Análisis de la técnica de reconstrucción mamaria con colgajo dorsal ancho en pacientes postmastectomizadas por cáncer mamario en el hospital de Solca Guayaquil en el periodo 2010 al 2019.

Abstract

Background: Breast reconstruction is a clearly increasing procedure and should be a standard option in the comprehensive treatment of breast cancer. The choice of technique must be individualized for each patient, according to risk, presence of contraindications and preferences. Materials and Methods: This research has a type of observational research, retrospective - longitudinal type and has a descriptive - explanatory approach. It has a research design that refers to a case study of postmastectomized patients who have resorted to immediate and late breast reconstruction using the latissimus dorsi flap technique, with different comorbidities, corresponding to the period between 2010 and 2019. Results: Of the patients Post mastectomy for breast cancer and subjected to latissimus dorsi flap reconstruction, it was established that a percentage greater than 75% did not present complications in the postoperative period. It was determined that, at the time of removal of the drain, the only complication that occurred in the donor area were seromas due to the early removal of this drainage device, it was also verified that according to the surgical bed there were no complications in the sequelae areas, with respect to comorbidities, patients with diabetes were those with double risk of complications. Conclusions: The latissimus dorsi musculocutaneous flap presented very few complications both in radiated patients and in other areas, so it can become the ideal technique for breast reconstruction.