A Comparative Study of the Outcome Measures of Reconstructive Procedure (LD/TRAM FLAPS) following Modified Radical Mastectomy for Carcinoma Breast
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 4
Abstract
Introduction: A documented outcome is needed to compare the advantages and disadvantages between LD / TRAM flaps in breast reconstruction for this modern advanced world to look for the acceptable procedure. A successful breast reconstruction (LD / TRAM flaps) may make it easier for the patient to cope with the loss of the breast and it is shown to associate with psychological benefit. The present study conducted to compare and identify the most frequent benefit and complications of the main measures (LD / TRAM-flaps) used for breast reconstruction surgery and to compare complications to the relevant independent variables. Material and methods: The present study was conducted among 20 patients who underwent breast reconstruction with either LD or TRAM flap procedure and were evaluated for various parameters that includes duration of surgery, donor site morbidity, duration of hospital stay, incidence rate of flap necrosis, incidence rate of seroma, and aesthetic value (patient satisfaction). All the patients were followed up during post-operative regularly up to discharge and at regular intervals (after discharge at 2week, after 3 month of 1st visit and after 6 month of 2nd visit) and whenever necessary. Results: The donor site infection rate was 18.75%, more in TRAM flap procedure and the donor site deformity was 14.58%. The seroma was developed by all patients and tendency to more seroma formation was in patients with TRAM flap procedure. Average total flap necrosis was 16.66%. Partial necrosis was more (18.75%) in TRAM flap procedure. Conclusion: Partial necrosis and seroma formation was more in TRAM flap. Seroma was developed by all patients. More complications in case of TRAM flap procedure may be fact of long hospital stay.
Authors and Affiliations
Sudip Sarkar, Shine N Singh, Anupam Choudhury, Srikant Gupta
Keywords
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