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№3' 2021

SURGERY

International Medical Journal, Vol. 27., Iss. 3, 2021, P. 24−29.

DOI (https://doi.org/10.37436/2308-5274-2021-3-5)

USE OF LIPOFILLING IN RECONSTRUCTIVE AND PLASTIC SURGERY FOR REHABILITATION OF PATIENTS AFTER SURGERY FOR BREAST CANCER

SI "Institute of Pediatrics, Obstetrics and Gynecology named after Acad. O.M Lukyanova, National Academy of Medical Sciences of Ukraine ", Kyiv
Verum Medical Center LLC, Kyiv, Ukraine

Breast cancer is the most common malignancy in women worldwide. The number of cases of breast cancer among young women under 40 is increasing, that requires surgery to not only remove the malignancy, but also to preserve the aesthetic appearance after completion of comprehensive treatment. One of the effective surgical techniques is lipofilling. Real meta−analysis did not show a rise in the recurrence rate in patients who underwent lipofilling after the surgical stage of breast cancer treatment, compared with the group of the patients without this procedure. Lipofilling is an effective method of correction of aesthetic defects, improves the quality of life of patients after the surgical stage of breast cancer treatment. It is important when performing subcutaneous mastectomies with simultaneous endoprosthesis. According to a published reports, lipofilling can be performed in elderly patients. It does not increase the risk of breast cancer in women when performing surgery for aesthetic correction with the absence or presence of benign breast pathology. The lipofilling can influence the choice of surgical method, reduce the need to mobilize large glandular or subcutaneous fat flaps. Patients with affected lymph nodes have an increased risk of developing local and systemic recurrences after the lipofilling procedure. However, there is a number of issues that need to be explored in further research. It is important to study the time period when lipofilling should be performed after the surgical stage of breast cancer treatment, radiation therapy and adjuvant chemotherapy, as the study does not recommend a lipofilling less than 16 months after surgery.

Key words: breast lipofilling, breast cancer, rehabilitation, reconstructive plastic surgery.

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