Immediate Breast Reconstruction Using a Laparoscopically Harvested Omental Flap
| Autor: | Franck Dohnt, Jean P. Baruch, Yvon Raulo, Bassam Tamtawi, Isabelle Cothier-Savey |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
medicine.medical_specialty
Time Factors Mammaplasty Mastectomy Subcutaneous medicine.medical_treatment Breast Neoplasms Surgical Flaps medicine Humans Laparoscopy Subcutaneous Mastectomy medicine.diagnostic_test business.industry Middle Aged Endoscopy Surgery Plastic surgery Female Breast reconstruction business Omentum Mastectomy Follow-Up Studies |
| Zdroj: | Plastic and Reconstructive Surgery. 107:1164-1166 |
| ISSN: | 0032-1052 |
| DOI: | 10.1097/00006534-200104150-00010 |
| Popis: | Use of an omental flap to reconstruct the breast after cancer surgery was first reported by Kiricuta in 1963. Since then, the omentum has been widely used in cancer surgery to cover extensive thoracic defects associated with radionecrosis. In contrast, for breast reconstruction or augmentation mammaplasty, rectus abdominis and latissimus dorsi flaps have been used far more often than omental flaps. This article describes a new technique for immediate breast reconstruction using laparoscopically harvested omentum and reports the results obtained in 10 patients. Nine patients underwent immediate breast reconstruction after subcutaneous mastectomy. In the other patient, omentum was used in combination with skin grafting to cover a postmastectomy defect. Follow-up exceeded 16 months in the first patients. The results suggest that breast reconstruction using a laparoscopically harvested omental flap may be extremely dependable in terms of vascular supply (there was one case of partial necrosis, which healed with local management alone). The postoperative course of all patients was uneventful, and the use of laparoscopy reduced the hospital stay to less than 7 days. Donor-site scars were minimal. There was no residual loss of function, and there were no cases of incisional ventral hernia. Cosmetic results were satisfactory, with a soft breast that was both natural in appearance and stable in volume. However, in two patients the amount of omentum was found to be inadequate during the procedure; consequently, an implant was inserted under the omental flap. Breast reconstruction using a laparoscopically harvested omental flap is a new technique that allows autogenous reconstruction without disfigurement of the do-nor site and that results in a soft, natural-looking breast. |
| Databáze: | OpenAIRE |
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