Reconstrucci車n mamaria mediante pr車tesis expansoras Breast reconstruction with expander prostheses

作者：M J Pelay; J Oroz; C Colas

来源：Anales del Sistema Sanitario de Navarra, 2005.

• Expansion tisular
• Protesis expansora
• Protesis de Becker
• Reconstruccion mamaria postmastectomia
• Tissue expansion
• Expanders prostheses
• Becker&rsquo
• s prosthesis
• Post-mastectomy breast reconstruction

La reconstrucci車n mamaria mediante expansores tisulares es una t谷cnica conocida en la pr芍ctica cl赤nica desde 1978. Los autores presentan su experiencia cl赤nica en el Servicio de Cirug赤a Pl芍stica y Reparadora del Hospital Virgen del Camino, desde 1980 al 2005, en la reconstrucci車n mamaria mediante expansores tisulares y la evoluci車n hacia la reconstrucci車n mamaria inmediata, con pr車tesis expansoras duraderas que semejan a las pr車tesis mamarias convencionales e intentan emular a la mama extirpada. Se presenta un recuerdo hist車rico de la repercusi車n de la mastectom赤a y su cirug赤a reconstructora en los diferentes 芍mbitos profesionales y sociales, as赤 como el cambio en la mentalidad de la sociedad y de los profesionales sanitarios en beneficio de las pacientes. Se exponen las caracter赤sticas de la reconstrucci車n mamaria postmastectom赤a, mediante pr車tesis expansoras, con sus ventajas e inconvenientes. Breast reconstruction with tissue expanders is a technique that has been known to clinical practice since 1978. The authors present their clinical experience in the Plastic and Reconstructive Surgery Service of the Virgen del Camino Hospital from 1980 to 2005. They describe breast reconstruction using tissue expanders and the evolution towards immediate breast reconstruction with durable expanders prostheses, which resemble conventional breast prostheses and try to emulate the extirpated breast. They provide an historical review of the repercussion of mastectomy and breast reconstructive surgery in the different professional and social areas, as well as the change in mentality of society and health professionals that has benefited patients. The characteristics of post-mastectomy breast reconstruction, using expanders prostheses, are set out, as well as its advantages and drawbacks.