Experience of Regeneration Reconstructive Surgeries in Oncological Patients


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Abstract

Relevance Application of methods of plastic surgery in the treatment of cancer patients continues to be important, because they not only allow to replace extensive defects, but also to correct violations of important body functions. The purpose of the study Identify ways the reconstruction of various body defects resulting from cancer treatment, and optimize their use in the absence of microsurgical techniques. Materials and methods To analyze results of reconstructive and plastic reconstruction when performing 407 operations in 385 cancer patients on the basis of the principles which justified the choice of reconstruction method, depending on the composition of tissue removed, the localization of malignant process. Results and their discussion Submitted surgery using different types of flaps: distant (32.4%), local (35.6%), avascular autograft (29.8%). From distant flaps with axial blood supply to the most frequently used thoracic, trapezoidal, and thoracodorsal deltopektoralny. Conclusion 1. The use of different methods of closing the soft tissue defects allows to achieve optimal functional and cosmetic results while respecting the canons of cancer. 2. Determination of the area of the defect, its location, concomitant somatic pathology allow individualized choice of an adequate method of plastics Key words Plastic surgery, tissue defects, cancer patients, reconstructive intervention

About the authors

Lipetsk Regional Oncology Center, 1-E Admirala Makarova Str., Lipetsk, 398005, Russian Federation

Author for correspondence.
Email: info@guz-lood.ru
PhD in medical Sciences, chief physician of the Lipetsk regional Oncology dispenser

Lipetsk Regional Oncology Center, 1-E Admirala Makarova Str., Lipetsk, 398005, Russian Federation

Email: info@guz-lood.ru
doctor of the surgical Department №2, Lipetsk regional Oncology dispenser.

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394005,
Russian Federation

Email: author@vestnik-surgery.com
PhD, assistant Professor obsi surgeons Voronezh state medical Academy N. N. Burdenko.

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