Oncoplastic surgery combining partial mastectomy and immediate volume replacement using a thoracodorsal adipofascial cutaneous flap with a crescent-shaped dermis

Surgery Today ◽  
2013 ◽  
Vol 44 (11) ◽  
pp. 2098-2105 ◽  
Author(s):  
Yuko Kijima ◽  
Heiji Yoshinaka ◽  
Munetsugu Hirata ◽  
Hideo Arima ◽  
Akihiro Nakajo ◽  
...  
Author(s):  
Jolie Jean ◽  
Michael M. Jonczyk ◽  
Christopher Homsy ◽  
Stephen Naber ◽  
Abhishek Chatterjee

The Breast ◽  
2011 ◽  
Vol 20 (5) ◽  
pp. 464-467 ◽  
Author(s):  
Yuko Kijima ◽  
Heiji Yoshinaka ◽  
Munetsugu Hirata ◽  
Tadao Mizoguchi ◽  
Sumiya Ishigami ◽  
...  

2019 ◽  
Vol 52 (03) ◽  
pp. 304-308
Author(s):  
Dushyant Jaiswal ◽  
Prabha Subhash Yadav ◽  
Vinay Kant Shankhdhar ◽  
Tasneem Jaffer Belgaumwala

Abstract Introduction Breast conservation therapy (BCT) and oncoplastic breast surgery (OBS) are now established modalities of treatment for breast cancer, with proven oncological safety. Traditionally, latissimus dorsi (LD) flaps have been the one-stop solution workhorse when volume replacement is needed. We present our experience with thoracodorsal artery perforator (TDAP) and superior epigastric artery perforator (SEAP) flaps. These flaps allow the preservation of muscle structure and function. Material and Methods Data were collected prospectively of patients in whom pedicled perforator flaps after BCT were used. A handheld 8-MHz audio Doppler was used to locate the perforators. TDAP flaps were used in four patients, whereas SEAP flaps were used in two patients. Skin paddle sizes ranged from 10 × 3 cm to 21 × 7 cm. Results TDAP flaps were used in four patients, whereas SEAP flaps were used in two patients All flaps survived. No flap had partial necrosis or fat necrosis. All donor sites were closed primarily and healed uneventfully, and none had a seroma requiring aspiration. Conclusion TDAP flaps can be selectively employed when the LD muscle function needs to be preserved. SEAP flaps can also be employed as a rare option in case of lower inner quadrant defects. Pedicled perforator flaps are a useful and reliable option for volume replacement OBS in select patients for reconstructing partial mastectomy defects.


Breast Cancer ◽  
2010 ◽  
Vol 21 (3) ◽  
pp. 375-378 ◽  
Author(s):  
Yuko Kijima ◽  
Heiji Yoshinaka ◽  
Munetsugu Hirata ◽  
Tadao Mizoguchi ◽  
Sumiya Ishigami ◽  
...  

Author(s):  
Mohammad Reza Ebadi ◽  
Maryam Kazemi Aghdam ◽  
Zeinab Safarpour Lima ◽  
Ladan Younesi

Growing increasingly in South America, Africa and Asia, breast cancer is known as the dominant type of cancer in women. Different treatments are available for breast cancer, among which surgery is the most widely used, but researchers are trying to develop new strategies. One of the most prominent surgical methods is referred to as oncoplastic surgery, that helps to remove segments of malignant breast tissue. This type of surgery aims to obtain vast surgical margins, while the remaining tissue is rearranged so that the better cosmetic outcome is obtained. This review will investigate the breast cancer and then discuss partial breast reconstruction. Before outlining the procedures, the different types of partial breast reconstruction will be discussed. Finally, advantages and disadvantages will be outlined. MEDLINE database was used to conduct the search. The main terms used were ‘Conservation Breast Surgery Reconstruction’ AND ‘Oncoplastic Surgery’, ‘Partial Mastectomy Reconstruction’ AND ‘Conservative Breast Surgery Reconstruction’, ‘oncoplastic’ [All Fields], ‘breast’ AND ‘surgery’ OR ‘surgery’ operative’, ‘oncoplastic’ (‘breast’)’. The bibliographies of relevant papers were manually searched up to October 2018, but more recent voices are also included.


2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Yuko Kijima ◽  
Heiji Yoshinaka ◽  
Munetsugu Hirata ◽  
Tadao Mizoguchi ◽  
Sumiya Ishigami ◽  
...  

We report the results of oncoplastic surgery in two Japanese patients with early breast cancer. Their breasts were large and ptotic, and their lesions, which were close to the areola, were considered to be suitable for breast conservative surgery. Oncoplastic surgery involving partial resection of the gland and a periareolar mammoplasty were performed. The technique was easy to perform, and the cosmetic outcome was excellent.


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