Dr. Outirighet Lina

Groupe Hospitalier Nord Essone

Abstract Title: The benefits of breast reconstruction in the radical treatment of breast cancer Place of breast prosthesis and flap reconstruction

Biography: Dr. Outirighet Lina is a medical doctor and third-year resident in Gynecology and Obstetrics. She began her medical training in Morocco and is currently continuing her specialization at Hospital Paris-Saclay in France. Passionate about women’s health, Dr. Outirighet is committed to advancing patient-centered care and contributing to ongoing medical education and research within her field.

Research Interest: Introduction: Breast reconstructive surgery, an integral part of breast cancer treatment, aims to maintain a satisfactory breast shape and encompasses a spectrum of procedures from basic glandular remodeling to intricate modifications of the breast base. Materials and methods: Despite the scarcity of training programs and the limited standardization, especially in developing nations, assessing the efficacy of different techniques in breast reconstructive surgery remains challenging. In this study, we provide an overview of breast reconstruction within the gynecology-obstetrics department of MOHAMED V MILITARY TRAINING HOSPITAL in Rabat. Our goal is to promote awareness about breast reconstruction and establish standardized techniques, focusing on two primary categories: breast reconstruction using breast prostheses and mastectomy with flap procedures. Results: *Breast Prosthesis: Two cases of immediate breast reconstruction using silicone prostheses following total mastectomy as part of breast cancer treatment were documented in the gynecology-obstetrics department of the HMIMV in Rabat. *Flap: Four cases of breast reconstruction using the Latissimus Dorsi Muscle flap were observed. The first involved managing an undifferentiated carcinoma of the left breast in a 24-year-old patient who was 34 weeks pregnant, with a tumor measuring 11 centimeters in diameter. The second case demonstrated management of an advanced or neglected breast cancer necessitating complete glandular removal. The third case involved a hematoma leading to skin fistulization, revealing infiltrating breast carcinoma, and requiring total mastectomy followed by reconstruction using a dorsalis major muscle flap. The fourth case entailed radical treatment of breast cancer. Discussion: Breast reconstruction following mastectomy is becoming increasingly common but lacks standardization. Autologous tissue reconstruction remains the preferred method in many regions, with the choice of flap depending on the surgeon's expertise and cancer characteristics. The use of a dorsalis major muscle flap is prevalent after radical breast cancer surgery, either immediately or delayed, alone or in combination with a prosthesis. Similarly, the latissimus dorsi flap finds application in locally advanced breast cancers involving the skin or obsolete cases. Breast prosthesis reconstruction offers aesthetic, effective, and safe outcomes, enhancing the patient's sense of desirability and comfort, aiding in overcoming psychological trauma. The two-stage procedure involves tissue expander insertion followed by implant placement, selected meticulously for achieving symmetrical, natural results. Generally, patients undergoing breast reconstruction in this series expressed satisfaction with the aesthetic outcomes. Conclusion: Breast reconstruction is integral to breast cancer