<?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>0123-9015</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cancerología]]></journal-title>
<abbrev-journal-title><![CDATA[rev.colomb.cancerol.]]></abbrev-journal-title>
<issn>0123-9015</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Cancerología E.S.E.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0123-90152020000100037</article-id>
<article-id pub-id-type="doi">10.35509/01239015.53</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reconstrucción Mamaria Tardia Vd]]></article-title>
<article-title xml:lang="en"><![CDATA[Delayed Breast Reconstruction Vd]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chaparro]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A3"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ochoa]]></surname>
<given-names><![CDATA[Julio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Geles]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Cancerología  ]]></institution>
<addr-line><![CDATA[Bogotá D. C.]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Departamental de Villavicencio  ]]></institution>
<addr-line><![CDATA[Villavicencio ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Clínica San Diego Centro de Investigaciones Oncológicas ]]></institution>
<addr-line><![CDATA[Bogotá D. C.]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Pontificia Universidad Javeriana Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Bogotá D. C.]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Universidad del Rosario Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Bogotá D. C.]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>1</numero>
<fpage>37</fpage>
<lpage>41</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0123-90152020000100037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0123-90152020000100037&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0123-90152020000100037&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Se presentan casos clínicos operados con la técnica de reconstrucción mamaria de grande dorsal Vd, y se muestra un procedimiento quirúrgico que permite dar un mejor terminado en cuanto a simetría, volumen y proyección. Se muestran 4 casos de reconstrucción tardía, de los cuales 2 fueron reconstrucciones tardías propiamente dichas y los otros 2 con reconstrucciones previas con complicaciones (un caso de necrosis previa de TRAM y otro con mal posicionamiento de la prótesis). Se resalta la utilización de un sistema de cierre asistido por vacío (sistema de presión negativa), un sistema no invasivo y dinámico que ayuda a promover la cicatrización en el lugar de la herida, lo que favorece la reducción del área de la herida, eliminando el exceso de fluidos y estimulando la angiogénesis. Los 4 casos se atendieron en el Instituto Nacional de Cancerología de Colombia, la Clínica San Diego y el Hospital Departamental de Villavicencio.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract There are clinical cases operated with the large dorsal breast reconstruction technique Vd, and a surgical procedure is shown that allows a better finish in terms of symmetry, volume and projection. Four cases of late reconstruction are shown, of which 2 were late reconstructions themselves and the other 2 with previous reconstructions with complications (one case of previous TRAM necrosis and another with poor positioning of the prosthesis). The use of a vacuum assisted closure system (negative pressure system), a non-invasive and dynamic system that helps promote healing at the site of the wound, which favors the reduction of the wound area, eliminating excess fluids and stimulating angiogenesis. The 4 cases were treated at the National Cancer Institute of Colombia, the San Diego Clinic and the Villavicencio Departmental Hospital.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colgajo miocutáneo]]></kwd>
<kwd lng="es"><![CDATA[Mastectomía]]></kwd>
<kwd lng="es"><![CDATA[Mamoplastia]]></kwd>
<kwd lng="en"><![CDATA[Myocutaneous Flap]]></kwd>
<kwd lng="en"><![CDATA[Mastectomy]]></kwd>
<kwd lng="en"><![CDATA[Mammaplasty]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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