Dados do Trabalho

Título

USO DE MOLDE MAMARIO EM MARCAÇOES PRE-OPERATORIAS DE CIRURGIAS ONCOPLASTICAS

Título em Inglês

USE OF BREAST MOLD IN PREOPERATIVE MARKINGS FOR ONCOPLASTIC SURGERIES.

Introdução

Breast cancer (BC) is a major public health problem worldwild, with a high incidence in young women in Brazil. In this context, treatment with oncoplastic surgery represents a major advance, through the combination of plastic and oncological surgery techniques, maintaining the breast contour and reducing the psychological impact of radical surgeries. Preoperative marking plays an important role in the aesthetic result and reference points are marked freehand in order to guide the incisions.

Objetivos

To present an efficient and low-cost option, through a mold, to perform preoperative marking in oncoplastic surgeries with pedicle.

Métodos

Between March and December of 2020, ten oncoplastic surgeries (with pedicle technique) were performed on women with BC and moderate to large volume ptotic breasts (figure 1) at the services of Clínica Arte de Cuidar, Santa Casa de Misericórdia de Sobral and Grupo de Educação e Estudos Oncológicos. A self made acrylic mold with two holes was used in the preoperative marking. The distance between hole Nº1 to the top edge is 2cm and from to the bottom edge 3cm (Figure 2). Once defined the A point of the mama - local of the future papillary areola complex (Figure 3), the hole Nº1 of the mold is placed right at point A of the breast. Then we settle the hole Nº2 of the mold in the line drawn from the nipple to the breast groove (Figure 4) and mark the superior part. In the process, we use the side of the mold - that measures 6.5cm - or a measuring tape to determine the amount of tissue and skin to be removed (Figures 5 and 6). The distance from the inferior border of the areola to the infra-mammary groove is usually left from 5-6cm. At the end, all patients were followed up with regular medical consultation and with pre and postoperative photographs

Resultados

With subjective assessment of shape, volume and symmetry, all patients were satisfied with the procedure performed. In most cases the areolas remain rounded. And, most important, here were no complications in between - such as skin necrosis or papillary areola complex, important asymmetries and moderate or large dehiscences (Figure 7).

Conclusões

The creation and use of a breast mold is still a challenge due to the variety of breast, so, in that way, oncoplastic surgery must always be individualized. The preoperative marking with a mold can contribute to reduction of the surgical time and increase the satisfaction of the aesthetic results, besides being a low cost instrument.

Palavras Chave

ONCOPLASTIC; BREAST CANCER; BREAST MOLD; BREAST SURGERY;

Área

TREATMENT - Surgery and Reconstruction