Localization of the Sustainable Development Goals (SDGs) refers to the process of defining, implementing, and monitoring strategies at the local level to achieve global, national, and subnational sustainable development goals and targets. The key question addressed by this baseline document is how SDG localization can be practically, efficiently, and effectively implemented in what remains of the Decade of Action.
Palabras clave Reconstrucción mamaria. Colgajo toracoepigástrico. Colgajo Hölmstrom. Código numérico 52140-158332Analizamos la evolución en el diseño, la tasa de complicaciones y el grado de satisfacción tras la realización de 222 colgajos toracoepigástricos en 215 pacientes para reconstrucción mamaria diferida e inmediata. El seguimiento medio fue de 112 meses. El 45% de las reconstrucciones mamarias de nuestra Unidad se han realizado con este tipo de colgajo. Del diseño original se ha ido evolucionando al propuesto por Holmström con algunas modificaciones. En 166 casos se asociaron en el mismo acto quirúrgico diferentes procedimientos encaminados a obtener la simetría mamaria. No hubo mortalidad operatoria y aunque la tasa de morbilidad fue del 66/222 (30%) la mayoría de las complicaciones no precisaron tratamiento específico. El grado de satisfacción de las pacientes con el procedimiento fue muy alto. Concluimos que el colgajo toracoepigástrico es una téc-nica simple, que cumple todos los objetivos de una reconstrucción mamaria y puede ser utilizado en un número sustancial de casos, con una morbilidad aceptable y resultados muy bien valorados por las pacientes. We analyse the evolution in the design, the rate of complications and the degree of satisfaction after the accomplishment of 222 lateral thoracodorsal flaps in 215 patients for delayed and immediate mammary reconstruction. The average follow-up was of 112 months. Forty-five percent of the mammary reconstructions carried out in our Unit have been made with this type of flap. The original design has been evolved to the proposed one by Holmström with some modifications. In 166 cases it was associated with other procedures to obtain mammary symmetry. There was no operative mortality and although the rate of morbidity was of 66/222 (30%), most of complications did not need specific treatment. Patients' satisfaction with the procedure was very high. We conclude that lateral thoracodorsal flap is a simple technique that fulfills all the objectives for mammary reconstruction, it can be used in a substantial number of cases, with an acceptable morbidity and high patients´ satisfaction.
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