Skip to main content

Laparoscopically Harvested Omental Flap for Breast Reconstruction in Poland Syndrome

  • Chapter
Breast Reconstruction

Abstract

Poland Syndrome is a congenital anomaly of the thoracic wall characterized by a variable degree of unilateral agenesis of pectoralis major and minor muscles associated with ipsilateral breast, rib and upper arm anomalies. Many different techniques have been used to treat the thoracic anomaly, including fat transfer, positioning of implants alone or associated with invasive procedures such as latissimus dorsi transposition. The objective of this chapter is to describe a new approach to breast reconstruction in patients with Poland syndrome: a pedicled omentum flap harvested laparoscopically covering the breast or pectoral implant positioned in a subcutaneous pocket. In our opinion this approach can avoid the invasiveness and morbidity of latissimus dorsi transposition, obtaining satisfactory results in selected cases.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 329.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Baban A, Torre M, Bianca S, Buluggiu A, Rossello MI, Calevo MG, Valle M, Ravazzolo R, Jasonni V, Lerone M (2009) Poland syndrome with bilateral features: case description with review of the literature. Am J Med Genet A 149A(7):1597–1602

    Article  PubMed  Google Scholar 

  2. Bostwick J III (2000) Latissimus dorsi flap reconstruction. In: Bostwick J III (ed) Plastic and reconstructive breast surgery, 2nd edn. Quality Medical Publishing Inc, St. Louis, pp 867–980

    Google Scholar 

  3. Bainbridge LC, Wright AR, Kanthan R (1991) Computed tomography in the preoperative assessment of Poland’s syndrome. Br J Plast Surg 44(8):604–607

    Article  PubMed  CAS  Google Scholar 

  4. Wright AR, Milner RH, Bainbridge LC, Wilsdon JB (1992) MR and CT in the assessment of Poland syndrome. J Comput Assist Tomogr 16(3):442–447

    Article  PubMed  CAS  Google Scholar 

  5. Coleman SR (2006) Structural fat grafting, more than a permanent filler. Plast Reconstr Surg 118(3 Suppl):108s–120s

    Article  PubMed  CAS  Google Scholar 

  6. Delay E, Sinna R, Chekaroua K, Delaporte T, Garson S, Toussoun G (2010) Lipomodeling of Poland’s syndrome: a new treatment of the thoracic deformity. Aesthetic Plast Surg 34(2):218–225

    Article  PubMed  Google Scholar 

  7. Tabit C, Slack G, Fan K, Wan DC, Bradley JP (2012) Fat grafting versus adipose-derived stem cell therapy: distinguishing indications, techniques, and outcomes. Aesthetic Plast Surg 36(3):704–713

    Article  PubMed  Google Scholar 

  8. Liebermann-Meffert D (2000) The greater omentum: anatomy, embriology and surgical applications. Surgical clinics of America 80(1):275–293

    Google Scholar 

  9. Kiricuta I (1963) L’emploi du grand epiploon dans la chirurgie du sein cancereux. Press Med 71:15–17

    PubMed  CAS  Google Scholar 

  10. Jurkiewicz MJ, Arnold PG (1977) The omentum: account of its use in the reconstruction of the chest wall. Ann Surg 185(5):548–554

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  11. Jimenez AG, St Germain P, Sirois M, Hatheway M, Lethbridge R (2002) Free omental flap for skin-sparing breast reconstruction harvested laparoscopically. Plast Reconstr Surg 110(2):545–551

    Article  PubMed  Google Scholar 

  12. Zaha H, Inamine S (2010) Laparoscopically harvested omental flap: results for 96 patients. Surg Endosc 24(1):103–107

    Article  PubMed  Google Scholar 

  13. Dos Santos Costa S, Blotta RM, Mariano MB, Meurer L, Edelweiss MI (2010) Aesthetic improvements in Poland’s syndrome treatment with omentum flap. Aesthetic Plast Surg 34(5):634–639

    Article  PubMed  PubMed Central  Google Scholar 

  14. Costa SS, Blotta RM, Mariano MB, Meurer L, Edelweiss MI (2010) Laparoscopic treatment of Poland’s syndrome using the omentum flap technique. Clinics (Sao Paulo) 65(4):401–406

    Article  Google Scholar 

  15. Romanini MV, Vidal C, Godoy J, Morovic CG (2013) Laparoscopically harvested omental flap for breast reconstruction in Poland syndrome. J Plast Reconstr Aesthet Surg 66(11):e303–e309

    Article  PubMed  CAS  Google Scholar 

  16. Tanner JM (1962) Growth at adolescence. Blackwell Scientific, Oxford

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Maria Victoria Romanini M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Romanini, M.V., Morovic, C.G. (2016). Laparoscopically Harvested Omental Flap for Breast Reconstruction in Poland Syndrome. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_47

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-18726-6_47

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18725-9

  • Online ISBN: 978-3-319-18726-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics