Reconstrucción mamaria y radioterapiacolgajos microquirúrgicos de perforantes

Abstract

Breast reconstruction after radiotherapy still remains a challenge for the plastic surgeons. The toxicity caused by radiotherapy in the tissues leads to an unacceptable complication rate and/or unsatisfactory outcomes in prosthetic breast reconstruction. Hence, the autologus reconstruction is the ideal technique for those patients undergoing radiotherapy. In the last few years, within the autologus techniques, those based on the transfer of the abdominal tissue with microsurgery (mainly the DIEP flap based on perforators from the deep inferior epigastric artery), have displaced other traditional techniques (latissimus dorsi, rectus abdominis flap, etc.), especially due to its lower morbidity. By this technique it is possible to provide vascularized tissue and improve the tissue conditions in the receptor site with minimal morbidity, which is paramount in reconstruction after radiotherapy. The drawback comes by the complexity of the technique and the risk of vascular complications due to radiotherapy.