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Abstract book - ESPRAS

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questions were relating to physical and psychological discomfort before<br />

and after the breast reduction operation.<br />

Results<br />

Analysis of data included only 19 operated patients from which we<br />

received correctly filled questionnaires. We got following regional data: 1.<br />

Average age of our patients was 27 years (16 to 50 years old). All<br />

examined patients had physical difficulties because of breast hypertrophy,<br />

and most of them had neck and back pain (17 patients – 98,47%).<br />

Psychological discomfort (incapability for exercises, avoiding of<br />

appearance in public) had 15 patients (78,94%). Average value of BMI in<br />

our patients was 29,2 (from 26,4 to 33,2). Thirteen patients (68,42%) were<br />

overweight and 6 patients were obese. Analysis of body weight after<br />

operation showed reduction of weight in 15 patients (78,94%). All the<br />

patients emphasize that they were in better condition after the operation,<br />

especially related to physical troubles. Only one patient (5,26%) was<br />

dissatisfied with her appearance.<br />

Conclusions<br />

In conclusion we would like to emphasize that BMI is not decisive factor<br />

to set indication for “medical” breast reduction, because all our patients,<br />

even they with overweight or obesity, improved their haelth condition after<br />

operation.<br />

P 11. Melanoma malignum of the trunk<br />

Janjić Z., Jovanović M., Pisarev-Šoć M., Nalić B., Popović A.<br />

Clinic for Plastic and Reconstructive Surgery, University Hospital,<br />

Novi Sad, Serbia and Montenegro<br />

Introduction<br />

Authors have shown the results of five years retrospective study for<br />

patients with melanoma localized of the trunk. It is well known that<br />

localizations of tumor on the body influence the surviving rate and that is<br />

important prognostic factor. We wanted to show all aspects and differences<br />

comparing trunk localization melanoma with other body localizations.<br />

Materials and Methods<br />

Materials for this study include patients treated in the hospital and as<br />

outpatients at the Clinic for Plastic and Reconstructive Surgery, Clinical<br />

Center Novi Sad, Vovjodina, Serbia and Montenegro. Material was shown<br />

tabulary and graphically and was later statistically analyzed. Obtained data<br />

were compared with other localizations for same period of time and also<br />

with previous data (same authors), comparing five and ten years morbidity<br />

and mortality.<br />

Results<br />

Results shows that in the last five years there were 245 operated patients<br />

with primary melanoma of the skin and complications (metastasis and local<br />

recurrence). The greatest number of operated patients had localization on<br />

the trunk (80 patients-32,65%). In total there are moderate female<br />

domination (130-53,06% female: 115-46,93% male), while considering<br />

only trunk localization there are opposite situation (48-60% male: 32-40%<br />

female). Distribution of the patients among age groups shows that the most<br />

often involved are population in the sixth and seventh decade of life.

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