The Study Of Neural Sensory Changes On Breast Area After The Surgery Of Immediate Breast Reconstruction And Delayed Breast Reconstruction

ObjectiveThe breast is an important female sex characteristics, aesthetic characteristics are also important, as the economic and social progress, a number of benign or malignant breast diseases as causes for the breast in patients with breast missing more and more urgent repair form, how can to minimize the psychological impact of mastectomy and physical injury and enhance the quality of life, is a hot issue. However, current research focus is primarily on the issue of breast shape, and for breast reconstruction functional recovery of very little. In which the nursing function, the present situation is concerned, yet difficult to solve. The recovery of sensory function is very important for breast reconstruction significance.Therefore, the understanding of breast reconstruction sensory recovery problem is one of urgent concern. According to the timing of breast reconstruction can be divided into immediate breast reconstruction (â… of breast reconstruction) and delayed breast reconstruction (â…¡of breast reconstruction). Transverse abdominis muscle flap (TRAM) is the gold standard of breast reconstruction in the last century, and the inferior epigastric artery perforator flaps (DIEP) has become a preferred method of autologous tissue breast reconstruction. This study retrospectively from March 2005 to December 2009 during the immediate breast reconstruction in 12 patients,7 patients with delayed breast reconstruction, analysis of the breast area of women with breast sensory recovery, as well as on the breast, "Realistic "acceptance. MethodsA total from June 2005 to December 2009 over the same period 19 cases of breast reconstruction after breast cancer patients, a total of 20 side of the breast, both female, aged 28-59 years old, average age 38.2 years, in median age 35 years, smokers in 1. Immediate breast reconstruction group,12 cases in 13 breast,7 cases of delayed breast reconstruction, breast side 7, an extension of time from breast cancer breast reconstruction after modified radical mastectomy 1.5-5 years, average 2.2 years. All cases preoperative mammography imaging, B-and TRAM flap breast blood flow underwent modified radical mastectomy inspection, abdominal vein and intraoperative thoracodorsal vein anastomosis in 2 cases, intraoperative nerve anastomosis in 1 case. Intraoperative nipple areola complex in 4 cases, single-pedicle transverse rectus abdominis flap for breast reconstruction in 16 cases, double-pedicle transverse rectus abdominis flap for breast reconstruction in 4 cases, inferior epigastric artery perforator flap for breast reconstruction (DIEP) 2. After 3 weeks,6 weeks,9 weeks,12 weeks,15 weeks,18 weeks,8 months,11 months, 14 months,17 months,20 months,24 months, the patients were followed up patients with breast reconstruction and skin feel and surgical satisfaction (including breast shape, symmetry, and skin feel, etc.) were measured and investigated. Follow-up double-blind, do not understand the packet by hand in the circumstances, an objective study of all sense of measure and questionnaire.ResultsAfter a long-term follow-up observation (2 years), two groups of patients with breast reconstruction had significant sensory recovery.In each quadrant, the two groups were significantly different sensory recovery:From the recovery time, skin sensory recovery of the immediate group was earlier in the delayed group, especially in the F District, b, c, d and O zone B quadrant, C quadrant, P<0.05, with statistical significance; recovery rate from the feeling, the immediate group was significantly better than the delayed group. O region, in particular performance in the first 3-12 weeks after this operation, while F zone faster recovery time after surgery is shown in 6-9 weeks. The two groups of satisfaction. there is no obvious differences.ConclusionThis study of 12 patients conducted in 13 breastâ… (immediate) breast reconstruction andâ…¡(delayed) breast reconstruction after surgery for breast sensory testing area, the surgical methods can achieve radical tumor resection of the standard, whilst retaining its beautiful appearance of breast, higher security, and more delay in the sensory aspects of early recovery and recycling group to restore a good edge. Therefore, compared with delayed breast reconstruction, the immediate breast reconstruction has proved it's superiority. Skin sensory in O Zone recovered significantly earlier and have a higher recovery rate than that in F Zone. So keep the skin in mastectomy, breast surgery recovery will have a positive effect. In the immediate group and the delayed group and in the course of neurological recovery partition phenomenon is a natural process, for understanding the stages of nerve recovery and degree of significance. Immediate and deferred group satisfaction are better.