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Immediate breast reconstruction with a wise pattern mastectomy and NAC-sparing McKissock vertical bipedicle dermal flap

Lewin, Richard ; Jepsen, Christian ; Hallberg, Håkan and Hansson, Emma LU (2018) In Journal of Plastic, Reconstructive and Aesthetic Surgery 71(10). p.1432-1439
Abstract

Preservation of the nipple-areola complex (NAC) in immediate reconstruction of ptotic and large breasts is surgically challenging. This article presents a modification of the inferior dermal flap ("dermal sling") to a vertical bipedicle flap with NAC preservation. This flap is well described in breast reductions but has never been described in a mastectomy setting. The study reviews data for a case series of 17 breasts in 11 women who underwent breast reconstruction with the new technique. The complication rate was 12%, thus indicating that the vertical bipedicle NAC-sparing flap should be considered a feasible option for breast reconstruction in women with ptotic and/or large breasts.

Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Journal of Plastic, Reconstructive and Aesthetic Surgery
volume
71
issue
10
pages
8 pages
publisher
Elsevier
external identifiers
  • pmid:30244708
  • scopus:85049309073
ISSN
1878-0539
DOI
10.1016/j.bjps.2018.05.027
language
English
LU publication?
yes
id
7d422ebc-5bff-4ec6-be18-3b2b3ac458e2
date added to LUP
2018-09-29 06:50:09
date last changed
2025-10-15 15:47:03
@article{7d422ebc-5bff-4ec6-be18-3b2b3ac458e2,
  abstract     = {{<p>Preservation of the nipple-areola complex (NAC) in immediate reconstruction of ptotic and large breasts is surgically challenging. This article presents a modification of the inferior dermal flap ("dermal sling") to a vertical bipedicle flap with NAC preservation. This flap is well described in breast reductions but has never been described in a mastectomy setting. The study reviews data for a case series of 17 breasts in 11 women who underwent breast reconstruction with the new technique. The complication rate was 12%, thus indicating that the vertical bipedicle NAC-sparing flap should be considered a feasible option for breast reconstruction in women with ptotic and/or large breasts.</p>}},
  author       = {{Lewin, Richard and Jepsen, Christian and Hallberg, Håkan and Hansson, Emma}},
  issn         = {{1878-0539}},
  language     = {{eng}},
  number       = {{10}},
  pages        = {{1432--1439}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Plastic, Reconstructive and Aesthetic Surgery}},
  title        = {{Immediate breast reconstruction with a wise pattern mastectomy and NAC-sparing McKissock vertical bipedicle dermal flap}},
  url          = {{http://dx.doi.org/10.1016/j.bjps.2018.05.027}},
  doi          = {{10.1016/j.bjps.2018.05.027}},
  volume       = {{71}},
  year         = {{2018}},
}