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.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Pacientes Ambulatoriais
/
Radioterapia
/
Ombro
/
Pele
/
Retalhos Cirúrgicos
/
Tórax
/
Doadores de Tecidos
/
Cicatrização
/
Ferimentos e Lesões
/
Mama
Tipo de estudo:
Estudo observacional
Limite:
Humanos
Idioma:
Inglês
Revista:
Annals of Surgical Treatment and Research
Ano de publicação:
2019
Tipo de documento:
Artigo
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