Impact of Chest Wall Perforator Flaps on Rates of Total Mastectomy in Breast Cancer

Kabeer, Kirti Katherine; S, Manoj Gowda; Jafferbhoy, Sadaf; Marla, Sekhar; Narayanan, Sankaran; Soumian, Soni

doi:10.1007/s13193-022-01506-w

Cited by 2 publications

(1 citation statement)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An increasing number of breast units are offering CWPF surgery to complement other oncoplastic techniques and further reduce mastectomy rates 15 , 16 . This is particularly important in health service delivery in systems where reconstructive options are limited by either human resources or materials, or both 15 , 17 . Breast surgeons globally have several training pathways, most commonly through core training in general surgery, surgical oncology, gynaecology/senology, and plastic/reconstructive surgery.…”

Section: Discussionmentioning

confidence: 99%

Chest wall perforator flaps for breast reconstruction: international survey on attitudes and training needs

Karakatsanis

Sund

Rocco

et al. 2023

British Journal of Surgery

View full text Add to dashboard Cite

Background Volume replacement using chest wall perforator flaps (CWPFs) is a promising technique to reduce mastectomy rates without sacrificing function or aesthetics. Owing to limited availability of the technique, only a minority of patients currently have access to CWPF procedures. Methods An international web-based survey was disseminated through social media, dedicated webpages, and national and international societies for breast surgery. The survey explored surgeons’ attitudes towards CWPFs and their perceived training needs. Results Of 619 respondents, 88.4 per cent agreed that CWPF surgery was desirable, with one-third offering it and performing a median of 10 (i.q.r. 5–15) procedures annually. They were more likely to be senior (OR 1.35, 95 per cent c.i. 1.18 to 1.55; P < 0.001), with formal oncoplastic training (OR 4.80, 3.09 to 7.48; P < 0.001), and working in larger units (OR 1.18, 1.03 to 1.35; P = 0.018) with a free-flap (OR 1.62, 1.06 to 2.48; P = 0.025) or CWPF (OR 3.02, 1.87 to 4.89; P < 0.001) service available. In cluster and latent class analysis, none showed high cohesion with performance of CWPF surgery. Conclusion There is a discrepancy between perceived importance and availability of CWPF surgery, indicating that optimal training is needed.

show abstract