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World Journal of Surgery

Published in:

01-08-2010

Partial Breast Reconstruction for an Inferomedial Breast Carcinoma Using an Omental Flap

Authors: Hisamitsu Zaha, Hiroki Sunagawa, Kouji Kawakami, Tetsuo Touyama, Toshimi Yonaha, Naoto Ohshiro

Published in: World Journal of Surgery | Issue 8/2010

Abstract

Background

Various oncoplastic techniques are used for partial reconstruction after breast-conserving surgery (BCS), but treatment of an inferomedial breast carcinoma (IMBC) can be difficult, especially in a small breast. We review our experience with immediate partial breast reconstruction after BCS for an IMBC using a laparoscopically harvested omental flap (OF).

Methods

The subjects were 24 patients with an IMBC who underwent immediate partial breast reconstruction with the OF between April 2002 and June 2009. A wide excision (>20% of the breast tissue) was performed through a skin incision along the medial inframammary fold. The pedicled OF was harvested laparoscopically and used to fill the dead space in the inferomedial quadrant.

Results

The mean follow-up period was 35 months. The mean tumor size was 3.2 cm. The mean volume of resected breast tissue was 180 g and the mean extent of resection was 40%. The complication rate was 12.5% and all were minor and treated conservatively. Laparoscopy-associated complications did not occur, except for one minor injury of the gastroepiploic artery. The surgical margin was positive in only 1 patient (4.2%) and neither local nor systemic recurrence has occurred to date in any patients. Cosmetic outcomes were mostly satisfactory, with minimal donor-site scars in the abdominal wall. Cosmetic failure occurred in 1 patient (4.2%) due to an inadequate OF volume.

Conclusions

Laparoscopic harvesting of the OF is a safe procedure with minimal donor-site morbidities and deformities. This approach is an option for immediate partial reconstruction after BCS for an IMBC.

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Title: Partial Breast Reconstruction for an Inferomedial Breast Carcinoma Using an Omental Flap
Authors: Hisamitsu Zaha
Hiroki Sunagawa
Kouji Kawakami
Tetsuo Touyama
Toshimi Yonaha
Naoto Ohshiro
Publication date: 01-08-2010
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 8/2010
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-010-0535-z

ACC 2024 Congress

Springer Medicine

Partial Breast Reconstruction for an Inferomedial Breast Carcinoma Using an Omental Flap

Abstract

Background

Methods

Results

Conclusions

ACC 2024 Congress

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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