Immediate Breast Reconstruction in Large Ptotic Breasts Using the Inferior Based Dermal Flap. Indications and Technique.
| Autor: | Muntean MV, Oradan AV, Corpodean AA, Lazar GL, Gata VA, Vlad C, Puscas E, Lisencu IC, Achimas-Cadariu PA |
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| Jazyk: | angličtina |
| Zdroj: | Chirurgia (Bucharest, Romania : 1990) [Chirurgia (Bucur)] 2021 Mar-Apr; Vol. 116 (2 Suppl), pp. 127-135. |
| DOI: | 10.21614/chirurgia.116.2 Suppl.S127 |
| Abstrakt: | Introduction: Achieving good aesthetic outcomes during immediate reconstruction in women with large ptotic breast presents a unique challenge for the reconstructive surgeon. We present our paradigm regarding immediate reconstruction in patients with large ptotic breasts, using the inferiorly based dermal flap. Materials and Methods: Ten patients with large ptotic breasts underwent mastectomy and immediate implant reconstruction at the "Prof. Dr. I. Chiricuta" Institute of Oncology. The mastectomy was carried out using a Wise pattern skin resection with preservation of a dermal flap at the lower pole of the breast. The flap was sutured to the pectoralis major muscle and completed the subpectoral pocket created for the implant. Results: The reconstruction was done bilaterally in three cases with a total number of 13 reconstructed breasts. Of these 11 required dermal flaps. All reconstructions were completed successfully and there were no implant losses. Four breasts (36%) developed superficial necrosis of the tip of the mastectomy flaps at the T junction. Conclusion: The dermal flap technique is safe, versatile and reliable. It is used in a wide array of reconstructive scenarios as it provides the surgeon with an excellent alternative to more costly and unreliable methods. (Celsius.) |
| Databáze: | MEDLINE |
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