EFICACIA DE LA RECONSTRUCCIÓN MAMARIA CON EXPANSIÓN DE PIEL EN PACIENTES HOSPITAL ONCOLÓGICO SOLCA GUAYAQUIL 2013 – 2015.

Abstract

Oncological pathology in Ecuador is in second place in the epidemiological profile, and within context, 35.8% per 100,000 women corresponds to breast Cancer in women also shown significantly as a cause of death. In moderate and advanced patients suffering from this disease stages, the ideal treatment is mastectomy, which most often supplemented with adjunctive treatments for the security offered to any recurrence. The reconstruction, post-cancer treatment, breast consists of two phases: First phase: consists in placing a skin expander, so that this sufficient skin. Second phase: it based on the placement of a breast prosthesis for the purpose of achieving similarity to a standard breast; although in some cases the only expanspor directly or prothesis, prior assessment of amount of skin in that area is placed. Following a mastectomy, reconstruction with expanders is one of the most recommended techniques because it offers volume expansion and opportunity dermal skin in length is able to accommodate a prothesis, provided better symmetry and breast aesthetics. This study was conducted in Guayaquil Solca Hospital during the period 2013-2015 in order to determine the effectiveness of breast XII reconstruction with skin expansion. I was part of the general description of the variables: age, staging of cancer in patients with breast reconstruction with expander, surgical time placement expander breast skin to the placement of breast prostheses, length of hospital stay, complications in breast reconstruction with skin expander. The main results of this research included 50 patients whose main results are: increased frequency of breast reconstruction with skin expansion occurs in the age groups 30 to 39 and 40 to 49 years with 30% in each group; the cancer stage IIB that was prioritized in the (38%) of patients; In 54% of patients used surgical time was 2 to 3 hours; while the time elapsed since placing expander to change prothesis was de7 to 10 months in 36% of patients, followed by 22% in the period was 11 to 14 months and 8% reached more than 15 months ; 96% of patients had a hosptalaria stay less than 24 hours; Complications 18% of patients with hematomas are located; 22% seromas and 22% exposure or alteration of the expander, and skin involvement related to the placement of the expander 22%, while dehisencia suture 11%, finally the results of breast reconstruction with expander were mostly good (24%) and very good (68%). Conclusion: Due to the advantages of breast reconstruction using expanders, is considered good surgical alternative to improve the volume, breast symmetry and harmony