Skip to main content

Advertisement

SpringerLink
Log in

Postoperative courses of breast reconstruction using inferior adipofascial tissue repair

  • Original Article
  • Published:
Breast Cancer Aims and scope Submit manuscript

Abstract

Background

Nevertheless in breast conserving surgery, the dissection of inferior part of breast mound will cause severe deformity, which affects the patient’s quality of life adversely. We have used an infra-mammary adipofascial tissue to repair the defect, and breast mound could be reconstructed concurrently in primary breast cancer surgery.

Patients and surgical procedure

From September 2009 to June 2012, we performed the infra-mammary adipofascial tissue repair (IATR) on 25 patients with breast cancer in inferior site of their breast mound. Surgeon makes the skin incision on the infra-mammary line and performs the quadrantectomy as planned. After verifying its negative surgical margin pathologically, we mobilize the adipofascial fat tissue associated with myofascia of the serratus anterior muscle from the infra-mammary area. This tongue-shaped flap is reflected back, and fills the defect of breast mound. We performed routinely examination, mammography, and ultra-sound echogram to the IATR patients who visited our hospital after 1 year from the end of treatment. We, furthermore, performed the QOL questionnaire (QOL-ACD and QOL-ACD-B) to them and retrospectively compared their data to that from the other breast surgery patients.

Results

All patients with IATR were treated with irradiation, and no image findings of a partial or total necrosis of the flap recognized 1 year after examination. They produced good cosmetic results; however, they could not elevate the QOL score on the whole.

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Ogawa T, Hanamura N, Yamashita M, Ri Y, Kuriyama N, Isaji S. Usefulness of breast-volume replacement using an inframammary adipofascial flap after breast-conservation therapy. Am J Surg. 2007;193:514–8.

    Article  PubMed  Google Scholar 

  2. Ogawa T, Hanamura N, Yamashita M, Kimura H, Kashikura Y. Long-term results of breast volume replacement using an inframammary adipofascial flap after breast-conserving surgery. Breast Cancer, 2011. doi: 10.1007/s12282-011-0285-2

  3. Ogawa T, Hanamura N, Yamashita M, Kimura H, Ito M, Nakamura T, et al. Oncoplastic technique combining an adipofascial flap with an extended glandular flap for the breast-conserving reconstruction of small dense breasts. J Breast Cancer. 2012;15:468–73.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Kijima Y, Yoshinaka H, Owaki T, Funasako Y, Aikou T. Immediate reconstruction using inframammary adipofascial flap of the anterior rectus sheath after partial mastectomy. Am J Surg. 2007;193:789–91.

    Article  PubMed  Google Scholar 

  5. Kijima Y, Yoshinaka H, Hirata M, Mizoguchi T, Ishigami S, Arima H, et al. Immediate reconstruction using a modified inframammary adipofascial flap after partial mastectomy. Surg Today (Case Reports). 2013;43:456–60.

    Article  Google Scholar 

  6. Eidelman Y, Liebling RW, Buchbinder S, Strauch B, Goldstein RD. Mammography in the evaluation of masses in breasts reconstructed with TRAM flaps. Ann Plast Surg. 1998;41:229–33.

    Article  CAS  PubMed  Google Scholar 

  7. Hogge JP, Robinson RE, Magnant CM, Zuurbier RA. The mammographic spectrum of fat necrosis of the breast. Radiographics: a review publication of the Radiological Society of North America, Inc. (Review) 1995;15:1347–56.

  8. Bilgen IG, Ustun EE, Memis A. Fat necrosis of the breast: clinical, mammographic and sonographic features. Eur J Radiol. 2001;39:92–9.

    Article  CAS  PubMed  Google Scholar 

  9. Kurihara M, Shimizu H, Tsuboi K, Kobayashi K, Murakami M, Eguchi K, et al. Development of quality of life questionnaire in Japan: quality of life assessment of cancer patients receiving chemotherapy. Psychooncology. 1999;8:355–63.

    Article  CAS  PubMed  Google Scholar 

  10. Foundation PHR. Comprehensive support project for oncology research. 1-1-7 Nishiwaseda, Shinjuku-ku, Tokyo, 169-0051 JAPAN: Public Health Research Foundation; 2013. http://csp.or.jp/. (Updated 2013; cited 2013/10/1).

  11. Fersis N, Hoenig A, Relakis K, Pinis S, Wallwiener D. Skin-sparing mastectomy and immediate breast reconstruction: incidence of recurrence in patients with invasive breast cancer. Breast. 2004;13:488–93.

    Article  CAS  PubMed  Google Scholar 

  12. Medina-Franco H, Vasconez LO, Fix RJ, Heslin MJ, Beenken SW, Bland KI, et al. Factors associated with local recurrence after skin-sparing mastectomy and immediate breast reconstruction for invasive breast cancer. Ann Surg. 2002;235:814–9.

    Article  PubMed Central  PubMed  Google Scholar 

  13. Network NCC. NCCN guidelines for treatment of cancer by site. In: Theriault RL, Carlson RC, Allred C, Anderson BO, editors. Breast Cancer version 32013. www.NCCN.com; 2013.

  14. Carlson GW, Page A, Johnson E, Nicholson K, Styblo TM, Wood WC. Local recurrence of ductal carcinoma in situ after skin-sparing mastectomy. J Am Coll Surg. 2007;204:1074–8 (discussion 8–80).

    Article  PubMed  Google Scholar 

  15. Cunnick GH, Mokbel K. Skin-sparing mastectomy. Am J Surg (Review). 2004;188:78–84.

    Article  Google Scholar 

  16. Sakai S, Suzuki I, Izawa H. Adipofascial (anterior rectus sheath) flaps for breast reconstruction. Ann Plast Surg. 1992;29:173–7.

    Article  CAS  PubMed  Google Scholar 

Download references

Conflict of interest

None declared.

Author information

Authors and Affiliations

  1. Department of Breast Surgery, Japanese Red Cross Society, Himeji Hospital, 1-12-1, Shimoteno, Himeji, Hyogo, 670-8540, Japan

    Shoko Otsuka, Naoki Watanabe, Youko Sasaki & Reiko Shimojima

Authors
  1. Shoko Otsuka
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Naoki Watanabe
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Youko Sasaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Reiko Shimojima
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shoko Otsuka.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Otsuka, S., Watanabe, N., Sasaki, Y. et al. Postoperative courses of breast reconstruction using inferior adipofascial tissue repair. Breast Cancer 22, 570–577 (2015). https://doi.org/10.1007/s12282-014-0522-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12282-014-0522-6

Keywords

Search

Navigation