Immediate and remote results of surgical interventions on the breast
Purpose of the study. To assess the women's quality of life when using in the surgical component of the treatment in reconstructive surgeries, and their effect on survival and the period of a relapse-free period. Patients and methods. Within the period 2012-2017, we analyzed the results of surgical treatment of 192 patients diagnosed with breast cancer. Stages of breast cancer were mainly I-IIB (78%). Histologically, in 89% of cases the tumor was represented by invasive non-specific cancer, in most patients the treatment was complex (84%). With it 192 radical Madden mastectomies with and without the reconstruction of the gland were performed. Results. Six months after surgery, the patients were surveyed by a psychologist, 127 (66%) patients evaluated cosmetic surgery results as good, 50 (26%) patients - as satisfactory and 15 (8%) - as unsatisfactory. The unsatisfactory results were primarily attributed to the operation after which there were various postoperative complications, in the form of suppuration of postoperative wounds, lymphorrhea, etc. the Type of surgery does not affect the frequency of complications such as infectious complications, early postoperative bleeding, lymphorrhea. Conclusion. In case of identical early postoperative complications, we obtain better cosmetic long-term results during reconstructive operations. In reconstructive breast surgery, there are several methods of restoring the lost form of the breast, while oncosurgical patients should be treated individually in each case. Technically, the use of expanders and silicone implants is easier and more convenient for the surgeon and the patient. Women with severe ptosis during the reconstructive stage of treatment with allografts are better to carry out a two-stage reconstruction. The presence of the implant does not affect the course of the postoperative period, the prognosis of survival and the period of recurrence-free period.