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J M Mélega

Publications and source records attributed to J M Mélega.

10 recordsLinked to original sources
PubMedDate not supplied

Criteria for indication of breast reconstruction.

Breast reconstruction has been affirmed as part of the treatment for locally advanced breast tumor, and the development of new techniques has been providing better results and widening surgical indications. The objective of this work was to establish and discuss the different criteria that are related to this indication, mainly in what refers to the timing for the procedure. Oncological, clinical and psychological aspects are evaluated according to experience accumulated in recent years, with immediate and delayed reconstruction, carried out in the most diverse specialized centers. The authors conclude that, in reference to the safety and benefits of immediate reconstruction, it would be indicated for any patient who wants it and presents favorable clinical and psychological conditions, without having any absolute contraindication from the oncological point of view.

Breast Neoplasms↗
PubMedDate not supplied

[Breast blood supply and mammaplasty techniques].

Based on existing and repeated complications of different techniques of reduction mammaplasty, which are mostly of circulatory nature, a study of breast irrigation was made. The Service of Verification of Deaths of the Escola Paulista de Medicina supplied fresh cadavers. Ten breasts were dissected with single block removal of glandular and retromammary structures. Then, injections with latex were applied in order to better identify the arteries. In view of the anatomic findings, it was verified that breast irrigation was carried out by the internal thoracic, the lateral thoracic, and the posterior intercostal arteries and, in a great proportion, by the superior thoracic. An attempt was made to correlate such results with the different techniques of reduction mammaplasty in order to create a six group classification according to the preserved pedicles: superior, inferior, central, lateral, medial and double pedicle.

Breast↗