New Formula to Predict the Need for Reconstructive Coverage Following Mastectomy
Study Details
Study Description
Brief Summary
Mastectomy is a cornerstone operative procedure in breast cancer treatment leaving a raw area behind with possibility of failure of primary closure sometimes with unavailability of facilities of reconstruction. This opened the door for this research to find a formula to predict the need of reconstruction
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
Surgical intervention for breast cancer includes dealing with the primary tumour, added to it is the axillary dissection with variable options in both of them according to multiple factors. Mastectomy represents a part of several operations as radical and modified radical mastectomy, while in others it may be the whole operation as in palliative simple mastectomy. Moreover, re-excision of local recurrence is another form of surgical intervention.
At the step of mastectomy or re-excision of locally recurrent disease, the challenge of closure may arise, as simple primary closure may not be possible because of wide wound gap. In this situation, reconstruction is unavoidably needed and this situation represents one of two situations in which reconstruction is indicated.
As reconstruction sometimes needs certain expertise which may not be available momentarily and needs previous arrangement. Moreover sometimes mastectomy exceeds the previous expectation leaving a big gap beyond simple approximation, so the investigators developed a formula to assess the need of reconstructive coverage.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| mastectomy group patients with breast cancer and eligible for mastectomy |
Procedure: mastectomy
mastectomy either simple or modified radical
|
Outcome Measures
Primary Outcome Measures
- sternal length [for each patient at time of operation]
the length of the sternum in cm
- Upper flap length [for each patient at time of operation]
the perpendicular line from the highest point of the upper border of mastectomy ellipse to the clavicle in cm
- Lower flap length [for each patient at time of operation]
the perpendicular line from the lowest point of the lower border of mastectomy ellipse to the 7th rib in cm
- flap index [through study completion, an average of 3 months]
entangling of the above measurement in an equation to yield a number so when the distance from the clavicle to the 7th rib (in the midclavicular plane) is subtracted from it, a number is yielded, predicting the feasibility of closure without need to reconstruction
Eligibility Criteria
Criteria
Inclusion Criteria:
- Patients needs total mastectomy for management of their breast condition
Exclusion Criteria:
-
Patient with breast disease treated surgically by any intervention other than total mastectomy
-
Patients with skin disease affecting its stretchability
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Faculty of Medicine | Zagazig | Sharqia | Egypt | 44519 |
Sponsors and Collaborators
- Zagazig University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- mastectomy coverage formula 20