EFICACIA DEL COLGAJO DORSAL ANCHO EN CIRUGÍA MAMARIA EN EL HOSPITAL ONCOLÓGICO SOLCA GUAYAQUIL EN EL PERIODO 2015-2016

Abstract

Breast reconstruction is one of the surgical techniques that gives the most satisfaction to a mastectomized cancer patient. With the advent of breast reconstruction techniques for each patient selected as the use of autologous flaps, the possibilities of complications were reduced and the benefits of aesthetic appearance increased. A number of reconstruction techniques are known today but we must be guided by the most reliable, useful and reflecting less evidence of sequelae at the end of the reconstruction. The present investigation is of a descriptive type carried out in the cancer hospital of Solca de Guayaquil in the period 2015-2016, where the wide dorsal flap was used to reconstruct the chest wall, and breasts immediately or late according to the general conditions of the patient . Taken as a reference, 20 oncological patients who underwent mastectomies coverage were: radical mastectomies, mastectomies of cleaning, SSM (skin sparing mastectomies), NSM (nipple skin mastectomies), for which the indication for the use of the flap was very Varied: coverage, filling and replacement of tissues. The data were taken from the statistical service of the Solca Hospital of Guayaquil, clinical histories, surgical records, postoperative controls were performed by means of a data collection sheet. The results showed that the patients comprised an age limit between 35 and 56 years; the complications presented were 10% which XV was resolved favorably. Patients presented an excellent satisfaction level of 80%, which was achieved using a 5-character Likert scale.