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Cierre de bolsillo subpectoral para la reconstrucción mamaria: descripción de una nueva técnica quirúrgica mediante el uso de celulosa oxidada regenerada NU-KNIT

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dc.contributor.author Gantz, Jose
dc.contributor.author Villalón, Javier
dc.contributor.author Salazar, Victor
dc.contributor.author Cadiz, Fernando
dc.contributor.author Pradenas, Sebastian
dc.contributor.author Romagnoli, Militza
dc.contributor.author Allamand, Juan
dc.contributor.author Vial, Gustavo
dc.contributor.author Santos, Maria
dc.contributor.author Fuster, Felipe
dc.contributor.author Fischer, Diego
dc.contributor.author Castillo, Martin
dc.contributor.author Rivera, Matias
dc.date.accessioned 2018-05-30T14:32:23Z
dc.date.available 2018-05-30T14:32:23Z
dc.date.issued 2017
dc.identifier.citation Rev Chil Cir. 2017;69(3):223-229 es_CL
dc.identifier.uri http://hdl.handle.net/11447/2106
dc.description.abstract Introduction: The use of breast expander, prior to the final prosthetic reconstruction, is not exempt from complications. They not only relate to the presence of peri-operative radiation therapy, or patient-related issues; but also related to the muscle integrate coverage of the breast expander. Material and methods: Retrospective review of patients undergoing deferred breast reconstruction using a modification of the technique of sub muscular pocket closing with oxidized regenerated cellulose NU-KNITTM for the breast expander. Between January 1, 2014 and December 31, 2015 one plastic surgeon (J.V.), from the Breast Pathology Unit at Clínica Alemana de Santiago, performed reconstruction surgeries with this technique in 31 patients. In the present article, the technique modification, demographic data, histological data and the complications which arose during the expansion phase of the same, will be described. Results: 40 breast reconstructions were performed in 31 patients. 11 seromas (27.5% of total expanders), 2 sufferings of skin flap wound dehiscence (5% expanders) and 1 wound infection (2.5% of expanders) were presented. Two patients required surgical debridement due to surgical dehiscence and infection. One patient required explantation of the expander (2.5% of total expanders). Discussion: The modification of the surgical technique represents a safe and reproducible alternative to achieve a complete closure of the muscular pocket and thus a complete coverage of the expander, consequently; avoiding some of the secondary complications drawn from an insufficient coverage of the expander. es_CL
dc.language.iso es es_CL
dc.publisher Sociedad de Cirujanos de Chile es_CL
dc.subject Breast reconstruction es_CL
dc.subject Mammary expander es_CL
dc.title Cierre de bolsillo subpectoral para la reconstrucción mamaria: descripción de una nueva técnica quirúrgica mediante el uso de celulosa oxidada regenerada NU-KNIT es_CL
dc.title.alternative Closure of the sub pectoral pocket for breast reconstruction: Description of a new surgical technique using oxidized regenerated cellulose NU-KNIT es_CL
dc.type Article es_CL


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