Biomedical subjects
V Tica
Publications and source records attributed to V Tica.
Chest wall reconstruction for radionecrosis after breast carcinoma therapy.
This study aimed at evaluating various reconstructive procedures for chest wall radionecrosis after breast carcinoma therapy. Four different techniques were performed between 1973 and 1992 in 120 patients: latissimus dorsi musculocutaneous flap (LDF; n = 81); transposed omentum and split-thickness skin graft (TGO; n = 20); fasciocutaneous flap (FCF; n = 10), and transverse rectus abdominis musculocutaneous flap (TRAM; n = 9). Initial dose of irradiation ranged from 60 to 110 Gy. The average interval between initial treatment and reconstruction was 11 years. Local recurrence was suspected in 26 patients and was histologically proven after removal in 36 (30%). Surgical procedure results were analyzed by mean hospital stay (8 days for LDF vs. 52 days for TGO), early (13% LDF vs. 60% TGO) and late (7% LDF vs. 35% FCF) complications, second surgery (15% LDF vs. 53% FCF), and functional and cosmetic outcomes. In our experience, the LDF was the first-line flap. The TRAM was used to cover very large defects and when breast reconstruction was needed. When these flaps were impossible or dangerous, we performed a TGO. These three procedures have replaced FCF indications.
[The use of Sono-Surgery in breast cancer surgery].
THE AIM: Of this research is presenting the using of Sono-surg as a technic possibility in breast cancer surgery. MATERIAL AND METHODS: Are presented and analyzed cases of mastectomy and laparoscopic oophorectomy in which since 1999, was used like element of hemostasis Sono-surg. RESULTS: In 23 cases of laparoscopic oophorectomy using Sono-surg, was reduce the time of intervention, incidence or usually complications. The idea of using Sono-surg in mastectomy too, make sure a perfect hemostasis even if the time of the intervention is longer. CONCLUSION: Introducing Sono-surg in surgical treatment of breast cancer is a therapeutic solution which may be used with postoperative profits.
[Liposuction and lipolysis in breast cancer].
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