Tensioned reverse abdominoplasty for reconstruction of large post-mastectomy defects
Reconstructive options for anterior chest wall defects can be challenging especially when the defect is large and has been subject for preoperative radiotherapy. We report a case of a patient with a neglected large invasive ductal carcinoma of the breast who had received incomplete preoperative radi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2016-06-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/1743/en_v31n2a18.pdf |
| _version_ | 1797419405092585472 |
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| author | Bishara Atiyeh Saad Dibo Jaber Abbas Nazareth Papazian |
| author_facet | Bishara Atiyeh Saad Dibo Jaber Abbas Nazareth Papazian |
| author_sort | Bishara Atiyeh |
| collection | DOAJ |
| description | Reconstructive options for anterior chest wall defects can be challenging especially when the defect is large and has been subject for preoperative radiotherapy. We report a case of a patient with a neglected large invasive ductal carcinoma of the breast who had received incomplete preoperative radiotherapy and chemotherapy. The pathology examination revealed an 11.5 cm invasive ductal carcinoma, grade III, with lymphovascular invasion and positive axillary lymph nodes (20/20). The post mastectomy large defect following wide skin excision measured 25 x 20 cm and it was immediately covered with a tensioned reverse abdominoplasty flap. To our knowledge, this is the first case reported of a wide skin excision mastectomy reconstructed solely with a reverse abdominoplasty advancement flap and progressive high-tension with quilting sutures demonstrating that, in the selected patients, abdominal skin can be safely and easily advanced superiorly to reach the upper chest area and cover an area of significant defect. |
| first_indexed | 2024-03-09T06:46:52Z |
| format | Article |
| id | doaj.art-03b748a0e23b4a498c0e9b2410079a0c |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T06:46:52Z |
| publishDate | 2016-06-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-03b748a0e23b4a498c0e9b2410079a0c2023-12-03T10:33:43ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352016-06-01310225225610.5935/2177-1235.2016RBCP0040Tensioned reverse abdominoplasty for reconstruction of large post-mastectomy defectsBishara Atiyeh0Saad Dibo1Jaber Abbas2Nazareth Papazian3American University of Beirut Medical Center, Beirut, LebanonAmerican University of Beirut Medical Center, Beirut, LebanonAmerican University of Beirut Medical Center, Beirut, LebanonAmerican University of Beirut Medical Center, Beirut, LebanonReconstructive options for anterior chest wall defects can be challenging especially when the defect is large and has been subject for preoperative radiotherapy. We report a case of a patient with a neglected large invasive ductal carcinoma of the breast who had received incomplete preoperative radiotherapy and chemotherapy. The pathology examination revealed an 11.5 cm invasive ductal carcinoma, grade III, with lymphovascular invasion and positive axillary lymph nodes (20/20). The post mastectomy large defect following wide skin excision measured 25 x 20 cm and it was immediately covered with a tensioned reverse abdominoplasty flap. To our knowledge, this is the first case reported of a wide skin excision mastectomy reconstructed solely with a reverse abdominoplasty advancement flap and progressive high-tension with quilting sutures demonstrating that, in the selected patients, abdominal skin can be safely and easily advanced superiorly to reach the upper chest area and cover an area of significant defect.http://www.rbcp.org.br/export-pdf/1743/en_v31n2a18.pdfabdominoplastycarcinoma ductalmastectomythoracic wallsurgical flaps |
| spellingShingle | Bishara Atiyeh Saad Dibo Jaber Abbas Nazareth Papazian Tensioned reverse abdominoplasty for reconstruction of large post-mastectomy defects Revista Brasileira de Cirurgia Plástica abdominoplasty carcinoma ductal mastectomy thoracic wall surgical flaps |
| title | Tensioned reverse abdominoplasty for
reconstruction of large post-mastectomy
defects |
| title_full | Tensioned reverse abdominoplasty for
reconstruction of large post-mastectomy
defects |
| title_fullStr | Tensioned reverse abdominoplasty for
reconstruction of large post-mastectomy
defects |
| title_full_unstemmed | Tensioned reverse abdominoplasty for
reconstruction of large post-mastectomy
defects |
| title_short | Tensioned reverse abdominoplasty for
reconstruction of large post-mastectomy
defects |
| title_sort | tensioned reverse abdominoplasty for reconstruction of large post mastectomy defects |
| topic | abdominoplasty carcinoma ductal mastectomy thoracic wall surgical flaps |
| url | http://www.rbcp.org.br/export-pdf/1743/en_v31n2a18.pdf |
| work_keys_str_mv | AT bisharaatiyeh tensionedreverseabdominoplastyforreconstructionoflargepostmastectomydefects AT saaddibo tensionedreverseabdominoplastyforreconstructionoflargepostmastectomydefects AT jaberabbas tensionedreverseabdominoplastyforreconstructionoflargepostmastectomydefects AT nazarethpapazian tensionedreverseabdominoplastyforreconstructionoflargepostmastectomydefects |