A new indication and surgical procedure to reduce fat necrosis after breast-conserving surgery using an inframammary adipofascial flap

Autor: Miyuko Yoshikawa, Makoto Ishitobi, Saori Matsuda, Mao Kimoto, Chihiro Higashi, Nao Imai, Aya Noro, Masako Yamashita, Noriko Hanamura, Tomoko Ogawa
Rok vydání: 2021
Předmět:
Zdroj: Asian journal of surgery. 45(11)
ISSN: 0219-3108
Popis: There is little information on the risk factors for fat necrosis after breast-conserving surgery using an inframammary adipofascial flap (IAF).We conducted a retrospective cohort study from a single institution evaluating the risk factors for fat necrosis after breast-conserving surgery using an IAF (n = 41) performed from 2005 to 2020 for newly diagnosed stage 0-2 breast cancer or phyllodes tumor.Age (≥50 years of age vs.50 years of age), mammographic density (fatty vs. other) and operation period (before vs. after revision of surgical procedure and patient indication) were significantly associated with fat necrosis (p = 0.006, p = 0.04 and p = 0.02, respectively).Our study suggested that the use of an IAF with crescent dermis and selection of appropriate cases for IAF after breast-conserving surgery may be useful for the purpose of reducing fat necrosis. Further study is needed.
Databáze: OpenAIRE