Centro de Cirurgia Reconstrutiva is a specialized clinic in Porto Alegre, Brazil. It focuses on plastic surgery and mastology. The clinic treats breast cancer, congenital deformities, and handles body contouring. Dr. Sirlei Costa leads the center and has 36 years of experience. She specializes in plastic surgery and mastology. The clinic opened in 1996.
A key differentiator is the Preservé Technique for breast surgery. It uses a special device for implant insertion through smaller incisions. The method reduces trauma and speeds up recovery. Dr. Costa was the first woman in Southern Brazil to earn the Honra ao Mérito award. The team holds accreditations from ISAPS and the Brazilian Society of Plastic Surgery. Coordinators support international patients in English, Spanish, and Portuguese.
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A key differentiator is the Preservé Technique for breast surgery. It uses a special device for implant insertion through smaller incisions. The method reduces trauma and speeds up recovery. Dr. Costa was the first woman in Southern Brazil to earn the Honra ao Mérito award. The team holds accreditations from ISAPS and the Brazilian Society of Plastic Surgery. Coordinators support international patients in English, Spanish, and Portuguese.
","images":[{"base_url":"clinic/6ae17e6500c1c","title":"منطقة الاستقبال في Centro de Surgery Reconstrutiva، ديكور حديث في البرازيل"},{"base_url":"clinic/6ae17e6670905","title":"واجهة مبنى حديثة لمركز Centro de Surgery Reconstrutiva في البرازيل"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"البرازيل","id":31,"alias":"brazil","iso_code":"BR"},"city":{"name":"بورتو أليغري","id":2582,"alias":"porto-alegre"},"address":"R. Ramiro Barcelos, 630/1111 - Moinhos de Vento, Porto Alegre - RS, 90560-032, Brazil"},"rating":{"rating":0,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":1996},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/61779fac22b09.jpeg","name":"شهادة الجمعية الدولية لجراحة التجميل الترميمية (ISAPS) مقدمة للطبيب","country_code":"US"}]}}],"meta":{"total_count":1,"total_pages":1}},"clinicsMeta":{"total_count":1,"total_pages":1},"clinicsCount":1,"clinicsCountByEntity":{"clinic_count":158},"doctors":{"doctors":[],"meta":{"total_count":0,"total_pages":1}},"reviews":{"reviews":[],"meta":{"total_count":0,"total_pages":1}},"offers":{"cards":[],"metadata":{"total_count":0}},"listingTexts":{"entity_texts":{},"texts":{"txt_procedure_3_clinics":{"text":"استئصال الثدي هو علاج جذري لسرطان الثدي.
على عكس استئصال الكتلة الورمية (إزالة الورم) ، يشمل استئصال الثدي استئصال الثدي بالكامل.
مؤشرات للإزالة الكاملة للثدي:
أيضًا ، أثناء استئصال الثدي ، تتم إزالة الغدد الليمفاوية الإقليمية (الإبطية).
الوذمة الليمفاوية هي تورم في الأطراف ناتج عن ركود اللمف بعد إزالة العقدة الليمفاوية.
يمكن أن تتطور الوذمة مباشرة بعد الجراحة وبعد وقت طويل إلى حد ما.
يتميز الركود الليمفاوي بما يلي:
اليوم الأول - الوصول
اليوم 2 - ما قبل العملية
اليوم الثالث - استئصال الثدي
اليوم 4 - بعد العملية
الأسبوع 1 - 2 - إعادة التأهيل
الأسبوع 3 - 6 - إعادة التأهيل
الأسبوع السابع - الثاني عشر - إعادة التأهيل
كل حالة فردية ، يرجى استشارة طبيبك للحصول على تفاصيل محددة.
"},"overview":{"text":"هو إجراء جراحي لإزالة أحد الثديين أو كليهما، جزئياً أو كلياً، لعلاج سرطان الثدي أو الوقاية منه.
يزيل الإجراء الثدي كله أو جزء منه لعلاج سرطان الثدي أو الوقاية منه ، مما يحسن بقاء المريض على قيد الحياة.
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"},"289":{"operation":{"name":"Intrabeam","alias":"intrabeam","use_for_listing":false},"country_price":{"TR":{"amount":7500,"max_amount":11000,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"DE":{"amount":4200,"max_amount":6800,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"TH":{"amount":6500,"max_amount":10500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"ES":{"amount":6500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"},"BR":{"amount":7500,"max_amount":12500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"country"}},"available_clinics":{"TR":false,"DE":false,"TH":false,"ES":false,"BR":false}}}},"cityPrices":{"operation_prices":{"9":{"operation":{"id":9,"name":"إستئصال الثدي","alias":"mastectomy"},"city_price":[{"amount":5500,"max_amount":9500,"currency":"USD","clinic_count":0,"price_kind":"estimate","price_source":"parsed","scope":"city","city":{"id":2518,"name":"ريو دي جانيرو","alias":"rio-de-janeiro"}}]}}},"videoReviews":[{"id":"b8c75ace-4f1f-46d8-9887-d9e0b74bfdb6","link":"https://player.vimeo.com/video/1096293607?badge=0&autopause=0&player_id=0&app_id=58479","description":"لقد عاملونا أنا ومرافقي بلطف شديد — لا أكنّ سوى الإعجاب للفريق بأكمله!","userName":"Amanda","user_name":"Amanda","preview":"https://i.vimeocdn.com/video/2030326588-92c5121ee6fb5bedb09b0cf12abe66667acab73d0dea713b5168e6353daa6b76-d?mw=600&mh=1067&q=70","updated_at":"2025-06-26T10:47:55.613+00:00","clinicName":"Lokman Hekim Istanbul Hospital","clinic":{"name":"Lokman Hekim Istanbul Hospital","alias":"lokman-hekim-istanbul"},"clinicUrl":"/clinic/lokman-hekim-istanbul/","relations":{"operations":[{"name":"إستئصال الثدي","alias":"mastectomy"},{"name":"جراحة ساركوما","alias":"removal-of-ewing-s-sarcoma"}]}}],"hasVideoReviewsByContext":true,"updatedAt":"2026-10-28T18:02:05.000Z","activeCountries":["BR","TR","ES","DE","TH"],"operationIndicators":{"details":{"days_in_clinic":0,"days_in_country":0,"rehabilitation_days":0,"satisfied_percent":78,"treatment_duration_hours":0},"illness_kind_details":{"requests_processed":46119}},"direction":{"id":10,"name":"طب الأورام","alias":"oncology","name_forms":{"base_form":"طب الأورام","form_4":"طب الأورام","form_6":"طب الأورام","form_11":"طب الأورام"}},"illness_kind":{"id":10,"name":{"en":"Oncology"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":14,"max":42,"unit":"days","qualifier":"For simple total/simple mastectomy without reconstruction in desk-based work; longer with physical work, axillary surgery or drains."},"complication_rate_pct":{"min":10,"max":30,"unit":"percent","qualifier":"Any complication within 30-90 days, mainly seroma, infection, hematoma, flap necrosis; serious ones under 5%"},"contraindications":["Severe uncontrolled cardiopulmonary disease precluding anesthesia (relative)","Uncorrected bleeding disorder or unmanaged therapeutic anticoagulation","Active uncontrolled infection at the surgical site","Pregnancy (needs specialist planning; relative)","Metastatic disease where surgery offers no clinical benefit"],"days_in_clinic":{"min":0,"max":2,"unit":"nights","qualifier":"Simple/total mastectomy without immediate reconstruction; many go home same day or after 1 night, longer if drains or complications."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":8,"unit":"weeks","qualifier":"Gentle shoulder range-of-motion earlier; strenuous upper-body exercise after surgeon clearance."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Scar maturation and resolution of swelling and altered sensation; without reconstruction."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"After drain removal and first wound check; longer with axillary dissection, drains in place or complications."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"First postoperative review, often with drain removal."}},{"purpose":"result_review","requirement":"routine","after":{"min":7,"max":21,"unit":"days","qualifier":"Pathology results discussion and planning of any further treatment."}},{"purpose":"assessment","requirement":"conditional","after":{"min":28,"max":56,"unit":"days","qualifier":"Healing and shoulder function check."}}],"indications":["Breast cancer or DCIS unsuitable for, or declining, conservation","Multicentric or extensive disease, or recurrence after breast-conserving therapy","Risk-reducing surgery in high-risk patients (e.g., BRCA mutation)","Persistent positive margins after lumpectomy","Selected locally advanced disease after systemic therapy"],"main_risks":["Bleeding or hematoma","Seroma","Wound infection","Delayed wound healing or skin flap necrosis","Chronic pain or post-mastectomy pain syndrome","Numbness or altered chest wall sensation","Shoulder stiffness","Lymphedema if axillary surgery is performed","Psychological and body image impact","Anesthesia-related risks and venous thromboembolism"],"pain":"Moderate pain and tightness in the first few days, managed with oral analgesics; typically improves over 1–2 weeks. Some patients develop lingering chest wall or axillary discomfort.","preparation":["Preoperative imaging and pathology review","Consultation on mastectomy type, axillary management, reconstruction options","Medical assessment and routine blood tests","Fasting before general anesthesia","Medication review with the surgical team","Stop smoking where possible","Arrange help at home and loose front-opening clothing"],"recovery_timeline":[{"phase":"Days 0–3","description":"Hospital stay or same-day discharge; drain care taught if drains placed; walking encouraged.","restrictions":["No driving while on opioid analgesics","Avoid lifting"]},{"phase":"Weeks 1–2","description":"Drain removal, wound healing, gentle arm and shoulder exercises.","restrictions":["Avoid lifting over a few kilograms","Keep dressings dry as advised"]},{"phase":"Weeks 3–6","description":"Return to light activity and desk work; increasing arm mobility.","restrictions":["Avoid strenuous upper-body activity"]},{"phase":"Weeks 6–12","description":"Return to full activity after clearance; scar softening; prosthesis fitting if desired.","restrictions":[]}],"rehabilitation_days":{"min":14,"max":42,"unit":"days","qualifier":"Ordinary functional recovery of daily activities and arm and shoulder mobility after simple mastectomy."},"result_longevity":"Removal of breast tissue is permanent. Scar fades over 6-12 months and remains lifelong; cancer recurrence risk and follow-up depend on disease stage and further treatment.","revision_rate_pct":{"min":2,"max":6,"unit":"percent","qualifier":"Unplanned return to theatre within 30 days, mostly for hematoma, infection or wound problems"},"scars":"A flat horizontal or oblique scar across the chest wall, usually 15–25 cm, fading over 6–12 months. Nipple-sparing techniques use shorter incisions. A drain site scar may remain.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation for mastectomy alone, without staged reconstruction."},"stages":[{"code":"mastectomy_surgery","label":"Mastectomy operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of procedure."}}],"qualifier":"Standalone unilateral mastectomy without reconstruction."},"success":{"metric":"Local control: no chest wall recurrence","value":95,"unit":"percent","horizon":"10 years","population":"Adults with early-stage breast cancer undergoing simple mastectomy without reconstruction","evidence_status":"limited"},"techniques":[{"name":"Total (simple) mastectomy","suits_whom":"Most patients needing removal of all breast tissue, including prophylactic cases.","recovery":"Usually 2–6 weeks to return to routine activity."},{"name":"Skin-sparing or nipple-sparing mastectomy","suits_whom":"Patients planning immediate reconstruction with suitable tumor location.","recovery":"Depends on reconstruction; generally longer than simple mastectomy."},{"name":"Modified radical mastectomy","suits_whom":"Patients with confirmed axillary node involvement needing axillary dissection.","recovery":"Often 4–8 weeks; higher risk of lymphedema and shoulder stiffness."}],"treatment_conditions":["day_case","inpatient"],"treatment_duration_hours":{"min":1.5,"max":3,"unit":"hours","qualifier":"Unilateral simple mastectomy without reconstruction; longer with axillary dissection or bilateral surgery."},"initial_assessment_documents":["Breast biopsy pathology report","Mammogram and breast ultrasound reports","Breast MRI report (if available)","Imaging discs or files of breast scans","Genetic test results (if available)","Oncology treatment plan (if available)"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single operation; stay about 7-14 days for drain removal and first review. Later checks usually done at home."}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=porto-alegre/procedure=mastektomiya/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":3,"alias":"breast-cancer","name":"سرطان الثدي"}],"rendersOffersList":false}