Bilateral reduction mammoplasty following breast cancer: A case-control study (part 7)

15 Aug
2012

A case-control study (part 7)

The results of our study suggest that women with a history of breast cancer treated by lumpectomy and radiation experience a higher occurrence of postoperative complications in the treated breast. These complications include delayed wound healing, infection, partial nipple-areolar complex loss and abnormal scarring. These complications occurred in the lumpectomy and radiation-treated breasts, but not in the normal control breasts. Similarly, Handel et al also reported delayed wound healing and areolar complications in a patient who had undergone a reduction mammoplasty after radiation therapy. Furthermore, several studies have found that previous irradiation is related to an increased risk of surgical infections.
Postoperative asymmetry of the breasts was also present in a high proportion of the patients, with the control breast being more ptotic and larger in size than the treated breast. This may indicate a tendency for the control breast to be under-reduced, and could lead to the need for additional balancing surgical procedures in some patients. Interestingly, 200 g of breast tissue were removed from each of the patients who underwent repeat reduction mammoplasty on the control breast. The sample size was too small to suggest that the control or unradiated breast be over-reduced by 200 g in future patients. However, this theory will need further prospective study. It’s time for you to start saving some money: you just need to visit the pharmacy that offers finest quality sildenafil online pharmacy with delivery straight to your door and all the confidentiality guarantees you ever need.

There is an approximately 20% risk of delay in wound healing in the radiated breast, more particularly at the T-junction for the inferior pedicle reduction, and a 10-fold increased risk of postoperative wound infection in a radiated breast. Therefore, it is imperative to consider the likely prolonged and possibly complicated postoperative wound healing course of the radiated breast. Based on these data, we conclude that patients must be counselled on these risks and the variation in healing of one breast from the other depending on previous radiation treatments.

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