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Tissue expander capsule for abdominal wall in autologous breast reconstruction.

Webster RS, Goldoni BD, Netto R, de Araujo TB, Ely PB - Plast Reconstr Surg Glob Open (2014)

Bottom Line: Adjuvant treatment planning can change after breast cancer resection and definitive pathological examination.Radiation therapy is often chosen as a supplementary treatment.Rectus abdominis-based muscle flaps are one of the main choices when breast reconstruction plans must be changed from implant-based to autologous methods.

View Article: PubMed Central - PubMed

Affiliation: Plastic, Reconstructive and Microsurgery Service of the University of Health Sciences and Irmandade Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil.

ABSTRACT

Summary: Adjuvant treatment planning can change after breast cancer resection and definitive pathological examination. Radiation therapy is often chosen as a supplementary treatment. Rectus abdominis-based muscle flaps are one of the main choices when breast reconstruction plans must be changed from implant-based to autologous methods. We herein report a case in which the patient's own tissue expander capsule was used to repair an abdominal wall defect after muscle-sparing transverse rectus abdominis myocutaneous flap reconstruction.

No MeSH data available.


Related in: MedlinePlus

The abdominal wall defect after harvesting the flap.
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Figure 1: The abdominal wall defect after harvesting the flap.

Mentions: During the surgical procedure, identification of a dominant perforator was not possible, and a muscle-sparing transverse rectus abdominis myocutaneous flap was designed. A small, concentrated area of perforators (5 × 5 cm) with minimal muscle volume was collected along with the anterior rectus abdominis fascia (Fig. 1). Primary closure of the defect would have involved excessive tension due to intra-abdominal adiposity. The abdominal muscle thickness was inadequate for performance of muscular transposition or creation of a tension-releasing incision. The future development of abdominal weakness was also a concern.


Tissue expander capsule for abdominal wall in autologous breast reconstruction.

Webster RS, Goldoni BD, Netto R, de Araujo TB, Ely PB - Plast Reconstr Surg Glob Open (2014)

The abdominal wall defect after harvesting the flap.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4255890&req=5

Figure 1: The abdominal wall defect after harvesting the flap.
Mentions: During the surgical procedure, identification of a dominant perforator was not possible, and a muscle-sparing transverse rectus abdominis myocutaneous flap was designed. A small, concentrated area of perforators (5 × 5 cm) with minimal muscle volume was collected along with the anterior rectus abdominis fascia (Fig. 1). Primary closure of the defect would have involved excessive tension due to intra-abdominal adiposity. The abdominal muscle thickness was inadequate for performance of muscular transposition or creation of a tension-releasing incision. The future development of abdominal weakness was also a concern.

Bottom Line: Adjuvant treatment planning can change after breast cancer resection and definitive pathological examination.Radiation therapy is often chosen as a supplementary treatment.Rectus abdominis-based muscle flaps are one of the main choices when breast reconstruction plans must be changed from implant-based to autologous methods.

View Article: PubMed Central - PubMed

Affiliation: Plastic, Reconstructive and Microsurgery Service of the University of Health Sciences and Irmandade Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil.

ABSTRACT

Summary: Adjuvant treatment planning can change after breast cancer resection and definitive pathological examination. Radiation therapy is often chosen as a supplementary treatment. Rectus abdominis-based muscle flaps are one of the main choices when breast reconstruction plans must be changed from implant-based to autologous methods. We herein report a case in which the patient's own tissue expander capsule was used to repair an abdominal wall defect after muscle-sparing transverse rectus abdominis myocutaneous flap reconstruction.

No MeSH data available.


Related in: MedlinePlus