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Breast reconstruction with pedicle fat dermal layer associated pectorallis muscle flap

ABSTRACT

Introduction:

A mastectomy is the standard treatment for all types of breast cancer (CA). This disease, with the exception of non-melanoma skin cancers, ranks first cancers that affect women. Many are the possibilities for full mastectomy reconstruction, involving autologous flaps and implant placement. Advances in the use of these techniques have been refined over the years in order to provide excellent results.The aim of this study is to describe the technique of breast reconstruction with the fat dermal inferior pedicle flap associated with pectoral and analysis of postoperative results.

Methods:

Retrospective analysis of medical records of patients operated for treatment of breast cancer in the period 2008-2013, in the private practice of the author and all patients had tumors located in the upper quadrants were selected was performed.

Results:

Over this period, 210 patients underwent breast reconstruction. Of these, 17 (8.09%) underwent breast reconstruction by the proposed technique. Over this period, 210 patients underwent breast reconstruction. Of these, 17 (8.09%) underwent breast reconstruction by the proposed technique. Regarding postoperative complications, there was 1 case of skin necrosis and 1 case of asymmetry.

Conclusions:

Apart from technically simple and acceptable cosmetic results, the proposed flap does not result in donor site morbidity, prolonged recovery, muscle weakness with the advantage that, in most cases, be accomplished in a single operation.

Keywords:
Breast Reconstruction; myocutaneous flaps; Breast cancer

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