Adipofascial (Anterior Rectus Sheath) Flaps for Breast Reconstruction

Sakai, Shigemi; Suzuki, Izuru; Izawa, Hirokazu

doi:10.1097/00000637-199208000-00015

Cited by 15 publications

(5 citation statements)

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“…Recruitment of local tissue, including adipofascial and dermoglandular flaps, can be useful for particular defects. Examples include, the lateral thoracic wall advancement flap for lateral defects, the Grisotti advancement rotation flap for central defects (58,59), the infra-mammary adipofascial flap for defects in the inferior portion of the breast (60,61) or the tumor-adapted mastopexy (43,44,62) (Fig. 2c,d).…”

Section: Volume Displacementmentioning

confidence: 99%

Oncological and Aesthetic Considerations of Conservational Surgery for Multifocal/Multicentric Breast Cancer

Patani¹,

Carpenter²

2010

The Breast Journal

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Conventional indications for mastectomy (MX) reflect circumstances where breast conserving therapy (BCT) could compromise oncological or cosmetic outcome. MX continues to be recommended for the majority of women with multiple lesions within the same breast. In this article, we review the oncological safety and aesthetic considerations of BCT in the context of multifocal (MF) or multicentric (MC) breast cancer. Literature review facilitated by Medline and PubMed databases. Published studies have reported divergent results regarding the oncological adequacy of BCT in the management of MF or MC disease. Earlier studies demonstrated high rates of local recurrence (LR) for BCT. More recent series have found BCT to be comparable to MX in terms of LR, distant failure, disease free and overall survival. Few studies have adequately evaluated cosmetic outcomes following BCT for MF or MC breast cancer. Contemporary oncoplastic techniques have extended the clinical utility of BCT and are of particular relevance to breast conservation in the context of MF or MC lesions. Appropriate case selection, preoperative oncological and aesthetic planning, satisfactory clearance of the surgical margins and adjuvant radiotherapy are of paramount importance. In the absence of level-1 guidance concerning the management of women with MF or MC disease, each case requires discussion with regard to tumor and patient related factors in the context of the multidisciplinary team. In selected patients with MF or MC disease, BCT is oncologically safe and cosmetically acceptable. Uniformity of practice and the establishment of a standard of care will require an evidence-base from prospective studies.

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Section: Volume Displacementmentioning

confidence: 99%

Oncological and Aesthetic Considerations of Conservational Surgery for Multifocal/Multicentric Breast Cancer

Patani¹,

Carpenter²

2010

The Breast Journal

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“…Sakai et al [6] reported the utility of inframammary adipofascial flap for reconstruction after subcutaneous mastectomy. We have used the inframammary adipofascial flap for breast-conserving surgery (BCS) in the inferior portion of the breast [7] , [8] .…”

Section: Introductionmentioning

confidence: 99%

A case report of total breast reconstruction using an inframammary adipofascial flap with an implant

Ogawa

Yamakawa

2016

International Journal of Surgery Case Reports

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HighlightsProsthetic-based breast reconstruction can be used in combination with autologous flaps to achieve symmetry.The inframammary adipofascial flap is a new autologous flap for use in combination with prosthetic-based breast reconstruction after nipple-sparing mastectomy (NSM).Total breast reconstruction using the inframammary adipofascial flap with an implant can be performed through the same skin incision on the IMF as NSM.This method is useful for breast reconstruction after NSM for young patients with moderate-ptotic breasts.

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“…We describe a new technique of using an inframammary adipofascial flap to reconstruct defects caused by lower-pole partial mastectomy, which achieved excellent results (Kijima et al in Am J Surg 193:789–91 (1); Sakai et al in Ann Plast Surg 29(2):173–7, 2; Ogawa Am J Surg 193:514–8, 3). We developed this procedure as an oncoplastic technique for a Japanese woman with a similar defect without ptosis.…”

mentioning

confidence: 99%

Immediate reconstruction using a modified inframammary adipofascial flap after partial mastectomy

et al. 2012

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Breast conservative therapy (BCT) as treatment for early breast cancer usually ensures local control and acceptable cosmetic results. We describe a new technique of using an inframammary adipofascial flap to reconstruct defects caused by lower-pole partial mastectomy, which achieved excellent results (Kijima et al. in Am J Surg 193:789–91 (1); Sakai et al. in Ann Plast Surg 29(2):173–7, 2; Ogawa Am J Surg 193:514–8, 3). We developed this procedure as an oncoplastic technique for a Japanese woman with a similar defect without ptosis. After partial mastectomy, the superior half of the flap is harvested via an initial incision along the inframammary line, and the inferior half is harvested via an additional incision along the caudal edge of the flap, to produce a crescent of de-epithelialized skin. A tongue-shaped flap containing the crescent of de-epithelialized skin, subcutaneous fat, and the fascia of the vertical rectus abdominis muscle is then rotated upwards, gathered, and inserted into the breast defect.

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Adipofascial (Anterior Rectus Sheath) Flaps for Breast Reconstruction

Cited by 15 publications

References 0 publications

Oncological and Aesthetic Considerations of Conservational Surgery for Multifocal/Multicentric Breast Cancer

Oncological and Aesthetic Considerations of Conservational Surgery for Multifocal/Multicentric Breast Cancer

A case report of total breast reconstruction using an inframammary adipofascial flap with an implant

Immediate reconstruction using a modified inframammary adipofascial flap after partial mastectomy

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