Related Experiment Video
Updated: May 14, 2026
13:35
Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
Reverse abdominoplasty: a practical option for oncological trunk reconstruction.
Nicholas M Pantelides1, Debabrata Mondal, Gordon C Wishart
1Department of Plastic and Reconstructive Surgery.
Eplasty
|January 30, 2013
Summary
Reverse abdominoplasty effectively reconstructs upper central trunk defects after cancer surgery when other methods fail. This versatile technique avoids complex free tissue transfer and offers good outcomes, especially for recurrent cancers or patients with comorbidities.
Area of Science:
- Surgical Oncology
- Plastic and Reconstructive Surgery
Background:
- Full-thickness upper central trunk defects post-oncological resection pose reconstructive challenges.
- Standard options include pedicled flaps (pectoralis major, rectus abdominis, latissimus dorsi) or free tissue transfer for complex cases.
Purpose of the Study:
- To evaluate the utility of reverse abdominoplasty for reconstructing upper central trunk defects after radical tumor ablation.
- To present four case applications and review indications for this reconstructive approach.
Main Methods:
- Retrospective review of four consecutive cases (2004-2010).
- Analysis focused on indication, operative procedure, and complications.
Main Results:
- No complete flap loss occurred in the reviewed cases.
- One patient required revision for marginal flap necrosis; another had a local recurrence necessitating re-excision and flap advancement.
Conclusions:
- Reverse abdominoplasty is an underutilized technique for chest wall reconstruction, offering an alternative to free tissue transfer when pedicled flaps are insufficient or contraindicated.
- The procedure is versatile, simple, and provides acceptable cosmetic results, particularly beneficial for high-recurrence-risk cases, recurrent breast cancer, and patients with comorbidities.
