Abstract
Purpose.Determine the survival of the auto-fat gra a er lipofi lling in the process of reconstruc on in pa ents with breast cancer.Paents and methods. The study included 60 pa ents who underwent lipofi lling both at the fi rst stage of recons tu on and at its fi nal stages. The ar cle describes the procedure for performing the lipofi lling procedure, monitoring and evalua on of the degree of survival of the autologous transplant.Results.As a result of the study, we determined the average survival rate of adiposessue in the recipient zone, which was 76.50% (p <0.00001), which further posi vely aff ects the subsequent stages of reconstruc on and the fi nal result as a whole.Conclusion.Given the good survival of the auto-gra , lipofi lling is part of the surgical rehabilita on of pa ents a er combined / complex / surgical treatment. The procedure is applicable in the fi rst stage of delayed reconstruc on, with the replacement of the ssue expander with a silicone endoprosthesis and as a correc ve method at the fi nal stage of reconstruc on.
Subject
Microbiology (medical),Immunology,Immunology and Allergy
Reference13 articles.
1. Zikiryakhodzhaev AD, Volchenko AA, Ermoshchenkova MV, Sukhotko AS. Selection for reconstruction onco-plastic surgery in patients with breast cancer. Oncology Bulletin of the Volga Region. 2015:3:38-44. (In Russian).
2. Kochneva IS. Evolution of lipophilling. From soft tissue volume restoration to regenerative medicine. Available at: http://www.abriel.ru (In Russian).
3. Juhl AA, Christensen S, Zachariae R, Damsgaard TE. Unilateral breast reconstruction after mastectomy – patient satisfaction, aesthetic outcome and quality of life. Acta Oncol. 2017 Feb;56(2):225-231. DOI: 10.1080/0284186X.2016.1266087.
4. Bayti T, Panouilleres M, Tropet Y, Bonnetain F, Pauchot J. Fat grafting in breast reconstruction. Retrospective study of satisfaction and quality of life about 68 patients. Ann Chir Plast Esthet. 2016 Jun;61(3):190-9. DOI: 10.1016/j.anplas.2015.09.004.
5. Delay E, Garson S, Tousson G, Sinna R. Fat injection to the breast: Technique, results, and indications based on 880 procedures over 10 years. Aesthet Surg J. 2009 Sep-Oct;29(5):360-76. DOI: 10.1016/j.asj.2009.08.010.