<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0034-7493</journal-id>
<journal-title><![CDATA[Revista Cubana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Cir]]></abbrev-journal-title>
<issn>0034-7493</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0034-74932020000400005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reconstrucción mamaria inmediata en el Instituto Nacional de Oncología y Radiobiología de Cuba]]></article-title>
<article-title xml:lang="en"><![CDATA[Immediate Breast Reconstruction at the National Institute of Oncology and Radiobiology of Cuba]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Wals]]></surname>
<given-names><![CDATA[Lenia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alfonso Herrero]]></surname>
<given-names><![CDATA[Luvian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez Varela]]></surname>
<given-names><![CDATA[Idania Graciela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos Ortiz]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ropero Toirac]]></surname>
<given-names><![CDATA[Ramón de Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Oncología y Radiobiología (INOR)  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>59</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0034-74932020000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0034-74932020000400005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0034-74932020000400005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: La reconstrucción mamaria inmediata disminuye el impacto psicológico del cáncer de mama y mejora la calidad de vida de las pacientes.  Objetivo: Evaluar la simetría en la reconstrucción mamaria inmediata en el Instituto Nacional de Oncología y Radiobiología de Cuba.  Método:  Se realizó un estudio analítico y prospectivo, de cohorte incidente, en el Servicio de Cirugía Reconstructiva del Instituto Nacional de Oncología y Radiobiología de 2014 al 2017. Se incluyeron 41 pacientes que consintieron participar en el estudio. Se recogieron variables demográficas y onco-reconstructivas. Se utilizó un software creado en la institución para evaluar la simetría mamaria. Los datos se recogieron de la historia clínica. Se aplicaron el test de Chi-cuadrado corregido y la razón de momios para el análisis estadístico.  Resultados: El 30,2 % de mujeres reconstruidas pertenecieron al grupo de 30 a 39 años; el 46,3 % tenían sobrepeso. La mejor simetría se encontró con las técnicas oncoplásticas (31,7 %), seguida de la mastectomía ahorradora de piel. La técnica de expansión tisular con la mastectomía presentó mayores complicaciones (63,6 %) y menor simetría. La necrosis parcial de piel fue la mayor complicación en 7,3 % y estuvo relacionadas con las técnicas ahorradoras de piel.  Conclusiones: Evaluar de forma objetiva la simetría mamaria permitió conocer la efectividad de las técnicas quirúrgicas reconstructivas. Con las técnicas de cirugía oncoplástica y mastectomía ahorradora de piel se obtuvieron los mejores resultados estéticos y pocas complicaciones. La expansión mamaria inmediata con una mastectomía radical modificada no ofrece ninguna ventaja.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Immediate breast reconstruction reduces the psychological impact of breast cancer and improves the quality of life of patients.  Objective:  To assess symmetry in immediate breast reconstruction at the of Cuba.  Method: An analytical and prospective study of incident cohort was carried out in the reconstructive surgery service at the National Institute of Oncology and Radiobiology (INOR), from 2014 to 2017. Forty-one patients who consented to participate in the study were included. Demographic and oncoreconstructive variables were collected. A software created in the institution was used to assess breast symmetry. The data were collected from the medical histories. The corrected chi-square test and odds ratio were applied for statistical analysis.  Results: 30.2% of women who received reconstruction belonged to the age group 30-39 years; 46.3% were overweight. The best symmetry was found with oncoplastic techniques (31.7%), followed by skin-sparing mastectomy. The tissue expansion technique with mastectomy presented greater complications (63.6%) and less symmetry. Partial skin necrosis was the major complication, accounting for 7.3% of the cases, and was related to skin-sparing techniques.  Conclusions:  Objectively evaluating breast symmetry allowed us to know the effectiveness of reconstructive surgical techniques. With oncoplastic surgery and skin-sparing mastectomy techniques, the best aesthetic outcomes and few complications were obtained. Immediate breast expansion with a modified radical mastectomy offers no benefit.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[reconstrucción inmediata]]></kwd>
<kwd lng="es"><![CDATA[mastectomía ahorradora de piel]]></kwd>
<kwd lng="es"><![CDATA[cirugía oncoplástica]]></kwd>
<kwd lng="es"><![CDATA[simetría mamaria]]></kwd>
<kwd lng="en"><![CDATA[immediate reconstruction]]></kwd>
<kwd lng="en"><![CDATA[skin-sparing mastectomy]]></kwd>
<kwd lng="en"><![CDATA[oncoplastic surgery]]></kwd>
<kwd lng="en"><![CDATA[breast symmetry]]></kwd>
</kwd-group>
</article-meta>
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