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Evaluation of Pedicled Omental Flap Delivered through a Minilaparotomy for Immediate Breast Reconstruction in Obese Patients

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  • Breast
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An Erratum to this article was published on 19 March 2014

Abstract

Background

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.

Methods

Women candidates for skin-sparing mastectomy underwent reconstruction with delivery of a pedicled omental flap via a minilaparotomy.

Results

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.

Conclusion

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

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Acknowledgments

We thank Dr. Ayman Elsaed, professor of community medicine, Mansoura University, for his support throughout this study.

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Authors and Affiliations

  1. Mansoura Oncology Center (OCMU), Mansoura faculty of medicine, Mansoura University, Gomhoria Street, Mansoura, 35511, Egypt

    Ashraf Khater

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  1. Ashraf Khater
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Correspondence to Ashraf Khater.

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Khater, A. Evaluation of Pedicled Omental Flap Delivered through a Minilaparotomy for Immediate Breast Reconstruction in Obese Patients. Aesth Plast Surg 37, 1140–1145 (2013). https://doi.org/10.1007/s00266-013-0217-y

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