Reconstrução mamária tardia com retalho músculo-cutâneo transverso do reto abdominal: avaliação dos resultados pelas pacientes e por dois cirurgiões plásticos
Arquivos
Data
2001
Autores
Veiga, Daniela Francescato 
Orientadores
Sabino Neto, Miguel
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Com o objetivo de avaliar o grau de satisfação das pacientes e de dois observadores independentes, cirurgiões plásticos com experiência em reconstrução mamária, realizamos a reconstrução mamária tardia com o retalho musculocutâneo transverso do reto abdominal em 20 pacientes mastectomizadas, selecionadas consecutivamente nos ambulatórios de Cirurgia Plástica/Mastologia de dois hospitais universitários. A técnica cirúrgica utilizada foi a convencional, sendo 45% dos retalhos monopediculados e 55% bipediculados. Em todos os casos a cirurgia foi realizada em dois tempos, onde o segundo consistiu de simetrização e reconstrução do complexo aréolo-papilar. Os resultados foram avaliados e comparados três e seis meses após a conclusão da reconstrução, através de dois métodos: atribuição de notas de 0 a 10 pelas pacientes e pelos observadores ao resultado global da reconstrução e avaliação por categorias de sub-escalas (volume, forma e posicionamento da mama, sulco inframamário e cicatrizes) realizada pelos dois observadores. Não houve diferença significante entre as avaliações aos três e seis meses. Observamos concordância e satisfação com os resultados entre os observadores, e maior grau de satisfação com os resultados por parte das pacientes do que dos observadores, sendo que 95% das pacientes atribuíram nota máxima ao resultado.
Aiming to evaluate the patients` level of satisfaction and the same for two independent observers who are senior plastic surgeons, experienced in breast reconstruction, it was performed late breast reconstruction with the transverse rectus abdominis myocutaneous flap in 20 mastectomized patients, consecutively selected in Plastic Surgery / Mastology ambulatory in two university hospitals. The technique used was the conventional one, being 45% single pedicle and 55% double pedicle flaps. In all cases the surgery was performed in two stages, in which the second one consisted of symmetrization and nipple-areola reconstruction. The results were evaluated and compared three and six months after the conclusion of the reconstruction, through two methods: the patients and the observers attributed grades 1 to 10 to the global result of the reconstruction, and evaluation of subscales categories (volume, contour and placement of breast mound, inframammary fold and scars), performed by both observers. There was no significant difference between the evaluations at the third and sixth postoperative month. It was possible to observe concordance and satisfaction with the results between the observers and a higher level of satisfaction with the results by the patients than the observers, since 95% of the patients attributed the highest grade to the result.
Aiming to evaluate the patients` level of satisfaction and the same for two independent observers who are senior plastic surgeons, experienced in breast reconstruction, it was performed late breast reconstruction with the transverse rectus abdominis myocutaneous flap in 20 mastectomized patients, consecutively selected in Plastic Surgery / Mastology ambulatory in two university hospitals. The technique used was the conventional one, being 45% single pedicle and 55% double pedicle flaps. In all cases the surgery was performed in two stages, in which the second one consisted of symmetrization and nipple-areola reconstruction. The results were evaluated and compared three and six months after the conclusion of the reconstruction, through two methods: the patients and the observers attributed grades 1 to 10 to the global result of the reconstruction, and evaluation of subscales categories (volume, contour and placement of breast mound, inframammary fold and scars), performed by both observers. There was no significant difference between the evaluations at the third and sixth postoperative month. It was possible to observe concordance and satisfaction with the results between the observers and a higher level of satisfaction with the results by the patients than the observers, since 95% of the patients attributed the highest grade to the result.
Descrição
Citação
VEIGA, Daniela Francescato. Reconstrução mamária tardia com retalho músculo-cutâneo transverso do reto abdominal: avaliação dos resultados pelas pacientes e por dois cirurgiões plásticos. 2001. 114 f. Dissertação (Mestrado) - Escola Paulista de Medicina, Universidade Federal de São Paulo. São Paulo, 2001.