Results in Breast Reconstruction - Retrospective Study.

Introduction: The more and more frequent use of radiotherapy has hindered the approach manner of breast reconstruction. Applied before, during or after breast reconstruction, the radiotherapy compromises the esthetical results. Material and Method: The team's study included a number of 68 patients admitted to the Clinical Emergency Hospital "Prof. Dr. Agrippa Ionescu" Plastic and Reconstructive Surgery, within the period May 2013 - June 2017 for breast reconstruction after radical modified mastectomy with adjuvant treatment, chemotherapy / radiotherapy, or for subcutaneous mastectomy and immediate reconstruction with oncological indication. Among the followed objectives, we can list: the comparative assessment of the various reconstructive techniques with the premises of the presence of an adjuvant treatment of the curative mastectomy; the influence exercised by the medical history of the patient on the final result of the reconstruction and the susceptibility to complications or the need for a surgical re-intervention based on the used reconstructive procedure. Results: A careful and detailed pre-operatory assessment of the expectations of the patient and the selection of the adequate reconstructive procedure represent a necessity for a satisfying result. The breast reconstruction with implant during the associated therapy leads to the possibility of development of capsular contracture. Also, the additional use of a flap does not always offer protection against this complication. Conclusion: The radiotherapy improves the survival rate in the case of the patients with breast cancer in advanced stages, but makes difficult the selection of a reconstructive procedure. [ABSTRACT FROM AUTHOR]