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A Systematic Review of Partial Breast Reconstruction with Pedicled Perforator Artery Flaps: Clinical, Oncological and Cosmetic Outcomes

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Pedicled Flaps in Partial Breast Reconstruction

Abstract

The use of chest wall perforator flaps (CWPFs) following breast conservation surgery for breast cancer has become a useful tool in the armamentarium of the oncoplastic breast surgeon. We conducted a a systematic review appraising the current evidence for the use of CWPFs, evaluating clinical, oncological and cosmetic outcomes. Eleven studies amounting to 432 cases were reviewed. Fifty-two (12.3%) clinical complications were recorded: seroma (n=9; 2.1%), fat necrosis (n=9; 2.4%), haematoma (n=8; 1.9%), infection (n=9; 2.1%), and flap necrosis (n=9; 2.1%). Thirty-four (10.8%) patients had an involved positive margin, 29 patients underwent re-excision (9.3%) and four underwent completion mastectomy (1.3%). CWPFs are a safe method of partial breast reconstruction following BCS. They are associated with a low complication rate, acceptable short-term oncological outcomes and satisfactory cosmetic outcome. There is a relative paucity in quality of data in this field and larger prospective studies are needed to investigate outcomes further.

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Correspondence to Raghavan Vidya .

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Disclaimer: This chapter is partially based on ‘Pujji OJS, Blackhall V, Romics L, Vidya R. Systematic review of partial breast reconstruction with pedicled perforator artery flaps: Clinical, oncological and cosmetic outcomes. Eur J Surg Oncol. 2021 Aug;47(8):1883–1890’.

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Pujji, O., Blackhall, V., Romics, L., Vidya, R. (2023). A Systematic Review of Partial Breast Reconstruction with Pedicled Perforator Artery Flaps: Clinical, Oncological and Cosmetic Outcomes. In: Hamdi, M., Vidya, R., Agrawal, A. (eds) Pedicled Flaps in Partial Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-031-08483-6_19

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  • DOI: https://doi.org/10.1007/978-3-031-08483-6_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-08482-9

  • Online ISBN: 978-3-031-08483-6

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