Myocutaneous versus thoraco-abdominal flap cover for soft tissue defects following surgery for locally advanced and recurrent breast cancer

Journal of Surgical Oncology
S V Suryanarayana DeoSonal Asthana

Abstract

Radical surgical extirpation in advanced breast cancer patients produces large defects that may not be suitable for primary closure. The primary aim in such cases is to achieve an adequate soft tissue cover expeditiously. Various methods, including skin graft, omentum, random flaps, and myocutaneous (MC) flaps, have been tried in the past; however, there is no consensus regarding the method of choice in such patients. A retrospective analysis of the breast cancer database of a single surgical unit was performed to find out the incidence of advanced breast cancer patients requiring an additional surgical procedure for soft tissue cover. A comparative analysis of two major groups, "MC flaps" and "thoraco-abdominal (TA) flaps," was performed in relation to operative time, blood loss, morbidity, hospital stay, and final outcome. Forty (12.7%) out of 315 advanced breast cancer patients undergoing surgery required additional surgical procedures for soft tissue cover. MC flaps were used in 18 patients and TA flaps were used in 22 patients. The mean blood loss (192 +/- 77 ml vs. 40 +/- 19 ml), operating time (110 +/- 20 minutes vs. 35 +/- 7 minutes), and hospital stay (10 +/- 4 days vs. 5 +/- 2 days) were significantly less in the TA f...Continue Reading

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Citations

Jan 30, 2009·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·T S AukemaE J Rutgers
Nov 3, 2007·Surgical Oncology·Michael AlvaradoE Shelley Hwang
May 28, 2015·Archives of Plastic Surgery·Joo Seok ParkEun Key Kim
Oct 8, 2018·Journal of Surgical Oncology·Liting JinYiping Gong
Jul 25, 2006·Annals of Plastic Surgery·Paolo PersichettiNicolò Scuderi
Oct 25, 2006·Journal of Surgical Oncology·Roman J Skoracki, David W Chang
Jul 22, 2014·Annals of Plastic Surgery·Nanze YuXiaojun Wang
Feb 28, 2019·Cancer Control : Journal of the Moffitt Cancer Center·Alicia BillingtonJohn Kiluk
Oct 31, 2020·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Naomi SakamotoEisuke Fukuma
Nov 1, 2020·Annals of Surgical Oncology·René Aloisio da Costa VieiraAn Wan Ching

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