Evaluation of Pedicled Omental Flap Delivered through a Minilaparotomy for Immediate Breast Reconstruction in Obese Patients
Studies have shown the laparoscopically harvested omental flap to be a successful method for immediate breast reconstruction. However, data about its usefulness and safety in obese women are limited. This study examined the effectiveness and safety of a pedicled omental flap delivered via a minilaparotomy in women with a body mass index (BMI) higher than 30 kg/m2.
Women candidates for skin-sparing mastectomy underwent reconstruction with delivery of a pedicled omental flap via a minilaparotomy.
Surgery was performed for 24 women with a mean age of 57.54 years and a mean BMI of 32.54 kg/m2. The operative time was prolonged by about 1 h without excess blood loss or prolongation of their hospital stay. Except for a single case of partial flap necrosis, no single total flap loss was recorded. In three patients (12.5 %), the flap volume was inadequate, and silicone implant was used as an adjunct. Only one patient (4 %) experienced a small incisional hernia. The majority of the patients (67 %) described their cosmetic outcome as excellent.
Delivery of a pedicled omental flap via a minilaparotomy is a safe and reliable method for immediate breast reconstruction after skin-sparing mastectomy in women with a BMI higher than 30 kg/m2.
Level of Evidence V
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KeywordsOmental flap Mastectomy Breast cancer
- 10.Momoh AO, Colakoglu S, Westvik TS, Curtis MS, Yueh JH, de Blacam C, Tobias AM, Lee BT (2012) Analysis of complications and patient satisfaction in pedicled transverse rectus abdominis myocutaneous and deep inferior epigastric perforator flap breast reconstruction. Ann Plast Surg 69:19–23PubMedCrossRefGoogle Scholar
- 11.Kiricuta I (1963) The use of the great omentum in the surgery of breast cancer. Presse Med 71:5–21Google Scholar
- 14.Costa SS, Pedrini JL, Recamonde A, Penczek F (1998) Tratamento cirúrgico da syndrome de Poland com omento transposto por Videolaparoscopia. Paper presented at the XI Congresso Brasileiro de Mastologia, Foz do Iguaçu-Paraná: XI Congresso Brasileiro de Mastologia, p 186Google Scholar
- 22.Van Garderen, Wiggers TH, Van Geel AN (1991) Complications of the pedicled omentoplasty. Neth J Surg 43:1171–1174Google Scholar