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 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.

Chest wall perforator flaps for partial breast reconstruction in breast cancer

2018 ◽  
Vol 44 (6) ◽  
pp. 894
Author(s):  
Mihir Chandarana ◽  
Sadaf Jafferbhoy ◽  
Yanyu Tan ◽  
Sekhar Marla ◽  
Sankaran Narayanan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Chest Wall ◽  
Perforator Flaps

The Impact of Preoperative CT Angiography on Breast Reconstruction With Abdominal Perforator Flaps

2012 ◽  
Vol 68 (5) ◽  
pp. 525-530 ◽  
Author(s):  
Winnie Mao Yiu Tong ◽  
Robert Dixon ◽  
Heidi Ekis ◽  
Eric G. Halvorson
Keyword(s):  
Breast Reconstruction ◽  
Ct Angiography ◽  
Perforator Flaps ◽  
Preoperative Ct ◽  
The Impact

Use of combination of modules of BREAST-Q in partial breast reconstruction with lateral chest wall perforator flap

2016 ◽  
Vol 42 (5) ◽  
pp. S39
Author(s):  
Amit Agrawal ◽  
Bahar Mirshekar-Syahkal
Keyword(s):  
Breast Reconstruction ◽  
Chest Wall ◽  
Perforator Flap ◽  
Lateral Chest
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