Skip to main content

Advertisement

Log in

Limberg Flap in Breast Oncoplasty for Carcinoma Breast Revisited—a Tertiary Cancer Centre Experience

  • Original Article
  • Published:
Indian Journal of Surgical Oncology Aims and scope Submit manuscript

Abstract

Limberg flap is currently not commonly used in breast oncoplasty. We present our experience with Limberg flap reconstruction in breast cancer patients who underwent breast conservation surgery. This study was conducted at a tertiary cancer centre in Kerala, India. We reviewed the records of patients with breast cancer who underwent Limberg flap reconstruction with breast conservation surgery from 1st January 2020 to 31st October 2021. Data collected included age, quadrant of tumour, side of tumour, T and N stage, status at surgery (primary or post neoadjuvant therapy), type of surgery, flap complications following surgery and breast deformity following surgery. Seventeen patients underwent Limberg flap reconstruction during the study period. The median age of the patients was 51 years. The commonest stage was cT1N0M0. Twelve patients underwent primary surgery and 5 post neoadjuvant chemotherapy. No patient had postoperative flap complications or breast deformity. Limberg flap is simple, versatile and robust and should be a part of the armamentarium of breast surgeons.

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

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Ardelt M, Settmacher U (2016) Limberg flap is rhombic, not rhomboid. Plast Reconstr Surg 137(2):494e–495e. https://doi.org/10.1097/PRS.0000000000002115

    Article  CAS  Google Scholar 

  2. Hon HH, Chandra SR (2020) Rhomboid flap. Atlas Oral Maxillofac Surg Clin N Am 28(1):17–22. https://doi.org/10.1016/j.cxom.2019.11.005

    Article  Google Scholar 

  3. Mentes O, Bagci M, Bilgin T, Ozgul O, Ozdemir M (2008) Limberg flap procedure for pilonidal sinus disease: results of 353 patients. Langenbecks Arch Surg 393(2):185–189. https://doi.org/10.1007/s00423-007-0227-9

    Article  Google Scholar 

  4. Horwood J, Hanratty D, Chandran P, Billings P (2012) Primary closure or rhomboid excision and Limberg flap for the management of primary sacrococcygeal pilonidal disease? A meta-analysis of randomized controlled trials. Color Dis 14(2):143–151. https://doi.org/10.1111/j.1463-1318.2010.02473.x

    Article  CAS  Google Scholar 

  5. Silva Neto MP, Adão O, Scandiuzzi D, Chaem LHT (2001) The rhomboid flap for immediate breast reconstruction post quadrantectomy and axillary dissection. Rev Bras Cir Plást 16(1):29–34

    Google Scholar 

  6. Vivace BJ, Kachare SD, Ablavsky M et al (2019) Breast reconstruction with local flaps: don’t forget grandma. Eplasty 19:e23

    Google Scholar 

  7. Kubo K, Takei H, Matsumoto H, Hamahata A (2017) Application of a rhomboid flap for the coverage of defects after malignant breast tumor resection: a case report. Oncol Lett 14(2):2347–2352. https://doi.org/10.3892/ol.2017.6411

    Article  Google Scholar 

  8. Menekşe E, Özyazıcı S, Karateke F et al (2015) Rhomboid flap technique in breast-conserving surgery: an alternative method for the reconstruction of lumpectomy defects. J Breast Health 11(4):186–191. https://doi.org/10.5152/tjbh.2015.2572

    Article  Google Scholar 

  9. Clough KB, Kaufman GJ, Nos C, Buccimazza I, Sarfati IM (2010) Improving breast cancer surgery: a classification and quadrant per quadrant atlas for onco-plastic surgery. Ann Surg Oncol 17(5):1375–1391

    Article  Google Scholar 

  10. Limberg AA (1966) Design of local flaps. Mod Trends Plast Surg 2:38–61

    Google Scholar 

  11. Hamdi M, De Frene B (2006) Pedicled perforator flaps in breast reconstruction. Semin Plast Surg 20(2):73–78. https://doi.org/10.1055/s-2006-941713

    Article  Google Scholar 

  12. Mokkapati PR, Gowda M, Deo S, Dhamija E, Thulkar S (2020) Breast anthropometry-results of a prospective study among Indian breast cancer patients. Indian J Surg Oncol 11(1):28–34. https://doi.org/10.1007/s13193-019-01031-3

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rexeena V. Bhargavan.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bhargavan, R.V., Augustine, P. & Cherian, K. Limberg Flap in Breast Oncoplasty for Carcinoma Breast Revisited—a Tertiary Cancer Centre Experience. Indian J Surg Oncol 13, 876–879 (2022). https://doi.org/10.1007/s13193-022-01589-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13193-022-01589-5

Keywords

Navigation