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Updated: May 23, 2025
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
2.3K
Local flaps for partial breast reconstruction
Fernando Rosatti1, Dario Melita2, Paolo Marchica2
1Department of Plastic and Reconstructive Surgery, European Institute of Oncology IRCCS, Milan, Italy - fernando.rosatti@ieo.it.
Minerva Surgery
|May 22, 2025
Summary
Local flaps offer a safe and effective method for breast reconstruction after partial mastectomy, yielding good aesthetic results with few complications. Further multicenter studies are recommended to confirm these findings.
Area of Science:
- Plastic Surgery
- Oncology
- Breast Reconstruction
Background:
- Breast-conserving surgery (BCS) is a primary treatment for early-stage breast cancer.
- BCS may lead to breast asymmetry and contour distortion, necessitating reconstruction.
- Local flaps are an option for reconstruction after partial mastectomy.
Purpose of the Study:
- To review available literature on local flap breast reconstruction techniques following partial mastectomy.
- To evaluate the safety, reliability, and aesthetic outcomes of local flap breast reconstruction.
Main Methods:
- A comprehensive literature review was performed using PubMed.
- Keywords included "partial breast reconstruction," "local flaps," and specific flap names (e.g., LICAP, ICAP).
- Studies published in English within the last 20 years, focusing on local flaps after partial mastectomy, were included.
Main Results:
- The initial search yielded 292 articles; 73 were selected for full-text review.
- Twenty-seven articles met the inclusion criteria for the final analysis.
- Local flaps demonstrated a low complication rate and satisfactory aesthetic outcomes.
Conclusions:
- Local flaps represent a safe and reliable choice for breast reconstruction after partial mastectomy.
- The available literature indicates favorable aesthetic results and low complication rates.
- Prospective multicenter studies are needed to further validate these findings.
