RESUMEN
INTRODUCTION: The objective of our study is to describe the practices of breast reconstruction in patients aged 70 years and over undergoing a radical mastectomy at institut Bergonié. MATERIAL AND METHODS: We performed a detailed single-site retrospective study from January 2005 to December 2015. Through a computerized review, we have identified and analyzed all patients aged 70 years and over who underwent a breast reconstruction. RESULTS: Five hundred and ninety patients underwent a radical mastectomy during the period. Twenty-eight patients (4.7%) benefited from a breast reconstruction. Nineteen patients (67.9%) had an immediate breast reconstruction and 9 patients (32.1%) had a delayed breast reconstruction, within an average time of 2 years. Sixteen patients (57.1%) benefited from the insertion of an expander replaced by a permanent implant. Five patients (17.9%) benefited from the immediate placement of an implant. Six patients (21.4%) had a reconstruction by autologous latissimus dorsi flap and 1 patient (3.6%) by exclusive lipofilling. Four patients (14.3%) presented postoperative complications without the need for removal of an implant or flap loss. Twenty patients (71.4%) were satisfied with their final reconstruction. CONCLUSIONS: Breast reconstruction in elderly patients is possible. Further studies are needed to better describe French practices.
Asunto(s)
Tejido Adiposo/trasplante , Implantes de Mama , Mamoplastia , Colgajos Quirúrgicos/trasplante , Expansión de Tejido , Anciano , Implantes de Mama/estadística & datos numéricos , Neoplasias de la Mama/cirugía , Instituciones Oncológicas , Femenino , Francia , Humanos , Mamoplastia/efectos adversos , Mamoplastia/métodos , Mamoplastia/estadística & datos numéricos , Mastectomía Radical , Complicaciones Posoperatorias , Estudios Retrospectivos , Tiempo de Tratamiento , Expansión de Tejido/instrumentación , Expansión de Tejido/estadística & datos numéricos , Dispositivos de Expansión TisularRESUMEN
Radiofrequency ablation of lung tumours is a curative technique that is newly considered being offered to nonsurgical patients. It is of major interest because it enables local destruction of the tumour without surgery and spares healthy parenchyma. However, some patients have previous serious respiratory failure, thus ruling out mechanical ventilation. To operate with the patient under thoracic epidural is an answer to this problem. Our experience shows that the procedure is able to be performed completely without converting to general anaesthesia.