200 breast reconstructions performed at the Gustave-Roussy Cancer Institute of Paris are analysed in accordance with oncological and technical criteria. The contra-indications, and the possbility of a relationship between the plastic procedure and the cancer disease is discussed. A series of 139 patients undergoing breast reconstructions are matched with 209 other patients also treated at Gustave-Roussy. No statistical difference was noted in the actuarial survival curves. The different techniques used for breast reconstruction are described, and the development of sophisticated procedures involving rectus abdominis musculocutaneous flaps is emphasized. The morbidity due to these techniques is also carefully analysed in order to modulate their indications. A comparison of the cosmetic results between non-medical judges comparing photographs of the patients, and the patients' own answers to a questionnaire, confirms the divergent views of patients and onlookers (60% good to very good, versus 84%). The psychological aspects of this series of breast reconstructions are discussed in a separate article by A. Lehmann, entitled 'breast mutilation and reconstruction, the psychological effects'.
|Number of pages||11|
|Journal||Annales de Chirurgie Plastique et Esthetique|
|Publication status||Published - 1985|
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