The role of the lateral thoracodorsal fasciocutaneous flap in immediate conservative breast surgery reconstruction (2006)
- Authors:
- USP affiliated authors: GEMPERLI, ROLF - FM ; FERREIRA, MARCUS CASTRO - FM ; ALDRIGHI, JOSE MENDES - FSP
- Unidades: FM; FSP
- Subjects: NEOPLASIAS MAMÁRIAS (CIRURGIA;COMPLICAÇÕES); MASTECTOMIA (MÉTODOS); MAMOPLASTIA (MÉTODOS)
- Language: Inglês
- Abstract: Background: Although the lateral thoracodorsal fasciocutaneous flap is a well-studied procedure for late breast reconstruction following radical surgery, there are few previous reports regarding its indication, flap design, and clinical outcome following conservative breast surgery. Methods: Thirty-four patients underwent immediate unilateral lateral thoracodorsal fasciocutaneous flap breast reconstructions. Mean time of follow-up was 23 months. The lateral thoracodorsal fasciocutaneous flap was indicated to reconstruct moderate lateral breast defects where there was not enough breast tissue to perform the reconstruction. Flap and donor-site complications were evaluated. Information on aesthetic results and patient satisfaction was collected. Results: All tumors were located in lateral breast regions, and 64.7 percent measured 2 cm or less (T1). Flap complications occurred in four patients (11.8 percent), with partial flap necrosis in three (8.8 percent). Donor-site complications occurred in eight (23.5 percent), with seroma in five (14.7 percent) and wound dehiscence in three (8.8 percent). The cosmetic result was considered to be good or very good in 88.2 percent, and the majority of patients were either very satisfied or satisfied. Surgical intervention was necessary in two cases of wound dehiscence. Serial dorsal puncture in cases of seroma were performed with satisfactory results. Conclusions: The lateral thoracodorsal fasciocutaneous flap is a simpleand reliable technique for conservative breast surgery reconstruction. Success depends on patient selection, coordinated planning with the oncologic surgeon, and careful intraoperative management
- Imprenta:
- Source:
- Título do periódico: Plastic and Reconstructive Surgery
- ISSN: 0032-1052
- Volume/Número/Paginação/Ano: v. 117, n. 6, p. 699-710, 2006
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ABNT
MUNHOZ, Alexandre Mendonça et al. The role of the lateral thoracodorsal fasciocutaneous flap in immediate conservative breast surgery reconstruction. Plastic and Reconstructive Surgery, v. 117, n. 6, p. 699-710, 2006Tradução . . Acesso em: 19 abr. 2024. -
APA
Munhoz, A. M., Montag, E., Arruda, E. G., Aldrighi, C. M. S., Gemperli, R., Aldrighi, J. M., & Ferreira, M. C. (2006). The role of the lateral thoracodorsal fasciocutaneous flap in immediate conservative breast surgery reconstruction. Plastic and Reconstructive Surgery, 117( 6), 699-710. -
NLM
Munhoz AM, Montag E, Arruda EG, Aldrighi CMS, Gemperli R, Aldrighi JM, Ferreira MC. The role of the lateral thoracodorsal fasciocutaneous flap in immediate conservative breast surgery reconstruction. Plastic and Reconstructive Surgery. 2006 ; 117( 6): 699-710.[citado 2024 abr. 19 ] -
Vancouver
Munhoz AM, Montag E, Arruda EG, Aldrighi CMS, Gemperli R, Aldrighi JM, Ferreira MC. The role of the lateral thoracodorsal fasciocutaneous flap in immediate conservative breast surgery reconstruction. Plastic and Reconstructive Surgery. 2006 ; 117( 6): 699-710.[citado 2024 abr. 19 ] - Critical analysis of reduction mammaplasty techniques in combination with conservative breast surgery for early breast cancer treatment
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