Immediate reconstruction using free medial circumflex femoral artery perforator flaps after breast-conserving surgery.
Identifieur interne : 003579 ( Main/Exploration ); précédent : 003578; suivant : 003580Immediate reconstruction using free medial circumflex femoral artery perforator flaps after breast-conserving surgery.
Auteurs : Ken Izumi [Japon] ; Masakazu Fujikawa ; Hiroki Tashima ; Takuya Saito ; Yohei Sotsuka ; Koichi Tomita ; Ko HosokawaSource :
- Journal of plastic, reconstructive & aesthetic surgery : JPRAS [ 1878-0539 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- effets indésirables : Lambeau perforant, Mammoplastie.
- Adulte, Adulte d'âge moyen, Aine, Durée opératoire, Facteurs temps, Femelle, Humains, Lambeau perforant, Mammoplastie, Mastectomie partielle, Site donneur de greffe, Sujet âgé, Tumeurs du sein.
English descriptors
- KwdEn :
- Adult, Aged, Breast Neoplasms (surgery), Female, Groin (surgery), Humans, Mammaplasty (adverse effects), Mammaplasty (methods), Mastectomy, Segmental, Middle Aged, Operative Time, Perforator Flap (adverse effects), Perforator Flap (blood supply), Time Factors, Transplant Donor Site (blood supply), Transplant Donor Site (surgery).
- MESH :
- adverse effects : Mammaplasty, Perforator Flap.
- blood supply : Perforator Flap, Transplant Donor Site.
- methods : Mammaplasty.
- surgery : Breast Neoplasms, Groin, Transplant Donor Site.
- Adult, Aged, Female, Humans, Mastectomy, Segmental, Middle Aged, Operative Time, Time Factors.
Abstract
Recent advances in perforator flap surgical techniques have allowed for safe and reliable autologous tissue transfer with minimal donor-site morbidity. Between April 2012 and January 2013, we performed immediate breast reconstruction using free medial circumflex femoral artery perforator (MCFAP) flaps in 15 patients after breast-conserving surgery. The flaps were harvested from patients in the lithotomy position, while a second surgical team simultaneously conducted tumour resection. Of the 15 procedures performed, three flaps were dissected as true perforator flaps, while 12 flaps were dissected as muscle-sparing perforator flaps. The mean flap weight was 138.5 g (range, 77-230 g) and the mean pedicle length was 5.7 cm (range, 3.0-9.0 cm). Recipient vessels for anastomosis were serratus branches in 10 patients, internal mammary vessels in three patients and thoracodorsal vessels in two patients. The mean duration of surgery was 6.74 h (range, 5.65-9.45 h). There were no major complications requiring surgical intervention. Researchers observed partial flap necrosis, which manifested as small firm lesions in two patients, as well as local wound infection and dehiscence in one patient, which resolved spontaneously. There were no instances of donor-site seroma formation or lymphoedema in any of the patients. An objective assessment of postoperative photographs showed that cosmetic results were mostly satisfactory. Donor-site scars along the medial groin crease were inconspicuous and readily concealed by clothing. Given its reliable vascularity and minimal donor-site morbidity, the free MCFAP flap can be a good alternative for partial breast reconstruction after breast-conserving surgery.
DOI: 10.1016/j.bjps.2013.07.003
PubMed: 23896164
Affiliations:
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Le document en format XML
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Electronic address: ken0503@taurus.zaq.jp.</nlm:affiliation><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, Osaka General Medical Center, Osaka</wicri:regionArea><wicri:noRegion>Osaka</wicri:noRegion></affiliation></author><author><name sortKey="Fujikawa, Masakazu" sort="Fujikawa, Masakazu" uniqKey="Fujikawa M" first="Masakazu" last="Fujikawa">Masakazu Fujikawa</name></author><author><name sortKey="Tashima, Hiroki" sort="Tashima, Hiroki" uniqKey="Tashima H" first="Hiroki" last="Tashima">Hiroki Tashima</name></author><author><name sortKey="Saito, Takuya" sort="Saito, Takuya" uniqKey="Saito T" first="Takuya" last="Saito">Takuya Saito</name></author><author><name sortKey="Sotsuka, Yohei" sort="Sotsuka, Yohei" uniqKey="Sotsuka Y" first="Yohei" last="Sotsuka">Yohei Sotsuka</name></author><author><name sortKey="Tomita, Koichi" sort="Tomita, Koichi" uniqKey="Tomita K" first="Koichi" last="Tomita">Koichi Tomita</name></author><author><name sortKey="Hosokawa, Ko" sort="Hosokawa, Ko" uniqKey="Hosokawa K" first="Ko" last="Hosokawa">Ko Hosokawa</name></author></analytic><series><title level="j">Journal of plastic, reconstructive & aesthetic surgery : JPRAS</title><idno type="eISSN">1878-0539</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Breast Neoplasms (surgery)</term><term>Female</term><term>Groin (surgery)</term><term>Humans</term><term>Mammaplasty (adverse effects)</term><term>Mammaplasty (methods)</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Operative Time</term><term>Perforator Flap (adverse effects)</term><term>Perforator Flap (blood supply)</term><term>Time Factors</term><term>Transplant Donor Site (blood supply)</term><term>Transplant Donor Site (surgery)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aine ()</term><term>Durée opératoire</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lambeau perforant ()</term><term>Lambeau perforant (effets indésirables)</term><term>Mammoplastie ()</term><term>Mammoplastie (effets indésirables)</term><term>Mastectomie partielle</term><term>Site donneur de greffe ()</term><term>Sujet âgé</term><term>Tumeurs du sein ()</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Mammaplasty</term><term>Perforator Flap</term></keywords><keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Perforator Flap</term><term>Transplant Donor Site</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Lambeau perforant</term><term>Mammoplastie</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Mammaplasty</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term><term>Groin</term><term>Transplant Donor Site</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Female</term><term>Humans</term><term>Mastectomy, Segmental</term><term>Middle Aged</term><term>Operative Time</term><term>Time Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Aine</term><term>Durée opératoire</term><term>Facteurs temps</term><term>Femelle</term><term>Humains</term><term>Lambeau perforant</term><term>Mammoplastie</term><term>Mastectomie partielle</term><term>Site donneur de greffe</term><term>Sujet âgé</term><term>Tumeurs du sein</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Recent advances in perforator flap surgical techniques have allowed for safe and reliable autologous tissue transfer with minimal donor-site morbidity. Between April 2012 and January 2013, we performed immediate breast reconstruction using free medial circumflex femoral artery perforator (MCFAP) flaps in 15 patients after breast-conserving surgery. The flaps were harvested from patients in the lithotomy position, while a second surgical team simultaneously conducted tumour resection. Of the 15 procedures performed, three flaps were dissected as true perforator flaps, while 12 flaps were dissected as muscle-sparing perforator flaps. The mean flap weight was 138.5 g (range, 77-230 g) and the mean pedicle length was 5.7 cm (range, 3.0-9.0 cm). Recipient vessels for anastomosis were serratus branches in 10 patients, internal mammary vessels in three patients and thoracodorsal vessels in two patients. The mean duration of surgery was 6.74 h (range, 5.65-9.45 h). There were no major complications requiring surgical intervention. Researchers observed partial flap necrosis, which manifested as small firm lesions in two patients, as well as local wound infection and dehiscence in one patient, which resolved spontaneously. There were no instances of donor-site seroma formation or lymphoedema in any of the patients. An objective assessment of postoperative photographs showed that cosmetic results were mostly satisfactory. Donor-site scars along the medial groin crease were inconspicuous and readily concealed by clothing. Given its reliable vascularity and minimal donor-site morbidity, the free MCFAP flap can be a good alternative for partial breast reconstruction after breast-conserving surgery.</div></front></TEI><affiliations><list><country><li>Japon</li></country></list><tree><noCountry><name sortKey="Fujikawa, Masakazu" sort="Fujikawa, Masakazu" uniqKey="Fujikawa M" first="Masakazu" last="Fujikawa">Masakazu Fujikawa</name><name sortKey="Hosokawa, Ko" sort="Hosokawa, Ko" uniqKey="Hosokawa K" first="Ko" last="Hosokawa">Ko Hosokawa</name><name sortKey="Saito, Takuya" sort="Saito, Takuya" uniqKey="Saito T" first="Takuya" last="Saito">Takuya Saito</name><name sortKey="Sotsuka, Yohei" sort="Sotsuka, Yohei" uniqKey="Sotsuka Y" first="Yohei" last="Sotsuka">Yohei Sotsuka</name><name sortKey="Tashima, Hiroki" sort="Tashima, Hiroki" uniqKey="Tashima H" first="Hiroki" last="Tashima">Hiroki Tashima</name><name sortKey="Tomita, Koichi" sort="Tomita, Koichi" uniqKey="Tomita K" first="Koichi" last="Tomita">Koichi Tomita</name></noCountry><country name="Japon"><noRegion><name sortKey="Izumi, Ken" sort="Izumi, Ken" uniqKey="Izumi K" first="Ken" last="Izumi">Ken Izumi</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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