Single vertical incision thoracoabdominal flap for chest wall reconstruction following mastectomy of locally advanced breast cancer
Annals of Surgical Treatment and Research
;
: 168-175, 2019.
Article
in English
| WPRIM
| ID: wpr-762706
ABSTRACT
PURPOSE:
Skin grafts have been widely used in managing extensive chest wall defects after mastectomy for advanced breast cancer. However, their durability and tolerability to radiotherapy is still controversial. A thoracoabdominal (TA) flap with a few technical refinements can safely transfer a larger flap while minimizing complications.METHODS:
From January 2007 to February 2018, a retrospective review was performed to compare 2 groups after wide breast excision skin graft group (group 1) and lateral-based, single vertical incision rotation-advancement TA flap (group 2). Patients' demographics, operative details, complications, hospital stay, postoperative outpatient visits, cost, and start of adjuvant therapy were analyzed between the 2 groups.RESULTS:
During the study period, 34 patients received skin graft and 41 patients received TA flap. group 2 had a shorter hospital stay (6.41 ± 2.64 days vs. 12.62 ± 4.60 days, P 1 year was observed in 4 patients in only group 1 (43.90% vs. 38.24%, P = 0.613).CONCLUSION:
TA flap has a simple design that minimizes concerns involving the donor site. Moreover, it does not require complicated procedures and allows for re-elevation whenever necessary. Finally, it guarantees faster wound recovery than skin graft with fewer complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Outpatients
/
Radiotherapy
/
Shoulder
/
Skin
/
Surgical Flaps
/
Thorax
/
Tissue Donors
/
Wound Healing
/
Wounds and Injuries
/
Breast
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2019
Type:
Article
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