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Medial Breast Reconstruction after Breast Conserving Surgery with Local Flap: A Single Center Experience
Abolfazl Afsharfard1, Hamed Ebrahimibagha1, Armin Mohammadi2
1Department of General Surgery, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
World Journal of Plastic Surgery
|December 12, 2024
Summary
This study introduces a new local transposition flap technique for breast reconstruction after medial breast cancer surgery. The novel method shows excellent cosmetic outcomes and minimal complications, making it a promising option for patients.
Area of Science:
- Oncology
- Plastic Surgery
- Surgical Reconstruction
Background:
- Breast-conserving surgery (BCS) is a standard treatment for early-stage breast cancer.
- Post-surgical radiotherapy is often used in conjunction with BCS.
- Breast reconstruction techniques vary for addressing defects after BCS.
Purpose of the Study:
- To present a novel reconstruction technique for medial breast defects.
- To report short-term and long-term follow-up results of patients undergoing this reconstruction method.
Main Methods:
- Forty patients with medial breast tumors undergoing BCS were included.
- Breast reconstruction was performed using a local transposition flap technique.
- Patient follow-up lasted one year, assessing satisfaction and complications.
Main Results:
- No complications such as infection, seroma, hematoma, or flap necrosis were reported.
- Excellent and good satisfaction rates were high: 88% post-op, 92% after radio-chemotherapy, and 92% at one year.
- Mean patient age was 48.4 years, with a mean BMI of 30.9.
Conclusions:
- The local transposition flap offers excellent cosmetic results for medial breast defects post-BCS.
- This technique demonstrates a low complication rate.
- It is a highly recommended option for breast reconstruction by surgeons.
