One-stage vs. two-stage approach for partial breast reconstruction with lateral chest wall perforator flaps

2016 ◽  
Vol 9 ◽  
pp. 56-61 ◽  
Author(s):  
Pankaj Gupta Roy
Keyword(s):  
Breast Reconstruction ◽  
Chest Wall ◽  
Two Stage ◽  
Perforator Flaps ◽  
One Stage ◽  
Lateral Chest

The impact of partial breast reconstruction with lateral chest wall perforator flaps on post-operative cancer surveillance

2018 ◽  
Vol 2 ◽  
pp. 10-10
Author(s):  
Jesse Hu ◽  
Alexandra Tenovici ◽  
Vaishali Parulekar ◽  
Madhu Bhattacharyya ◽  
Pankaj G. Roy
Keyword(s):  
Breast Reconstruction ◽  
Chest Wall ◽  
Cancer Surveillance ◽  
Perforator Flaps ◽  
Lateral Chest ◽  
The Impact

scholarly journals Lateral chest wall perforator flaps in partial breast reconstruction

2022 ◽  
Vol 34 (1) ◽  
Author(s):  
Ahmed Orabi ◽  
Mina M G Youssef ◽  
Tamer M. Manie ◽  
Mohamed Shaalan ◽  
Tarek Hashem
Keyword(s):  
Breast Reconstruction ◽  
Chest Wall ◽  
Operative Time ◽  
Standard Procedure ◽  
Cosmetic Outcome ◽  
Partial Mastectomy ◽  
Perforator Flaps ◽  
Oncoplastic Breast Surgery ◽  
Lateral Chest ◽  
Artery Perforator

Abstract Background Breast conserving surgery (BCS) has been a standard procedure for the treatment of breast cancer instead of mastectomy whenever possible. Lateral chest wall perforator flaps are one of the volume replacement techniques that participate in increasing the rate of BCS especially in small- to moderate-sized breasts with good cosmetic outcome. In this study, we tried to evaluate the outcome of those flaps as an oncoplastic procedure instead of the conventional flaps. Methods This study included 26 patients who underwent partial mastectomy with immediate reconstruction using lateral chest wall perforator flaps in the period from October 2019 to November 2020. The operative time, techniques, and complications were recorded. The cosmetic outcome was assessed 3 months post-radiation therapy through a questionnaire and photographic assessment. Results Lateral intercostal artery perforator (LICAP), lateral thoracic artery perforator (LTAP) and combined flaps were performed in 24, 1, and 1 patients, respectively. The mean operative time was 129.6 ± 13.2 min. The flap length ranged from 10 to 20 cm and its width from 5 to 9 cm. Overall patients’ satisfaction was observed to be 88.5% as either excellent or good and the photographic assessment was 96.2% as either excellent or good. Conclusions Lateral chest wall perforator flaps are reliable and safe option for partial breast reconstruction with an acceptable aesthetic outcome. In the era of oncoplastic breast surgery, they deserve to gain attention especially with the advantages of some modifications added to the classic technique.

scholarly journals Update in Direct-to-Implant Breast Reconstruction

2019 ◽  
Vol 33 (04) ◽  
pp. 264-269 ◽  
Author(s):  
Aurelia Trisliana Perdanasari ◽  
Amjed Abu-Ghname ◽  
Sarth Raj ◽  
Sebastian J. Winocour ◽  
Rene D. Largo
Keyword(s):  
Postoperative Complications ◽  
Breast Reconstruction ◽  
Two Stage ◽  
Surgical Technology ◽  
One Stage ◽  
One Stage Reconstruction ◽  
Reconstruction Option ◽  
Implant Breast Reconstruction

AbstractImplant-based reconstruction (IBR) remains the most commonly utilized breast reconstruction option for post-mastectomy patients. IBR can be approached as either a one-stage reconstruction or a two-stage reconstruction. Facilitated by improvements in surgical technology and advanced techniques, one-stage reconstruction, also known as direct-to-implant (DTI) reconstruction, involves the insertion of an implant at the time of mastectomy. The decision to pursue either a DTI or a two-stage reconstruction is based on several factors, including the patient's overall health, expected risk of postoperative complications, and associated costs to both the patient and hospital.

scholarly journals One-stage and two-stage breast reconstruction have no meaningful difference in patient quality of life

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Amer Mansoor
Keyword(s):  
Quality Of Life ◽  
Breast Reconstruction ◽  
Controlled Trial ◽  
Acellular Dermal Matrix ◽  
Clinical Decision ◽  
Two Stage ◽  
Dermal Matrix ◽  
One Stage ◽  
Randomised Controlled

A clinical decision report appraising Negenborn VL, Young-Afat DA, Dikmans REG, et al. Quality of life and patient satisfaction after one-stage implant-based breast reconstruction with an acellular dermal matrix versus two-stage breast reconstruction (BRIOS): primary outcome of a randomised, controlled trial. Lancet Oncology. 2018;19(9):1205-14. https://doi.org/10.1016/s1470-2045(18)30378-4.

scholarly journals Rib cage deformity during two-stage tissue expander breast reconstruction in patient with previous radiotherapy: a case report

2016 ◽  
Vol 85 (1) ◽  
Author(s):  
Aleš Porčnik ◽  
Uroš Ahčan
Keyword(s):  
Case Report ◽  
Breast Reconstruction ◽  
Chest Wall ◽  
Tissue Expander ◽  
Rib Fracture ◽  
Two Stage ◽  
Rib Cage ◽  
Radiologic Evaluation ◽  
History Of ◽  
Previous Irradiation

Patients undergoing two-stage breast reconstruction with tissue expander and a history of previous irradiation are predisposed to a various chest-wall deformations more than non-irradiated patients. If chest-wall depression with/without rib fracture is found intra-operatively, bigger implant should be used, with a subsequent radiologic evaluation. In the future, the development of a new, modified expander with a harder base could minimise such complications.

scholarly journals Chest wall perforator flaps for partial breast reconstruction: Surgical outcomes from a multicenter study

2020 ◽  
Vol 47 (2) ◽  
pp. 153-159 ◽  
Author(s):  
Soni Soumian ◽  
Rishikesh Parmeshwar ◽  
Mihir Chandarana ◽  
Sekhar Marla ◽  
Sankaran Narayanan ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Chest Wall ◽  
Surgical Outcomes ◽  
Breast Conserving Surgery ◽  
Patient Reported Outcome Measures ◽  
Perforator Flaps ◽  
Lateral Thoracic Artery ◽  
Patient Reported ◽  
Artery Perforator

Background Perforator artery flaps based on the branches of intercostal arteries and lateral thoracic artery can be used for reconstruction after breast-conserving surgery (BCS). Although described more than a decade ago, these have not been adopted widely in clinical practice. We report on short-term and long-term surgical outcomes of partial breast reconstruction using chest wall perforator flaps from a prospective multicenter audit.Methods All patients operated for BCS and partial breast reconstruction using intercostal artery perforator or lateral thoracic artery perforator flaps from January 2015 to October 2018 were included in the analysis. Oncoplastic breast surgeons with appropriate level of training performed all tumor excisions and reconstructions as a single-stage procedure. Patient characteristics, treatment details and surgical outcomes were noted. Specific outcomes recorded were margin re-excision and complication rates.Results One hundred and twelve patients underwent the procedure in the given study period. The median age was 54 years. Median specimen weight was 62.5 g and median volume of excision was 121.4 mL. Fifteen patients (13.39%) underwent a margin re-excision for close or positive margins without additional morbidity. One patient required a completion mastectomy. Eight patients (7.14%) had an early complication. None of the patients required a contralateral symmetrization procedure. The results were comparable across the participating centers.Conclusions Chest wall artery perforator-based flaps are an excellent option for lateral and inferior quadrant partial breast reconstructions. The short and long-term surgical outcomes are comparable across sites and can be performed with minimal morbidity. Patient-reported outcome measures need to be studied.

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