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Journal of Public Health Policy and Planning | Volume 3
April 08-09, 2019 | Zurich, Switzerland
Health Care and Neuroscience
International Conference on
Autologous fat graŌing to the post mastectomy irradiated chest wall: A new way for
minimal invasive breast reconstrucƟon - A series of 54 paƟents
K Razzouk
InsƟtut du Sein Nice Santa Maria, France
Introduction:
Breast reconstruction after total
mastectomy and irradiation is a real challenge
for the surgical teams. And is a crucial step for
the patient in the life after breast cancer. The
effect of radiotherapy on the skin often leads to
preferring the reconstructions by flaps. However,
reconstructions by prosthesis carries a high risk of
complications and unsatisfactory cosmetic results.
The optimization of skin trophicity by lipofilling
and its positive impact on the results of secondary
prosthetic breast reconstruction led us to perform
an autologous fat grafting prior to secondary
implant breast reconstruction after mastectomy
and radiotherapy.
Patients andmethod:
All patientswere treated at the
same center between 2012 and 2015. They all had a
total mastectomy and irradiation. They all had one
or more sessions of lipofilling prior to breast implant
reconstruction. Patients were followed to collect
this data: postoperative complications, prosthesis
removal, cosmetic result, and tumor recurrences.
Results:
Fifty-four patients were included. The
mean pre-pectoral lipofilling session was 1.1 (1-2).
Theaveragevolumeof fat injected is 150cc (80-250).
The average time between the end of treatment
and the first session of lipofilling is 20.4 months (3-
60). The mean volume of the prosthesis is 400cc
(290-620). The mean follow-up time is 22 months.
No local tumor recurrence was reported. One
patient had a cutaneous necrosis after lipofilling.
Implant explantation was performed in three cases
(5.5%). The mean cosmetic result is 4.7 (3.5-5).
Conclusion:
Pre-pectoral lipofilling prior to implant
breast reconstruction improves the chances of
success by optimizing the trophicity of the skin.
It significantly reduces the risk of prosthesis
explanation.
Therefore, this protocol allows us to propose a
minimal invasive breast reconstruction, with no
additional scar and no additional pain.
e
:
kais.razzouk@gmail.com