Keywords
Breast Neoplasms
Mastectomy
Transplantation, Autologous
Postoperative Complications
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Abstract
Objective: To analyze and clarify the main complications of the Transverse Rectus Abdominal Muscle flap (TRAM) and Deep Inferior Epigastric Perforator flap (DIEP) methods in breast reconstruction in patients after breast cancer treatment. Methods: To carry out the work, two steps were carried out using the National Library of Medicine (PubMed) and the Regional Portal of the Virtual Health Library (PR-BVS), with the descriptors "Breast reconstruction", "DIEP Flap", "Complications” for the first stage and “Breast reconstruction”, “TRAM” and “Complications” for the second stage. Articles with full text, in English, of the clinical trial and randomized clinical trial type were included, and those that were duplicated or that were off topic were excluded. Results: Through the analyzed studies, more incident complications were found when added to risk factors, among them tissue necrosis and incisional hernias and some less incidents, but with greater severity such as pulmonary embolism and deep vein thrombosis. Final considerations: It is observed that in order for complications to be minimized or avoided, the doctor must have a good operative technique and make a good pre and post-operative follow-up.
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