Pectoralis majoris fascia combined with serratus anterior fatty fascia flap in immediate breast reconstruction / 中华内分泌外科杂志

ABSTRACT

Objective To study the application of pectoralis majoris fascia combined with serratus anterior fatty fascia flap in immediate breast reconstruction (IBR).Methods 40 patients with early breast cancer were divided into three groups according to indications and their own requirements.11 cases got implants combined with the pectoralis majoris fascia and the serratus anterior fatty fascia flap as a biological membrance,5 patients got latissimus dorsi myocutaneous flap reconstruction,and 24 cases underwent simple mastectomy.The three groups underwent routine sentinel lymph node biopsy.The operation time,subcutaneous drainage volume,drainage time,discharge time,postoperative pain score,infection of incision and patients' satisfaction were compared between the three groups.Results The reconstruction that used implants with pectoralis majoris fascia and serratus anterior fatty fascia flap as a biological membrance had the shortest recovery time,and the least subcutaneous fluid,and the differences were statistically significant(P＜0.05).The difference of incision infection had no statistical significance (P＞0.05).The difference of postoperative pain score and satisfaction had no statistical significance between fascia group and altissimo doris group (P＞0.05).Conclusion The technique of the prosthetic reconstruction of the pectoralis majoris fascia combined with the serratus anterior fatty fascia flap as a biological membrance is simple and safe,with small trauma,quick recovery and high patients' satisfaction,and can be widely used in clinical practice.