Early postoperative complications in patients operated on for breast cancer using different surgical techniques
https://doi.org/10.17650/1994-4098-2021-17-2-39-45
Abstract
Background. Given the steady and intense increase in the incidence of breast cancer, the problem of the development of early complications of reconstructive operations, depending on the characteristics of surgery, remains urgent.
Objective: to analyze the characteristics of the early postoperative period in patients operated on for breast cancer using different surgical techniques.
Materials and methods. A comparative analysis of clinical examination data was carried out, as well as laboratory and instrumental diagnostic methods for 353 women with stage I to IIIA breast cancer after various surgical treatment options and 40 patients after mammoplasty.
Results and conclusions. It has been shown that neither single-step nor delayed reconstructive operations after radical mastectomy increase the incidence of complications in the early postoperative period. Single-step breast reconstruction with the help of an expander can be used in patients with I–IIIA stages of the tumor process.
About the Authors
A. Kh. IsmagilovRussian Federation
29 Sibirskiy Trakt, Kazan 420029, Russia
V. E. Karasev
Russian Federation
Build. 1, 9 Zavertyaeva St., Omsk 644013, Russia
References
1. Bosieva A.R., Zikiryakhodzhaev A.D., Ermoshenkova M.V. et al. Current aspects of organ-preserving surgery after neoadjuvant drug therapy in patients with CT 1–3N0–3M0 breast cancer. Voprosy onkologii = Oncology Issues 2020;66(4):376–80. (In Russ.).
2. Tosheva M.I., Sholomov I.I., Sholomova E.I. Effectiveness criteria of early rehabilitative treatment of patients with postoperative upper plexopathy. Saratovskiy nauchno-meditsinskiy zhurnal = Saratov Journal of Medical Scientific Research 2017;13(1):57–61. (In Russ.).
3. Kravchenko D.N., Parokonnaya A.A., Nechushkin M.I. et al. Breast cancer in young patients. Peculiarities of prognosis and adjuvant hormone therapy (a literature review). Opukholi zhenskoy reproduktivnoy systemy = Tumors of female reproductive system 2018;14(3):55–63. (In Russ.). DOI: 10.17816/clinpract8466-75.
4. Khodorovich O.S., Kalinina-Masri A.A., Kanakhina L.B. et al. Reconstructive plastic surgery with an expander/implant and radiation therapy for breast cancer. Vestnik Rossiyskogo nauchnogo tsentra rentgenoradiologii = Bulletin of the Russian Scientific Center for Radioradiology 2020;20(1):1–14. (In Russ.).
5. Vinnik Yu.A., Fomina S.A., Grineva A.Yu. The improvement of results of the complex treatment ofpatients with BC by means of determination of indications for using the different variants of reconstructiveplastic operations. Science Rise 2016;3(21):23–7. (In Russ.). DOI: 10.15587/2313-8416.2016.67471.
6. Stepanyants N.G., Yarema V.I., Ronzin A.V. et al. Opportunities for breast reconstruction after radical surgery (literature review). Moskovskiy khirurgicheskiy zhurnal = Moscow Surgical Journal 2020;(2):69–76. (In Russ.). DOI: 10.17238/issn2072-3180.2020.2.69-76.
7. Meshulam-Derazon S., Shay T, Lewis S, Adler N. et al. Immediate breast reconstruction: comparative outcome study of one-stage direct-to-implant and two-stage/tissue expander techniques. Isr Med Assoc J 2018;20(6):340–4.
8. Apanasevich V.I., Gulian I.S., Nikiforova N.O. et al. Radiation therapy and breast reconstruction. Tikhooeanskiy meditsinskiy zhurnal = Pacific Medical Journal 2020;4(82):10–4. (In Russ.). DOI: 10.34215/1609-1175-2020-4-10-14.
9. Plaksin S.A. Late seromas after implantbased breast enlargement surgery. Novosti Khirurgii = News of Surgery 2019;27(4):402–8. (In Russ.). DOI: 10.18484/2305-0047.2019.4.402.
10. Prikhodko K.A., Ptukh E.Ya., Stegniy K.V. Immediate breast reconstruction using implants and acellular dermal matrix. Tikhookeanskiy meditsinskiy zhurnal = Pacific Medical Journal 2017;67(1):93–5. (In Russ.).
11. Imangaliyev E.A. The experience of applying the modificated mastectomy with lymphodisection. Onkologiya i radiologiya Kazakhstana = Oncology and radiology of Kazakhstan 2016;3(41):193–4. (In Russ.).
12. Demko A.N., Besov S.N., Viktorov I.L. et al. Use of glucocorticosteroids in long-term lymphorrhea in patients operated on for breast cancer. Palliativnaya meditsina i reabilitatsiya = Palliative Medicine and Rehabilitation 2017;(1):33–6. (In Russ.).
13. Ismagilov A.Kh., Shakirova G.I. Use of axillary myoplasty with a small pectoral muscle flap for prevention of grey after radical mastectomies. Kazanskiy meditsinskiy zhurnal = Kazan Medical Journal 2016;97(3):449–53. (In Russ.). DOI: 10.17750/KMJ2016-449.
14. Van Bastelaar J., Granzier R., Van Roozendaal L.M. et al. A multi-center, double blind randomized controlled trial evaluating flap fixation after mastectomy using sutures or tissue glue versus conventional closure: protocol for the seroma reduction after mastectomy (SAM) trial. BMC Cancer 2018;18(1):830. DOI: 10.1186/s12885-018-4740-8.
15. Granzier R.W.Y., J. van Bastelaar , J. van Kuijk S.M. et al. Reducing seroma formation and its sequelae after mastectomy by closure of the dead space: the interim analysis of a multicenter, double-blind randomized controlled trial(SAM trial). Breast 2019;46:81–6. DOI: 10.1016/j.breast.2019.05.002.
16. Venediktov M.V., Lapochkina N.P. Metabolic syndrome as a cause of longterm lymphorrhea after radical mastectomy in breast cancer patients. In the collection: Medical-biological, clinical and social issues of human health and pathology. Ivanovskaya gosudarstvennaya meditsinskaya akademiya = Ivanovo State Medical Academy 2016;371–2. (In Russ.).
17. Osmanov A.O., Tagirova A.G., Fatuev O.E. The volume and duration of lymphorrhea after surgical interventions on the mammary gland. Vestnik Dagestanskoy gosudarstvennoy meditsinskoy akademii = Bulletin of Dagestan State Medical University 2017;4(25):43–7. (In Russ.).
18. Markizova E.V. Problems of impaired upper limb lymphodynamics in patients after mastectomy and lymphodissection. In the collection: Youth of the Big Volga. Collection of articles by the winners of the XIX Interregional Conference- Festival of Scientific Creativity of Young Students 2017. Pp. 426–428. (In Russ.).
19. Greene A.K., Zurakowski D., Goss J.A. Body mass index and lymphedema morbidity: comparison of obese versus normal-weight patients. Plast Reconstr Surg 2020;146(2):402–7. DOI: 10.1097/PRS.0000000000007021.
20. Kaoutzanis C., Winocour J., Gupta V. et al. Incidence and risk factors for major hematomas in aesthetic surgery: analysis of 129,007 patients. Aesthet Surg 2017;37(10);1175–85. DOI: 10.1093/asj/sjx062.
21. Nguyen B.N., Barta R.J., Stewart C.E. et al. Toradol following breast surgery: is there an increased risk of hematoma? Plast Reconstr Surg 2018;141(6):814–7. DOI: 10.1097/PRS.0000000000004361.
22. Piper M.L., Roussel L O., Koltz P.F. et al. Characterizing infections in prosthetic breast reconstruction: a validity assessment of national health databases. J Plast Reconstr Aesthet Surg 2017;70(10):1345–53. DOI: 10.1016/j.bjps.2017.05.004.
23. Ozturk C., Ozturk C.N., Platek M. et al. Management of expander- and implantassociated infections in breast reconstruction. Aesthetic Plast Surg 2020;44(6);2075–82. DOI: 10.1007/s00266-020-01923-8.
24. Song J.H., Kim Y.S., Jung B.K. et al. Salvage of infected breast implants. Arch Plast Surg 2017;44(6):516–22. DOI: 10.5999/aps.2017.01025.
25. Banuelos J., Sabbagh M.D., Roh S.G. et al. Infections following immediate implant-based breast reconstruction: a case-control study over 11 years. Plast Reconstr Surg 2019;144(6):1270–7. DOI: 10.1097/PRS.0000000000006202.
Review
For citations:
Ismagilov A.Kh., Karasev V.E. Early postoperative complications in patients operated on for breast cancer using different surgical techniques. Tumors of female reproductive system. 2021;17(2):39‑45. (In Russ.) https://doi.org/10.17650/1994-4098-2021-17-2-39-45