Jaume Masia - Academia.edu (original) (raw)

Papers by Jaume Masia

Seminars in Oncology Nursing, 2021

Medicni perspektivi (Medical perspectives), 2021

Breast cancer (BC) is one of the most common causes of death in women up to 50 years old. For tod... more Breast cancer (BC) is one of the most common causes of death in women up to 50 years old. For today the choice of an adequate methods of surgical intervention and the need for an adequate surgical adjuvant therapy, quality of life of patients after surgeryis are important. The aim of our study was to select the volume of surgery for breast cancer using the technique of intraoperative identification of the sentinel lymph node (intraoperative ICG technology) and to evaluate the results of its urgent histological examination. It was shown that the most common method of surgery in patients who underwent intraoperative ICG technology was quadrantectomy, which was performed in 27 cases (54%), rarely subcutaneous mastectomy was performed (30%) and radical mastectomy (by Madden) – 16%. In the control group, priority was given to radical removal of the breast (63.2% of cases); partial resection (by U. Veronesi) was performed in 33.3% of patients, and subcutaneous mastectomy – in 3.5%. Pathom...

Issues of Reconstructive and Plastic Surgery, 2021

Microsurgery (MS) is a discipline addressed by many specialties and it is our interest to be able... more Microsurgery (MS) is a discipline addressed by many specialties and it is our interest to be able to carry out a pedagogical assessment of the Master Degree in Reconstructive Microsurgery (MRM) as a training program in MS.The MRM is a hybrid, blended program (virtual and face-to-face), developed in 12 modules, over a 2-year duration, which completes 2625 hours. This program is directed by recognized professors in the discipline from different parts of the World and enrolls 35 students per edition.The program reserves 35% of the places for students from emerging countries. Once each of the modules has been received and the exams passed, the students will undergo a period of clinical immersion in the reference centers around the world and after defending the research project they will be able to receive the distinction of the Master granted by the Autonomous University of Barcelona (UAB).There have been 11 editions of MRM since 2009 without interruption, with an enrollment of 400 stud...

Psicooncología, 1970

Introducción: la calidad de vida es un concepto fuertemente condicionado por la integridad física... more Introducción: la calidad de vida es un concepto fuertemente condicionado por la integridad física e imagen corporal de un individuo. La reconstrucción mamaria se ha convertido en una opción idónea para las mujeres diagnosticadas de cáncer de mama. Es un paso esencial en la recuperación de las secuelas físicas y psíquicas que produce el tratamiento del cáncer de mama en la mujer, y debe ser analizada de forma individual. Procedimientos reconstructivos: existen diversas técnicas reconstructivas, que deben satisfacer el objetivo estético de recuperar el contorno de la mama, así como una mejoría funcional para la mujer con el fin de mejorar su calidad de vida. La reconstrucción puede realizarse mediante implantes, mediante tejido del propio cuerpo o reconstrucción mediante técnicas mixtas. Por sus características, el colgajo DIEP se ha convertido en la técnica quirúrgica más fisiológica y de elección para la reconstrucción mamaria. Discusión: las pacientes tienen derecho a una valoració...

International Microsurgery Journal, 2021

The supraclavicular flap has gained popularity in recent years as a reliable and easily harvested... more The supraclavicular flap has gained popularity in recent years as a reliable and easily harvested flap with occasional anatomical variations in the course of the pedicle. The study shows how the determination of the dominant pedicle may be aided with indocyanine green angiography. Additionally, the authors demonstrate how they convert a supraclavicular flap to a free flap if the dominant pedicle is unfavorable to a pedicled flap design.

Annals of Surgery, 2020

Background: In recent decades, the use of near-infrared light and fluorescence-guidance during op... more Background: In recent decades, the use of near-infrared light and fluorescence-guidance during open and laparoscopic surgery has exponentially expanded across various clinical settings. However, tremendous variability exists in how it is performed. Objective: In this first published survey of international experts on fluorescence-guided surgery, we sought to identify areas of consensus and nonconsensus across 4 areas of practice: fundamentals; patient selection/preparation; technical aspects; and effectiveness and safety. Methods: A Delphi survey was conducted among 19 international experts in fluorescence-guided surgery attending a 1-day consensus meeting in Frankfurt, Germany on September 8th, 2019. Using mobile phones, experts were asked to anonymously vote over 2 rounds of voting, with 70% and 80% set as a priori thresholds for consensus and vote robustness, respectively. Results: Experts from 5 continents reached consensus on 41 of 44 statements, including strong consensus that...

Journal of Surgical Oncology, 2020

Background and ObjectivesIn the last years, prepectoral breast reconstruction has increased its p... more Background and ObjectivesIn the last years, prepectoral breast reconstruction has increased its popularity, becoming a standard reconstructive technique by preserving pectoralis major anatomy and functionality. Nevertheless, the lack of solid and extensive data negatively impacts on surgeons’ correct information about postoperative complication rates and proper patient selection. This study aims to collect the largest evidence on this procedure.MethodsA multicentre retrospective audit, promoted by the Barcelona Hospital, collected the experience of 30 centers on prepectoral breast reconstruction with Braxon ADM. The study had the scientific support of INPECS and IIB societies which provided the online database Clinapsis.ResultsA total of 1450 procedures were retrospectively collected in a 6‐year period. Mean age 52.4 years, BMI 23.9, follow‐up 22.7 months. Reconstruction was carried out after a tumor in 77.1% of the cases, 20.1% had prophylactic surgery, 2.8% had revisions. Diabetes...

Clinics in Plastic Surgery, 2018

Journal of Surgical Oncology, 2019

The hands‐on supermicrosurgery course provided participants a valuable learning experience of in‐... more The hands‐on supermicrosurgery course provided participants a valuable learning experience of in‐depth practices of supermicrosurgical skills with experts. Seven live surgeries were successfully demonstrated at 8th World Symposium for Lymphedema Surgery. Variable donor sites for vascularized lymph node transfer were the submental, supraclavicular, groin, and omental; while the recipient sites included the wrist and axilla in upper limb; and popliteal and groin in the lower limb. The therapeutic and preventive lymphovenous anastomosis was also satisfactorily performed.

Revista de cirugía, 2019

Breast cancer related lymphedema is one of the most underestimated and debilitating complications... more Breast cancer related lymphedema is one of the most underestimated and debilitating complications of the treatment of this entity. Occurs as result of the interruption of the lymphatic flow in association with other factors. The incidence varies depending on the type of treatment received; being a higher risk in cases in which total mastectomy, axillary dissection, radiotherapy are performed; and in patients in whom the lymph nodes are positive for cancer, there was a greater number of harvested lymph nodes, taxanes were used or in obese patients. Clinical diagnosis and imaging techniques are essential to assess the functional status of the lymphatic system. The main objectives in the management of lymphedema are to limit patient morbidity, improve functionality and quality of life. There are procedures that seek to prevent the development of breast cancer related lymphedema. Once established, the treatment can be conservative and surgical. Surgical treatment includes physiological (reconstructive) and excisional procedures. Success depends on a good selection of patients and the performance of an individualized treatment. The following is a review regarding the incidence, risk factors, diagnostic strategies and surgical techniques with emphasis on microsurgical treatment.

Plastic & Reconstructive Surgery, 2021

Background: Reverse lymphatic mapping before harvesting a lymph node flap is crucial to avoid don... more Background: Reverse lymphatic mapping before harvesting a lymph node flap is crucial to avoid donor-site lymphedema; however, the technique is complex and unavailable in many centers. The authors introduce radioisotope-free reverse lymphatic mapping using indocyanine green and Patent Blue dye. Methods: The authors conducted a prospective study in patients undergoing free vascularized groin lymph node transfer for postmastectomy upper extremity lymphedema. The day before surgery, 0.2 ml of technetium-99 was injected into the first and second web spaces of the ipsilateral foot. The following day, once the patient was anesthetized, indocyanine green was injected into the same web spaces of the same foot and Patent Blue dye was injected just proximal to the upper margin of the skin paddle of the lymph node flap. The main lymph nodes draining the limb were localized using indocyanine green lymphography and gamma probe. Results: Thirty-nine patients underwent vascularized groin lymph node...

Annals of Plastic Surgery, 2019