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Tunnelled lateral fasciocutaneous thoracodorsal flap with a skin island in breast reconstruction in oncoplastic breast surgery

Rose, Michael LU and Svensson, Henry LU (2012) In Journal of Plastic Surgery and Hand Surgery 46(6). p.404-409
Abstract
The technique and results of a tunnelled lateral fasciocutaneous flap with a skin island is described in immediate partial breast reconstruction in a subpopulation in oncoplastic breast surgery. Fifteen patients were operated on from January 2008 to January 2011. The subpopulation consisted of patients with small or medium-sized breasts. All patients had invasive ductal carcinomas, located in the lateral or central parts of the breast, of which the lumpectomy in three cases included the nipple areola complex. Eleven patients had axillary lymph node dissection because of positive sentinel node biopsy. In four patients a re-resection was performed due to insufficient primary resection margins. No primary or secondary mastectomies were... (More)
The technique and results of a tunnelled lateral fasciocutaneous flap with a skin island is described in immediate partial breast reconstruction in a subpopulation in oncoplastic breast surgery. Fifteen patients were operated on from January 2008 to January 2011. The subpopulation consisted of patients with small or medium-sized breasts. All patients had invasive ductal carcinomas, located in the lateral or central parts of the breast, of which the lumpectomy in three cases included the nipple areola complex. Eleven patients had axillary lymph node dissection because of positive sentinel node biopsy. In four patients a re-resection was performed due to insufficient primary resection margins. No primary or secondary mastectomies were performed. One haematoma at the site of reconstruction was registered as the only postoperative complication. No patient developed wound infection, delayed wound healing, seroma, or any flap complications. All patients had adjuvant chemotherapy and radiation therapy according to the guidelines of The Danish Breast Cancer Group. The patients were seen at follow-up visits at 14 days, 3, 12, and 24 months. No recurrences were seen during the observation time except for one patient, who had recurrence with dissemination of the disease and died 19 months postoperatively. (Less)
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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Immediate breast reconstruction, oncoplastic, fasciocutaneuos, thoracodorsal tunnelled flap, skin island
in
Journal of Plastic Surgery and Hand Surgery
volume
46
issue
6
pages
404 - 409
publisher
Taylor & Francis
external identifiers
  • wos:000311418900006
  • scopus:84869794915
  • pmid:23157501
ISSN
2000-656X
DOI
10.3109/2000656X.2012.722095
language
English
LU publication?
yes
id
0d1447b9-a66a-4721-8e40-1f831005c6e2 (old id 3379470)
date added to LUP
2016-04-01 09:57:54
date last changed
2022-02-17 05:22:48
@article{0d1447b9-a66a-4721-8e40-1f831005c6e2,
  abstract     = {{The technique and results of a tunnelled lateral fasciocutaneous flap with a skin island is described in immediate partial breast reconstruction in a subpopulation in oncoplastic breast surgery. Fifteen patients were operated on from January 2008 to January 2011. The subpopulation consisted of patients with small or medium-sized breasts. All patients had invasive ductal carcinomas, located in the lateral or central parts of the breast, of which the lumpectomy in three cases included the nipple areola complex. Eleven patients had axillary lymph node dissection because of positive sentinel node biopsy. In four patients a re-resection was performed due to insufficient primary resection margins. No primary or secondary mastectomies were performed. One haematoma at the site of reconstruction was registered as the only postoperative complication. No patient developed wound infection, delayed wound healing, seroma, or any flap complications. All patients had adjuvant chemotherapy and radiation therapy according to the guidelines of The Danish Breast Cancer Group. The patients were seen at follow-up visits at 14 days, 3, 12, and 24 months. No recurrences were seen during the observation time except for one patient, who had recurrence with dissemination of the disease and died 19 months postoperatively.}},
  author       = {{Rose, Michael and Svensson, Henry}},
  issn         = {{2000-656X}},
  keywords     = {{Immediate breast reconstruction; oncoplastic; fasciocutaneuos; thoracodorsal tunnelled flap; skin island}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{404--409}},
  publisher    = {{Taylor & Francis}},
  series       = {{Journal of Plastic Surgery and Hand Surgery}},
  title        = {{Tunnelled lateral fasciocutaneous thoracodorsal flap with a skin island in breast reconstruction in oncoplastic breast surgery}},
  url          = {{http://dx.doi.org/10.3109/2000656X.2012.722095}},
  doi          = {{10.3109/2000656X.2012.722095}},
  volume       = {{46}},
  year         = {{2012}},
}