Radical mastectomy: thick vs thin skin flaps
| Autor: | Ivan T. Krohn, James G. Bassett, Donald R. Cooper |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Breast Neoplasms Surgical Flaps Breast cancer Statistical analyses medicine Humans Surgical Wound Infection Wide Skin Excision Lymphedema Radical mastectomy Mastectomy Neoplasm Staging Retrospective Studies integumentary system business.industry Retrospective cohort study Length of Stay medicine.disease Clinical disease Surgery Lymphatic Metastasis Female business |
| Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 117(6) |
| ISSN: | 0004-0010 |
| Popis: | • Radical mastectomy with wide skin excision, ultrathin skin flaps, and autogenous skin grafts was a selected treatment for 45 women with curable breast cancer. A similar group of 45 women were treated by radical mastectomy with less wide skin excision, primary wound closure, and without ultrathin skin flaps. The two patient series were comparable in clinical disease staging, age, axillary node mA©tastases, and frequency of adjunctive chest-wall irradiation. Retrospective chart reviews of the two patient series and statistical analyses indicated that fiveand ten-year survival and local recurrences were comparable, but wound complications, hospital stays, and subsequent lymphedema were significantly greater In the series with thinner skin flaps. We recommend that routine use of ultrathin skin flaps be abandoned for treatment of breast cancer. (Arch Surg1982;117:760-763) |
| Databáze: | OpenAIRE |
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