miércoles, 21 de enero de 2015

AACS: Prophylactic mastectomy increasingly chosen option

AACS: Prophylactic mastectomy increasingly chosen option

Univadis - un servicio de MSD

AACS: Prophylactic mastectomy increasingly chosen option

  • RSi Communications
  • logo conference-reports

as presented at the Scientific Meeting of the American Academy of Cosmetic Surgery
Deciding to have a mastectomy without actually having breast cancer is not necessarily a radical alternative, as it might appear to be, according to a study presented at AACS, held in January in New Orleans. An increasing number of high-risk women make the choice to have prophylactic mastectomy, many after testing positive for BRCA gene mutations. 
Ziya Saylan, MD, of Istanbul Surgical Hospital, reported that between 2008 and 2013, seven patients underwent prophylactic mastectomy at his facility. Five were unilateral (71.4%) and two bilateral (28.6%). Patient satisfaction was very high overall, particularly with regard to the expected breast fullness, he reported. The complication rate was also low. Two patients (28.6%) had limited periareolar scar hypertrophy and only one (14.3%) requested revisional surgery for scar revision. 
Although in three cases (42.9%) a late enlargement of the nipple-areolar complex (NAC) developed, none of the patients requested a formal revisional NAC reduction. There were five cases (71.4%) of nipple-sparing mastectomy (NSM) and two cases (28.6%) of skin-sparing mastectomy with nipple reconstruction. In all patients the areola and the nipple returned to preoperative levels of blood supply and sensitivity, Dr. Saylan reported.

Mas Reportes de Congresos
AACS: Low complication rate, high patient satisfaction with external chin implant placement
SCCM: Alcohol behind a significant proportion of admissions to critical care
SCCM: Obesity paradox not observed in large cohort of critically ill patients on early enteral nutrition
SCCM: Prehospital hypotension in trauma patients is significant indicator of injury severity
SCCM: Having cancer at ICU admission influences end-of-life care and intensity of treatment
SCCM: Patients with malnutrition and acute respiratory failure at high risk for adverse outcomes
SCCM: Proton pump inhibitors independent risk factor for development of Clostridium dificile infection in intensive care unit
SCCM: Two-thirds of ICU admissions following all-terrain vehicle accidents have positive toxicology screens
AACS: Reducing surgical site infection in breast-implant surgery

No hay comentarios:

Publicar un comentario