RESEARCH ON BREAST RECONSTRUCTION AFTER MASTECTOMY IN DIABETIC PATIENTS

Abstract

Objectives. The current research project aims to highlight the effects of diabetes on postoperative progression in patients who have undergone breast reconstruction. Materials and methods. A database was prepared for the study including patients who have undergone reconstructive surgery in the "Bagdasar-Arseni" Emergency Clinical Hospital for a period of 10 years. The incidence and types of postoperative complications and the surgical techniques were analyzed in order to achieve statistically relevant information related to the impact of diabetes on the postoperative prognosis of these patients. Results. After processing and interpreting the statistical data, the study shows that the total length of hospitalization is increased among diabetic patients who have undergone breast reconstruction. Also, the rate of complications is much higher in this subgroup compared to patients without metabolic disorders. Discussions. Complications related to diabetic patients are also identified in the studied group, collaboration with the diabetes physician within the therapeutic team representing an advantage in achieving good and lasting results. Anticipating possible complications, as well as their early identification at the time they appear, is an extremely important element that can positively influence post-operative evolution. Conclusions. The onset of the reconstructive treatment in diabetic patients should be preceded by a metabolic evaluation with the aim of achieving a balanced state, which is the foundation of an effective reconstructive treatment. The identification and early treatment of septic complications was the proper solution for these patients.

Keywords

• breast reconstruction
• mastectomy
• diabetes