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Partial Breast Reconstruction for an Inferomedial Breast Carcinoma Using an Omental Flap

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Abstract

Background

Various oncoplastic techniques are used for partial reconstruction after breast-conserving surgery (BCS), but treatment of an inferomedial breast carcinoma (IMBC) can be difficult, especially in a small breast. We review our experience with immediate partial breast reconstruction after BCS for an IMBC using a laparoscopically harvested omental flap (OF).

Methods

The subjects were 24 patients with an IMBC who underwent immediate partial breast reconstruction with the OF between April 2002 and June 2009. A wide excision (>20% of the breast tissue) was performed through a skin incision along the medial inframammary fold. The pedicled OF was harvested laparoscopically and used to fill the dead space in the inferomedial quadrant.

Results

The mean follow-up period was 35 months. The mean tumor size was 3.2 cm. The mean volume of resected breast tissue was 180 g and the mean extent of resection was 40%. The complication rate was 12.5% and all were minor and treated conservatively. Laparoscopy-associated complications did not occur, except for one minor injury of the gastroepiploic artery. The surgical margin was positive in only 1 patient (4.2%) and neither local nor systemic recurrence has occurred to date in any patients. Cosmetic outcomes were mostly satisfactory, with minimal donor-site scars in the abdominal wall. Cosmetic failure occurred in 1 patient (4.2%) due to an inadequate OF volume.

Conclusions

Laparoscopic harvesting of the OF is a safe procedure with minimal donor-site morbidities and deformities. This approach is an option for immediate partial reconstruction after BCS for an IMBC.

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Authors and Affiliations

  1. Department of Surgery, Nakagami Hospital, 6-25-5 Chibana, Okinawa-City, Okinawa, 904-2195, Japan

    Hisamitsu Zaha, Hiroki Sunagawa, Kouji Kawakami, Tetsuo Touyama, Toshimi Yonaha & Naoto Ohshiro

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  1. Hisamitsu Zaha
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  2. Hiroki Sunagawa
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  3. Kouji Kawakami
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  4. Tetsuo Touyama
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  5. Toshimi Yonaha
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  6. Naoto Ohshiro
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Correspondence to Hisamitsu Zaha.

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Zaha, H., Sunagawa, H., Kawakami, K. et al. Partial Breast Reconstruction for an Inferomedial Breast Carcinoma Using an Omental Flap. World J Surg 34, 1782–1787 (2010). https://doi.org/10.1007/s00268-010-0535-z

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  • DOI: https://doi.org/10.1007/s00268-010-0535-z

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