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Breast Reconstruction With Local Flaps: Don't Forget Grandma
Bradley J Vivace1, Swapnil D Kachare2, Michael Ablavsky2
1School of Medicine, University of Louisville, Louisville, KY.
Eplasty
|December 31, 2019
Summary
Random patterned local flaps are effective for lateral breast reconstruction in oncoplastic surgery. This technique offers good cosmetic outcomes and high patient satisfaction with a low complication rate.
Area of Science:
- Plastic Surgery
- Oncoplastic Surgery
- Reconstructive Surgery
Background:
- Lateral breast defects can be reconstructed using random patterned local flaps.
- These flaps are underutilized in breast reconstruction despite their utility.
Purpose of the Study:
- To demonstrate the effectiveness of random patterned local flaps for lateral breast oncoplastic reconstruction.
- To evaluate complications, symmetry, and patient satisfaction.
Main Methods:
- A case series of 5 patients undergoing oncoplastic breast surgery.
- Utilized rhomboid, bilobed, and rotational random flaps for lateral defect reconstruction.
- Postoperative evaluation at 10-12 months for outcomes.
Main Results:
- 4 out of 5 flaps remained viable with no complications.
- One patient had a hematoma, another experienced flap necrosis and delayed healing.
- Patients reported high satisfaction with the reconstruction outcomes.
Conclusions:
- Random patterned local flaps are suitable for various breast defects.
- This technique provides excellent cosmetic results and patient satisfaction.
- It offers a low complication rate for lateral breast oncoplastic reconstruction.
