Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 3 Issue 6

Immediate Breast Reconstruction with Latissimus Dorsi Musculo-cutaneous V-D Flap in Breast Conserving Surgery. A New Modified Technique

Chaparro Aranguren EA1*, Rolf Smit2, Casas3 Jose Geles4 and Julio Ochoa Pena5

1Plastic Surgeon, Oncologic Plastic Surgeon, National Cancer Institute, Villavicencio Regional Hospital, Colombia
2Plastic Surgery Resident, Colombia
3Breast Surgeon, Villavicencio Regional Hospital, Colombia
4Physician, Colombia
4Graduate of Undergraduate Medicine, Pontificia Universidad Javeriana, Bogotá, D.C., Colombia

*Corresponding Author: Chaparro Aranguren EA, Plastic Surgeon, Oncologic Plastic Surgeon, National Cancer Institute, Villavicencio Regional Hospital, Colombia.

Received: April 15, 2021; Published: May 22, 2021

Abstract

The objective of this study is to present a new modified technique for immediate breast reconstruction, in breast conserving surgery. We present a descriptive study of four patients with breast cancer treated with a modified radical mastectomy, with skin and nipple-areolar complex preservation and immediate breast reconstruction with latissimus dorsi musculo-cutaneos V-D flap.

Only one of the four patients presented in this descriptive study required adjuvant radiotherapy. One patient required partial de-epithelialization of the flap and in another patient the flap was not de-epithelialized at all. In three of the four patients, the mastectomy was performed through the same approach as the flap harvest. Only in one patient was necessary to use two different approaches for the mastectomy and breast reconstruction.

Keywords: Musculocutaneous Flap; Myocutaneous Flap; Latissimus Dorsi Flap; Mastectomy; Skin Sparing Mastectomy; Mammaplasty; Breast Conserving Surgery; Immediate Breast Reconstruction

References

  1. “International Agency for Research on Cancer”. World Health Organization (2018).
  2. Instituto Nacional de Cancerología ESE. Análisis de la Situación del Cáncer en Colombia 2015. Primera edición. Bogotá DC: Instituto Nacional de Cancerología ESE (2017).
  3. Perea AH and Roselli D. “Análisis de costo-utilidad en Colombia del tratamiento integral del carcinoma de seno con reconstrucción inmediata frente a la reconstrucción diferida”. Biomédica 38 (2018): 363-378.
  4. Ministerio de Salud y Protección Social. Análisis de Situación de Salud (2015).
  5. Pineros M., et al. “Patient delay among Colombian women with breast cancer”. Salud Pública de México 5 (2009): 372-380.
  6. Angrigiani C. “Colgajo perforante tóracodorsal”. Cirugía Plástica Ibero-Latinoamericana4 (2006): 281-286.
  7. Chaparro EA., et al. “Reconstrucción mamaria inmediata con colgajo V-Y músculo cutáneo de dorsal ancho: técnica modificada”. Revista Colombiana de Cirugía Plástica y Reconstructiva2 (2018): 14-19.
  8. Kronowitz SJ. “Sate of the Art and Science in Postmastectomy Breast Reconstruction”. Plastic and Reconstructive Surgery 135 (2015): 755e.
  9. Frey J., et al. “Mastectomy Flap Thickness and Complications in Nipple-Sparing Mastectomy: Objetive Evaluation using Magnetic Resonance Imaging”. Plastic and Reconstructive Surgery 5 (2017): e1439.
  10. Diaz S., et al. “Impacto de las complicaciones post reconstrucción mamaria en el tratamiento sistémico del cáncer de mama”. Revista Colombiana de Cancerología3 (2014): 120-127.

Citation

Citation: Chaparro Aranguren EA., et al. “Immediate Breast Reconstruction with Latissimus Dorsi Musculo-cutaneous V-D Flap in Breast Conserving Surgery. A New Modified Technique”. Acta Scientific Women's Health 3.6 (2021): 112-116.

Copyright

Copyright: © 2021 Chaparro Aranguren EA., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
Impact Factor0.539

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