Resumen

JIMENEZ-PEREIRA, Eliécer; JIMENEZ-MONTERO, Valeska  y  VARGAS-VILLALOBOS, Francisco. Reconstrucción mamaria post-mastectomía con colgajo miocútaneo de latísimo cordal más prótesis de silicón. Rev. costarric. cienc. méd [online]. 2006, vol.27, n.1-2, pp.41-51. ISSN 0253-2948.

The female breast is an important part of the woman and its development is one of the most remarkable characteristics on the sex differential. Every day more patients are mastectomized due to a good and early diagnosis of breast cancer. Eventhough the percentage is low, there are more patients looking for a breast reconstruction. This situation increment the experience of the plastic surgery department and the national burn unit of the Hospital San Juan de Dios, with a very aggressive program of breast reconstruction,specifically, using the technic of the Latissimus Dorsi Moycutaneos Flap and Silastic Gell Filled rosthesis. A total of 78 patients underwent breast reconstruction with the Latissimus Dorsi Flap and Silastic Gel Filled Prosthesis. The staff physician performed all of these and all the patients are from the Caja Costarricense de Seguro Social (CCSS). All of the 78 patients underwent breast reconstruction with the method described here between january of 1999 and july 2003. The medium age was 48.55 years. The surgical time was about 2 hours with 30 minutes in the patients were discharged in the first 24 hours in the 95% of the cases. The mastectomy affected the couple relationship; more than 50% of the woman lost her partner. No evidence of cancer recurrence was found on the chest wall. Patients and physicians are very satisfied with the reconstruction technic. The results and our experience are increasing every year. In our country breast cancer is early diagnosed, treated and reconstruction is following mastectomy. The prime interest of plastic surgeons is to developed a good program for reconstruction eventhough only 10% resort to this operation. We are sure that in the near future more patients will undergo this procedure (breast reconstruction) due to our excellent results, and for the anatomical and personal satisfaction obtained y the patient.

Palabras clave : Mastectomy; after mastectomy; myocutaneos flap; silicone implant.