Myocutaneous versus thoraco‐abdominal flap cover for soft tissue defects following surgery for locally advanced and recurrent breast cancer

Deo, S. V. S.; Purkayastha, Joydeep; Shukla, Nootan Kumar; Asthana, Sonal

doi:10.1002/jso.10236

Cited by 29 publications

(45 citation statements)

References 18 publications

(19 reference statements)

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“…In a recent review, thoracoepigastric skin flaps used for chest wall coverage of soft tissue defects following surgery for locally advanced and recurrent breast cancer compared favorably to myocutaneous flaps in terms of intraoperative blood loss, operating time, and duration of hospital stay [43].…”

Section: Thoracoepigastric Skin Flapsmentioning

confidence: 99%

Reconstruction of the chestwall and thorax

Skoracki

Chang

2006

Journal of Surgical Oncology

100

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Chest wall reconstructions can be complex and challenging procedures and may require a multidisciplinary approach. The most common indications for chest wall reconstruction are the repair of defects due to tumor ablation, infection, radiation necrosis, congenital deformities, and trauma. Flap reconstruction by plastic surgery is often required when skin is removed as part of the chest wall resection or when radiation therapy is given pre- or post-operatively. Tissue flaps may be needed to provide vascularized tissue over alloplastic materials used to stabilize the chest wall, to cover vital structures of the chest cavity, to fill dead space, and to improve cosmesis.

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Section: Thoracoepigastric Skin Flapsmentioning

confidence: 99%

Reconstruction of the chestwall and thorax

Skoracki

Chang

2006

Journal of Surgical Oncology

100

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“…Deo et al (19) reported that fasciocutaneous flaps are more successful compared with myocutaneous flap due to decreased blood loss during the surgery, a shorter length of the surgery and a shorter hospital stay. Conversely, Martella et al (20) suggested that there is no difference between myocutaneous and fasciocutaneous flaps in regards to local complications and the length of hospital stay required.…”

Section: Discussionmentioning

confidence: 99%

“…Typically, myocutaneous flaps provide enough tissue volume to cover the skin defect and have a good blood supply (2,21). Cutaneous and fasciocutaneous flaps do not require the loss of major muscles and can be completed in a shorter length of time (19). The flap method should be considered and chosen on a case-by-cases basis according to the size of the skin defect and the condition of the recipient/donor sites.…”

Section: Discussionmentioning

confidence: 99%

Application of a rhomboid flap for the coverage of defects after malignant breast tumor resection: A case report

et al. 2017

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Abstract. Resection for locally advanced breast cancer (LABC) or malignant phyllodes tumors may cause a large skin defect with bone exposure. Although skin grafts are frequently used to cover such defects, they can result in poor cosmetic outcomes and graft acceptance is dependent upon the condition of the recipient site. To overcome the limitations of skin grafts, various flaps have been developed to cover such defects. The present study used a rhomboid flap for the coverage of skin defects after mastectomy and breast-conservative surgery (BCS). A total of 11 patients with malignant breast cancer underwent reconstructive surgery using the rhomboid flap between September 2011 and December 2013 (mastectomy, 9 patients; BCS, 2 patients). Skin resection size, axillary lymph node dissection, bone exposure, length of surgery, wound complications and whether preoperative/postoperative adjuvant therapy was received were analyzed. The maximum size of skin defect covered with the rhomboid flap in the present study was 20x20 cm. There were no major wound complications and all patients underwent postoperative adjuvant therapy on schedule. During BCS, a portion of the flap was used for augmentation of the breast, in addition to coverage of the skin defect, which resulted in good cosmetic outcomes. The rhomboid flap can be quickly and easily fashioned, and it does not require any special instruments.

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“…Over the last four decades a variety of surgical techniques have been implemented which include skin grafts, local skin or fasciocutaneous flaps and myocutaneous flaps (such as pectoralis major, rectus abdominis, lattissmus dorsi and external oblique flaps). 1,2 Generally, flaps are advantageous over the skin grafts in terms of aesthetics and durability especially when adjuvant radiotherapy is indicated. [2][3][4][5] The technique of using Latissmus Dorsi myocutaneous flap (LDMF) for closure of defects in oncologic breast surgery was first described by Tansini.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Generally, flaps are advantageous over the skin grafts in terms of aesthetics and durability especially when adjuvant radiotherapy is indicated. [2][3][4][5] The technique of using Latissmus Dorsi myocutaneous flap (LDMF) for closure of defects in oncologic breast surgery was first described by Tansini. 6 In the present study LDMF was used for covering chest wall defects in fifteen patients over a period of two years.…”

Section: Introductionmentioning

confidence: 99%

Chest wall reconstruction using Latismus Dorsi Flap: our experience

Mittal¹,

Singh²,

Uppal³

et al. 2017

Int Surg J

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Background: Covering a big chest wall defect is the main clinical issue in cancer resection whether it is due to locally advanced breast cancer or any other carcinomas extending to chest wall or injuries leading to chest wall defect. The main aim of the study was to discuss the role of latissmus dorsi flap in chest wall reconstruction.Methods: Study reviewed 15 patients with chest wall defect within a period of two years January 2015 - December 2016, who underwent chest wall reconstruction after tumor resection or burns.Results: Among 15 patients, 12 patients were having locally advanced breast tumors, only one patient with recurrent desmoids tumor of abdominal tumor of abdominal wall extending to chest wall and 2 cases were of electrical burn injuries. The age range varied from 40-60 years. Among these patients 13 were females and 2 were males. The defect size varied from 12x15 cm to 26 x 20 cm. There were no major complications except for partial graft loss in two patients.Conclusions: Lattissmus Dorsi flap is safe and very good flap for chest wall reconstruction.

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Myocutaneous versus thoraco‐abdominal flap cover for soft tissue defects following surgery for locally advanced and recurrent breast cancer

Cited by 29 publications

References 18 publications

Reconstruction of the chestwall and thorax

Reconstruction of the chestwall and thorax

Application of a rhomboid flap for the coverage of defects after malignant breast tumor resection: A case report

Chest wall reconstruction using Latismus Dorsi Flap: our experience

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