent, 20% very well, 20% good and 10% regular, while in
delayed reconstructions, 64% was excellent, 18% very good and 18% good, no differences between both groups (p=0.51). There were no differences in local complications. Although the study population is insufficient to draw conclusions comparable, our results are comparable to those of other studies showing no deleterious effect of radiotherapy on immediate TRAM reconstructions. Additional studies are needed to recommend the treatment of choice.
Palabras clave:
Mamoplastia/métodos, Neoplasias de la Mama/cirugía, Neoplasias de la Mama/radioterapia, Procedimientos de Cirugía Plástica/métodos
Ibáñez R., G. ., Ibáñez R., M. ., Pereira C., N. ., Mandiola B., C. ., & Andino N., R. . (2011). Comparación de los efectos de la radioterapia sobre los resultados estéticos y complicaciones en reconstrucciones mamarias inmediatas versus diferidas con TRAM pediculado. Revista Hospital Clínico Universidad De Chile, 22(3), pp. 187–94. https://doi.org/10.5354/2735-7996.2011.74902
