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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 retropectoralis muscle portion of the breast capsule, measuring approximately 5 × 5 cm.
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Figure 2: The retropectoralis muscle portion of the breast capsule, measuring approximately 5 × 5 cm.

Mentions: The use of allogeneic material to repair the abdomen was impractical due to social and economic issues and institutional logistics. Our team decided to use a retropectoralis portion of the tissue expander capsule for abdominal wall restoration (Fig. 2). We replaced the lost portion of the rectus abdominis muscle anterior fascia by placing the internal, smooth surface of the capsule toward the muscle and the external capsular surface in contact with the subcutaneous tissue. Macroscopic similarity between the capsular tissue and rectus abdominis fascia was noted (Fig. 3). Abdominal closure was performed using progressive tension sutures between the flap and the muscle fascia as described by Baroudi and Ferreira11 and Pollock and Pollock.12


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 retropectoralis muscle portion of the breast capsule, measuring approximately 5 × 5 cm.
© Copyright Policy
Related In: Results  -  Collection

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

Figure 2: The retropectoralis muscle portion of the breast capsule, measuring approximately 5 × 5 cm.
Mentions: The use of allogeneic material to repair the abdomen was impractical due to social and economic issues and institutional logistics. Our team decided to use a retropectoralis portion of the tissue expander capsule for abdominal wall restoration (Fig. 2). We replaced the lost portion of the rectus abdominis muscle anterior fascia by placing the internal, smooth surface of the capsule toward the muscle and the external capsular surface in contact with the subcutaneous tissue. Macroscopic similarity between the capsular tissue and rectus abdominis fascia was noted (Fig. 3). Abdominal closure was performed using progressive tension sutures between the flap and the muscle fascia as described by Baroudi and Ferreira11 and Pollock and Pollock.12

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