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Health

The public hospitals will be breast-reduction surgery

This article was translated by an automatic translation system, and was therefore not reviewed by people.


Within about a month, begin to be held in state hospitals for the first surgery for breast reduction (reduction Mammaplasty) as indication for orthopedic problems, according to the Secretary for Health Care, the state Department of Health, Hellen Myiamoto.

In 15 days the plan should be completed that will disclose which units will perform this type of surgery.

"Of the 23 hospitals of the network, at least eight must be used for this type of surgery, throughout the state. As the breast is a reduction of elective procedure, or is made to date, we selected hospitals that are not emergency care, so neither the patients nor the population are affected. We have an operating room available, which need not be occupied urgency, "said the Secretary.

Who pays the bill?

Most of these eight hospitals will be concentrated in the capital. Carolyn believes that in 15 days the staff of the Health Service has already completed all the planning that provides for the establishment of clinics for patients of this type of surgery and the organization of a list of the specified procedure.

Another fact that is also being studied, according to Carolyn, is the cost of surgical procedures. As the Governor vetoed the item that required the state to bear the costs of reduction Mammaplasty, the office is seeking partnerships.

"The reduction in breast surgery is a relatively cheap. Does not require sophisticated equipment, it depends more on skill of the physician. We are negotiating the cost of the procedure with the Ministry of Health and the municipalities, "the Secretary said adding that currently the surgery is paid by the SUS.

The veto of two articles

The deputy state Andrea Corr, author of the law passed, said the veto of the Governor Sérgio Cabral of two articles of the standard. One of the vetoed items required the government to cover the surgery. The other said that the government would be forced to commit resources to the surgeries annually in the budget.

"It is an important step. It is the recognition that the demand exists. The reason that is put to veto two articles was kind initiative. The Legislative Power shall not cause spending to the Executive. If the government sanctioned, by automatic, is not think that will not go to the budget. The veto is not on the question of merit. What is questioned is the initiative of the Assembly (ALERJ) do that and open earlier. But now it is politically pressing for the law is not on paper .

How to get the report

Typically, patients who want to breast-reduction surgery complain of pain and discomfort in the spine. To get the surgery in a public hospital must be taken into state hands the medical report certifying that the orthopedic problem is a consequence of the size of the breast and can lead to an impairment of the thoracic spine.

The patient should be referred to the plastic surgeon orthopedist who, through clinical examination and radiography, will measure the degree of thoracic curve, popularly called the humpback. This is what explains the professor of UFRJ and Head of the Department of Orthopedics, Hospital Universitario Clementino Fraga Filho, Vitor Antonio de Abreu.

"This authorization for surgery existed for SUS. Is permitted provided that the patient's well established that breast hypertrophy is changes in the spine. The thoracic curve should measure between 20 and 40 degrees. The increase of the curve associated with a breast hypertrophy will certainly develop a arthrosis between the vertebrae in the medium and long term. The patient may also develop a lordosis. So, this accentuation of thoracic kyphosis is to be justified to reduce the size of the breast, "says the doctor.

The procedure

According to the President of the Brazilian Society of Plastic Surgery (SBCP), Sergio Levy, the Mammaplasty, is usually sought by young women - in the range of 25 years - calling for postural problems primarily due to the weight of the breasts. He explains that there are three types of breast hypertrophy: virginal (excess of glands), fat (fat accumulation) and mixed (excess of glands and fat).

The technique most used for the reduction of breast cancer is the inverted T, which is a cut in the bottom of the sinus and leaves the smallest scar. However, Levy emphasizes, the surgeon choose the most appropriate method for each type of hypertrophy.

"In women whose breasts go under the armpits, the surgeon has to use another type of procedure," said Levy.

Recovery in 15 days

The recovery, according to the specialist is rapid. During 15 days, the patient should have the limited movement. Gymnastics and physical exercises shall be allowed only within 30 or 60 days after the operation. During 30 days, the patient has to use a bra modeler.

"Since the woman is physically well and the tests to date, no contraindicação for surgery. By diabetic women who are at the levels of blood sugar control can reduce the breast. Usually, doctors refer to the surgery soon because of orthopedic problems that cause too big breasts, "said the SBCP.



Source: G1

This article was translated by an automatic translation system, and was therefore not reviewed by people.

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