A new strategy for prophylactic surgery in BRCA women: Combined mastectomy and laparoscopic salpingo-oophorectomy with immediate reconstruction by double DIEP flap

A salpingeal carcinoma revealed after prophylactic salpingoophorectomy in an asymptomatic BRCA1 carrier with breast malignancy

“…Kuchenbaecker, in a recent study, showed that the BRCA1 risk of breast cancer was estimated at 72% and BRCA2 at 69%. In addition, ovarian malignancy risk was estimated at 44% for BRCA1 carriers and 17% for BRCA2 carriers [ [3] , [4] , [5] ].…”

Bilateral Free Flap Breast Reconstruction Outcomes: Do Abdominal Scars Affect Bilateral Flaps?

“…5 Other patients may have scars from open or laparoscopic abdominal procedures or due to risk-reducing bilateral salpingo-oophorectomies in BRCA gene mutation carriers. 6 …”

Simultaneous Laparoscopic Surgery during Deep Inferior Epigastric Artery Perforator Flap Elevation: A Case Report

“…BRCA gene positive patients receiving prophylactic oophorectomy are typical candidates. Some clinics would rather separate the procedures but there have been studies that show the possibilities of combined procedure despite of structural difficulties of a multidis-ciplinary approach [1,2]. In some cases, surgery cannot be delayed for long because of the patient's emergent condition.…”

“…As abdomen-based flap surgery directly shares its surgical field with laparoscopic surgeries, the possibility of vascular injury has been outlined by several studies [2,3]. Flap perforators lie around the periumbilical area which is close to port.…”

“…Spear et al [1] mentioned in an article that an oophorectomy can simultaneously done via direct incision through the external oblique fascia, as an open technique without laparoscopy. Hunsinger et al [2] original laparoscopic port location.…”