[Treatment of locally recurrent breast cancer using the double-net technic]

The best treatment for local recurrence of breast carcinoma without skin metastases in the surrounding area is surgical excision. If this recurrence adheres to the chest wall, the whole wall including ribs and pleura must be resected. However, the difficulties in closing these defects have often been a deterrent to such surgical treatment. A technique for easy closure of these defects is presented. It consists in closing with a nylon net for reestablishment of stability, and air-tight covering of the net with the greater omentum for prophylaxis of infections. The wound can be covered with split skin grafts within 10-14 days. Local healing with this double-net plasty has so far been successful in 3 patients.