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Current publications from Polish scientific journals are available through the Library of Science: https://bibliotekanauki.pl
Current publications from Polish scientific journals are available through the Library of Science: https://bibliotekanauki.pl
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Aim: The primary goal of breast-conserving surgery is to achieve tumor-free margins while preserving a good aesthetic result.
Material and methods: 20 partial breast amputations due to cancer were conducted from March 3, 2020 to February 2, 2021, with simultaneous reconstruction of the defect with pedicled own tissues. Perforators of the 5th or 6th intercostal artery were utilized to vascularize skin-fat flaps. Patients' age ranged from 43 to 70 years (mean 55.3), with BMI ranging from 22.29 to 28.99 (mean 24.9). The invasive ductal carcinoma was found in 13 and lobular carcinoma in 7 patients. Radiotherapy was started at 4–6 weeks after surgery.
Results: Following surgery, all patients had clear margins verified histopathologically. The defect was treated with a LICAP flap in 15 patients, a MICAP flap in 4 individuals, and an AICAP flap in 1 patient. The capacity of flaps ranged from 60–218 cm3 , with a weight of 43– 160 g. UDP examination was used to find skin perforators both preoperatively and intraoperatively. All of the patients' flaps healed satisfactorily. In some cases, indocyanine green was employed to check intraoperatively the flap blood supply. The duration of the follow-up ranged from 2 to 12 months. Patients rated the quality of the operated breast on a 4-point scale (BREAST-Q Version 2.0 BCT Module Postoperative Scales) 4–5 weeks after surgery, and the results showed a high level of satisfaction (mean 82.005 points on the RASCH scale).
Conclusions: The use of pedicled fat and skin flaps in partial breast reconstruction considerably expands the surgical treatment choices available in breast-conserving procedures.
Material and methods: 20 partial breast amputations due to cancer were conducted from March 3, 2020 to February 2, 2021, with simultaneous reconstruction of the defect with pedicled own tissues. Perforators of the 5th or 6th intercostal artery were utilized to vascularize skin-fat flaps. Patients' age ranged from 43 to 70 years (mean 55.3), with BMI ranging from 22.29 to 28.99 (mean 24.9). The invasive ductal carcinoma was found in 13 and lobular carcinoma in 7 patients. Radiotherapy was started at 4–6 weeks after surgery.
Results: Following surgery, all patients had clear margins verified histopathologically. The defect was treated with a LICAP flap in 15 patients, a MICAP flap in 4 individuals, and an AICAP flap in 1 patient. The capacity of flaps ranged from 60–218 cm3 , with a weight of 43– 160 g. UDP examination was used to find skin perforators both preoperatively and intraoperatively. All of the patients' flaps healed satisfactorily. In some cases, indocyanine green was employed to check intraoperatively the flap blood supply. The duration of the follow-up ranged from 2 to 12 months. Patients rated the quality of the operated breast on a 4-point scale (BREAST-Q Version 2.0 BCT Module Postoperative Scales) 4–5 weeks after surgery, and the results showed a high level of satisfaction (mean 82.005 points on the RASCH scale).
Conclusions: The use of pedicled fat and skin flaps in partial breast reconstruction considerably expands the surgical treatment choices available in breast-conserving procedures.
Publisher
Journal
Year
Volume
Issue
Pages
5-10
Physical description
Dates
published
2023
Contributors
References
Document Type
Publication order reference
Identifiers
Biblioteka Nauki
58661372
YADDA identifier
bwmeta1.element.ojs-doi-10_5604_01_3001_0015_8479
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