Abstract
As large segmentectomies often lead to asymmetries and indentations in the breast, numerous oncoplastic reconstruction methods have been published over the past years. Many of these involve additional skin incisions, resulting in more and larger scars.This article presents a method, which uses the same incision as for the segmentectomy and does not lead to additional scars. First, the breast gland body is being detached from the pectoralis major muscle; then the largest part of the remaining gland body is being cut horizontally parallel to the thoracic wall, exactly in the middle between the skin and the pectoralis major muscle. The pectoral part of the gland body can then be placed into the tumor bed without tension as a f;ap with a length of approximately 7-14 cm and a width of approximately 4-10 cm. In 2007, the first author performed a total of 134 breast conserving surgeries (9 benign and 125 malignant diagnoses) which have been prospectively documented. The intramammarian f;ap reconstruction technique was applied 87 times (65% of all cases), with three cases of postoperative infection and two cases needing surgical evacuation of a hematoma. In 131 cases the cosmetic results were considered favorable or moderate. The resul...Continue Reading
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