scholarly journals Perioperative nursing for immediate breast reconstruction with deep inferior epigastric perforator flap after breast cancer resection

2018 ◽  
Vol 10 (7) ◽  
pp. 4017-4022
Author(s):  
Shufang Tan ◽  
Lifen Pan ◽  
Haixuan Zhao ◽  
Jiemin Hu ◽  
Huiyi Chen
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Perforator Flap ◽  
Immediate Breast Reconstruction ◽  
Cancer Resection ◽  
Perioperative Nursing ◽  
Deep Inferior Epigastric Perforator

Breast Cancer Reconstruction in the Elderly

2011 ◽  
Vol 77 (12) ◽  
pp. 1640-1643 ◽  
Author(s):  
Marissa Howard-Mcnatt ◽  
Clay Forsberg ◽  
Edward A. Levine ◽  
Anthony Defranzo ◽  
Malcolm Marks ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Elderly Women ◽  
Ductal Carcinoma ◽  
Tissue Expander ◽  
Perforator Flap ◽  
The Elderly ◽  
Immediate Breast Reconstruction ◽  
Tram Flap ◽  
Local Skin

Mastectomy is a surgical choice for breast cancer, yet breast reconstruction is underused in women older than age 60 years. Because of a paucity of information examining breast cancer reconstruction in the elderly, we sought to review our experience. By retrospective chart review, we evaluated 89 women older than 60 years having mastectomy and reconstruction from January 1998 to June 2008. Mean patient age was 65 years (range, 60 to 74 years). The majority (41%) had Stage 1 disease or Stage 2 (30%). Ductal carcinoma in situ comprised 25 per cent and Stage 3 totaled 2 per cent. Mastectomy for ipsilateral breast tumor recurrence after radiation therapy and lumpectomy comprised 11 per cent. Most underwent immediate breast reconstruction (89%). Reconstructive techniques included two-stage implant (58%), transverse rectus abdominus musculocutaneous (TRAM) flap (10%), latissimus dorsi musculocutaneous flap with implant (2%), or deep inferior epigastric perforator flap (1%). Complications included a 12 per cent infection rate, removal of two expanders resulting from exposure, one TRAM failure, and one TRAM required debriding. Four patients undergoing mastectomy with tissue expander had radiation resulting in one expander being removed. One local skin recurrence was treated with removal of implant and skin resection. Two patients have died from metastatic disease. Age should not be a contraindication for breast reconstruction in elderly women.

scholarly journals Thoracodorsal artery perforator flap in immediate breast reconstruction: a series of twenty cases

2019 ◽  
Vol 7 (1) ◽  
pp. 205
Author(s):  
Thyagaraj Reddy ◽  
Vashisht Dikshit ◽  
Balgangadhara Tilak ◽  
Ganesh M. S.
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Donor Site ◽  
Perforator Flap ◽  
Donor Site Morbidity ◽  
Immediate Breast Reconstruction ◽  
Breast Cancer Patients ◽  
Ablative Surgery ◽  
Thoracodorsal Artery Perforator Flap ◽  
Flap Elevation

Background: The management of breast cancer has shown a progressive change, from radical ablative surgery, to breast conserving techniques. Traditionally, the mini latissimus dorsi flap has been used for reconstruction; which is associated with donor site morbidity. Vascular research has now allowed the use of perforator-based flaps for reconstruction, which reduce donor site morbidity.Methods: Twenty thoracodorsal perforator flaps in twenty early breast cancer patients were studied between January 2018 and December 2018. Parameters studied were adequacy of volume, ease and time taken for flap elevation, and final aesthetic outcome.Results: Flap volume was adequate to fill defect. One of twenty cases had flap loss due to venous congestion secondary to pedicle kinking. Average time taken for flap elevation was 70.45 minutes. All patients were satisfied with cosmetic outcome.Conclusions: The TDAP flap is a safe and reliable flap which provides adequate volume for partial breast reconstruction. 

Survival and risk of breast cancer recurrence after breast reconstruction with deep inferior epigastric perforator flap

2018 ◽  
Vol 105 (11) ◽  
pp. 1446-1453 ◽  
Author(s):  
A. Svee ◽  
M. Mani ◽  
K. Sandquist ◽  
T. Audolfsson ◽  
Y. Folkvaljon ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Reconstruction ◽  
Cancer Recurrence ◽  
Perforator Flap ◽  
Breast Cancer Recurrence ◽  
Deep Inferior Epigastric Perforator

scholarly journals Immediate Breast Reconstruction with a Deep Inferior Epigastric Perforator Flap in the Lithotomy Position

2019 ◽  
Vol 7 (12) ◽  
pp. e2552
Author(s):  
Shihoko Tamura ◽  
Toshihiko Satake ◽  
Mayu Muto ◽  
Mai Shibuya ◽  
Kazutaka Narui ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Perforator Flap ◽  
Immediate Breast Reconstruction ◽  
Lithotomy Position ◽  
Deep Inferior Epigastric Perforator
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