<?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>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922018000200011</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922018000200011</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reconstrucción mamaria postmastectomía. Análisis y resultados en un hospital de tercer nivel en México]]></article-title>
<article-title xml:lang="en"><![CDATA[Postmastectomy breast reconstruction. Analysis and outcome in a tertiary care hospital in Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arellano-Martínez]]></surname>
<given-names><![CDATA[Ruth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramírez-González]]></surname>
<given-names><![CDATA[Luis-Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saucedo-Ortíz]]></surname>
<given-names><![CDATA[José-Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Ojeda]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fuentes-Orozco]]></surname>
<given-names><![CDATA[Clotilde]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez-Landeros]]></surname>
<given-names><![CDATA[Jacob E]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico Nacional de Occidente Hospital de Especialidades Departamento de Cirugía Plástica. Unidad Médica de Alta Especialidad]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico Nacional de Occidente Hospital de Especialidades Departamento de Cirugía General. Unidad Médica de Alta Especialidad]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Médico Nacional de Occidente Hospital de Especialidades Departamento de Cirugía Plástica. Unidad Médica de Alta Especialidad]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Centro Médico Nacional de Occidente Hospital de Especialidades Unidad de Investigación Biomédica 02. Unidad Médica de Alta Especialidad]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Centro Médico Nacional de Occidente Hospital de Especialidades Unidad de Investigación Biomédica 02. Unidad Médica de Alta Especialidad]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Centro Médico Nacional de Occidente Hospital de Especialidades Unidad de Investigación Biomédica 02. Unidad Médica de Alta Especialidad]]></institution>
<addr-line><![CDATA[Guadalajara Jalisco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2018</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>187</fpage>
<lpage>191</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922018000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922018000200011&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922018000200011&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y Objetivo El tratamiento de las neoplasias mamarias así como de ciertos padecimientos benignos requieren, en muchos casos, una mastectomía unilateral o bilateral con resección de la piel, glándula mamaria y complejo pezón-areola. La reconstrucción mamaria es una parte importante del tratamiento multidisciplinario para lograr la reintegración de las mujeres a una vida normal. El objetivo de nuestro estudio fue reportar los resultados de los diferentes tipos de reconstrucción mamaria en pacientes con cáncer de mama, así como otros padecimientos benignos, en un hospital de alta especialidad del Occidente de México.  Material y Método Serie de casos en la que incluimos pacientes sometidas a reconstrucción mamaria entre el 1 enero de 2006 y el 31 de diciembre de 2012 con diferentes procedimientos, evaluando el tipo de cirugía inicial, tipo de reconstrucción, procedimientos complementarios y morbilidad. El seguimiento de las pacientes fue de 24 meses.  Resultados Recogimos 170 pacientes con un promedio de edad de 46.12 ± 8.2 años. Las técnicas más utilizadas fueron: reconstrucción con implante expansor tipo Becker (48.8%), expansor tisular (11.2%), colgajo miocutáneo de recto abdominal transverso (8.8%), implantes definitivos (8.8%) y reconstrucción con dorsal ancho más implante o expansor (8.8%). Se presentaron complicaciones en 20 pacientes (11.8%).  Conclusiones Nuestros resultados son satisfactorios ya que la morbilidad temprana y tardía son aceptables, pero, perfectibles. Con el advenimiento de extensas campañas de detección oportuna esperamos aumentar los procedimientos conservadores por cirugía temprana y los procedimientos oncoplásticos durante la mastectomía sin necesidad de esperar periodos prolon-gados para la reconstrucción.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ Background and Objective Treatment of mammary neoplasms as well as certain benign conditions require, in many cases, a unilateral or bilateral mastectomy with resection of the skin, the mammary gland and the nipple-areola complex. Breast reconstruction is an important part of the multidisciplinary treatment to achieve the reintegration of women into a normal life. The aim of our study was to report the results of the different types of breast reconstruction in patients with breast cancer as well as other benign conditions in a highly specialized hospital in Western Mexico.  Methods Case series of patients undergoing breast reconstruction from 1 January 2006 to 31 December 2012 were included with different procedures evaluating the type of initial surgery, type of reconstruction, complementary procedures and morbidity. The follow-up of the patients was 24 months.  Results One hundred and seventy patients were included. The average age was 46.12 ± 8.2 years. The most used techniques were: reconstruction with expander Becker type implant (48.8%), tissue expander (11.2%), transverse rectus abdominus mucocutaneous flap (8.8%), definitive implants (8.8%) and wide dorsal reconstruction plus implant or expander (8.8%). Complications occurred in 20 patients (11.8%).  Conclusions Our results are satisfactory, since early and late morbidity are acceptable, but, perfectible. With the advent of extensive early detection campaigns, we hope to increase conservative procedures for early and oncoplastic procedures during mastectomy, without the need to wait for long periods for reconstruction.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mastectomía]]></kwd>
<kwd lng="es"><![CDATA[Reconstrucción mamaria]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones]]></kwd>
<kwd lng="en"><![CDATA[Mastectomy]]></kwd>
<kwd lng="en"><![CDATA[Breast reconstruction]]></kwd>
<kwd lng="en"><![CDATA[Complications]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kohler]]></surname>
<given-names><![CDATA[BA]]></given-names>
</name>
<name>
<surname><![CDATA[Sherman]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[Howlader]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Jemal]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Ryerson]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Henry]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Annual Report to the Nation on the Status of Cancer, 1975-2011, Featuring incidence of breast cancer subtypes by race/ethnicity, poverty and state]]></article-title>
<source><![CDATA[JNCI J Natl Cancer Inst]]></source>
<year>2015</year>
<volume>107</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>1-25</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Soto-Perez-de-Celis]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Chavarri-Guerra]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[National and regional breast cancer incidence and mortality trends in Mexico 2001-2011: Analysis of a population-based database]]></article-title>
<source><![CDATA[Cancer Epidemiology]]></source>
<year>2016</year>
<volume>41</volume>
<page-range>24-33</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Senkus]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Kyriakides]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Penault-Llorca]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up]]></article-title>
<source><![CDATA[Ann Oncol]]></source>
<year>2015</year>
<volume>26</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>8-30</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[DeSantis]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
<name>
<surname><![CDATA[Lin]]></surname>
<given-names><![CDATA[CC]]></given-names>
</name>
<name>
<surname><![CDATA[Mariotto]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cancer treatment and survivorship statistics, 2014]]></article-title>
<source><![CDATA[Cancer J Clin]]></source>
<year>2014</year>
<volume>64</volume>
<page-range>252-71</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Trejo-Ochoa]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Maffus-Aziz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Said-Lemus]]></surname>
<given-names><![CDATA[FM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Impacto en la calidad de vida con cirugia reconstructiva posterior al tratamiento de cáncer de mama]]></article-title>
<source><![CDATA[Ginecol Obstet Mex]]></source>
<year>2013</year>
<volume>81</volume>
<page-range>510-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hu]]></surname>
<given-names><![CDATA[ES]]></given-names>
</name>
<name>
<surname><![CDATA[Pusic]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[Waljee]]></surname>
<given-names><![CDATA[JF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Patient-reported aesthetic satisfaction with breast reconstruction during the long-term survivorship period]]></article-title>
<source><![CDATA[Plast Reconstr Surg]]></source>
<year>2010</year>
<volume>124</volume>
<page-range>1-8</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cordeiro]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Breast reconstruction after surgery for breast cancer]]></article-title>
<source><![CDATA[N Eng J Med]]></source>
<year>2008</year>
<volume>359</volume>
<numero>15</numero>
<issue>15</issue>
<page-range>1590-601</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arce-Salinas]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Lara-Medina]]></surname>
<given-names><![CDATA[FU]]></given-names>
</name>
<name>
<surname><![CDATA[Alvarado-Miranda]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Castañeda-Soto]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Bargallo-Rocha]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Ramírez-Ugalde]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation of breast cancer treatment at a tertiary-level institution with popular health insurance in Mexico]]></article-title>
<source><![CDATA[Rev Invest Clin]]></source>
<year>2012</year>
<volume>64</volume>
<page-range>9-16</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Carioli]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[La Vecchia]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Bertuccio]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Rodriguez]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Levi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Boffetta]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cancer mortality predictions for 2017 in Latin America]]></article-title>
<source><![CDATA[Ann Oncol]]></source>
<year>2017</year>
<volume>28</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>2286-97</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Spear]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Spittler]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Breast reconstruction with implants and expanders]]></article-title>
<source><![CDATA[Plast Reconstr Surg]]></source>
<year>2001</year>
<volume>107</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>177-87</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Goyal]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Current trends in breast surgery]]></article-title>
<source><![CDATA[Indian J Surg Oncol]]></source>
<year>2012</year>
<volume>3</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>287-91</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gutiérrez Gómez]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Rivas León]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Cárdenas Mejía]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Reconstrucción mamaria con expansor tisular e implante. Indicaciones y experiencia en 24 casos]]></article-title>
<source><![CDATA[Cir plást iberolatinoam]]></source>
<year>2012</year>
<volume>38</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>323-8</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López-Robles]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez-Salgado]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Dávila-Díaz]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Poucel-Sanchez-Medal]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Barrera Fuentes]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Complicaciones con el uso del colgajo TRAM pediculado para reconstrucción mamaria por cancer]]></article-title>
<source><![CDATA[Cir plást iberolatinoam]]></source>
<year>2013</year>
<volume>39</volume>
<page-range>381-90</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ilonzo]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Tsang]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Tsantes]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Estabrook]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Thu Ma]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Breast reconstruction after mastectomy: A ten-year analysis of trends and immediate postoperative outcomes]]></article-title>
<source><![CDATA[Breast]]></source>
<year>2017</year>
<volume>32</volume>
<page-range>7-12</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gomes-Rodríguez]]></surname>
<given-names><![CDATA[TA]]></given-names>
</name>
<name>
<surname><![CDATA[López-Ojda]]></surname>
<given-names><![CDATA[AB]]></given-names>
</name>
<name>
<surname><![CDATA[Viñals-Viñals]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Serra-Payro]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz-Vidal]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Palacín-Porte]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Papel del cirujano plástico en una Unidad de Mama: Experiencia de 20 años]]></article-title>
<source><![CDATA[Cir plást iberolatinoam]]></source>
<year>2013</year>
<volume>39</volume>
<page-range>137-43</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
