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The Modified Lateral Intercostal Artery Perforator Flap
Farid Meybodi1, Annelise M Cocco1, David Messer1
1estmead Breast Cancer Institute, Westmead Hospital; and University of Sydney.
A modified lateral intercostal artery perforator (LICAP) flap offers a favorable oncoplastic solution for lateral breast cancer, minimizing visible scarring and improving axillary access without patient repositioning.
Area of Science:
- Oncoplastic surgery
- Breast cancer treatment
- Surgical reconstruction
Background:
- Breast-conserving surgery (BCS) and mastectomy are primary breast cancer treatments.
- Lateral breast tumor excision can lead to cosmetic deformities.
- Lateral intercostal artery perforator (LICAP) flaps address volume replacement after tumor excision.
Purpose of the Study:
- To evaluate the efficacy of a modified LICAP flap technique.
- To assess outcomes of a modified LICAP flap for lateral breast cancer excision.
Main Methods:
- A modified LICAP flap technique was used for breast cancer excision.
- Ultrasound marked perforators; "lazy S" incisions defined the flap.
- Flap was mobilized to fill defects after wide local excision and axillary surgery.
Main Results:
- Twenty-two patients underwent the modified LICAP procedure over 14 months.
- Low re-excision rate (18%) for positive margins.
- No posterior axillary scarring, separate axillary incision, or intraoperative repositioning required.
Conclusions:
- The modified LICAP flap shows early favorable outcomes with a low perioperative complication rate.
- Further long-term follow-up is needed to determine post-radiotherapy appearance.
- This technique offers an innovative approach to lateral breast cancer reconstruction.
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