Combined Endoscopy-Assisted Muscle-Sparing Latissimus Dorsi Flap Harvesting with Lipofilling Enhancement as a New Volume Replacement Technique in Breast Reconstruction

IF 1.9 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Breast Journal Pub Date : 2022-01-31 DOI:10.1155/2022/7740439

Y. Ahmed, W. M. Abd El Maksoud

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引用次数: 3

Abstract

Introduction This study evaluated the feasibility and patient satisfaction of combined endoscopy-assisted muscle-sparing latissimus dorsi flap harvesting, with lipofilling enhancement for skin-preserving mastectomy. Methods This is a prospective study that included 21 female patients with small breasts (cup size A-B), subjected to skin-preserving mastectomy as a management of breast cancer. Combined endoscopy-assisted muscle-sparing latissimus dorsi flap harvesting with lipofilling enhancement was performed for immediate breast reconstruction. Patients were followed up for early and late postoperative complications including recurrence for at least 24 months. Postoperative patient satisfaction was assessed using the Kyungpook National University Hospital breast reconstruction satisfaction questionnaire. Results The study included 21 female patients with a mean age of 42.10 ± 8.46 years. Patients were followed up for 26.67 ± 3.38 months. The procedure was successful in all patients with a mean duration of 172.05 ± 28.22 minutes. Local recurrence was encountered in one patient (4.67%). Eighteen patients declared their satisfaction 6 months after the operation, while two patients were satisfied only after the second session of lipofilling. The overall postoperative patient satisfaction was 95.24%. The majority of the patients (93.3%) who underwent NSM surgery were satisfied, while only two-thirds (66.6%) of the patients who underwent SSM surgery were satisfied. Conclusions Combined endoscopy-assisted muscle-sparing latissimus dorsi flap harvesting with lipofilling enhancement seems to be a feasible and encouraging technique for the volume adjustment of small breasts, especially in nipple-sparing mastectomy. It leaves a minor back scar and has an acceptable rate of postoperative complications. The procedure showed high postoperative patient satisfaction.

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内窥镜辅助下保留背阔肌瓣切除加增脂术在乳房再造中的应用

引言本研究评估了内镜辅助保留背阔肌皮瓣联合脂肪填充增强术用于保留皮肤乳房切除术的可行性和患者满意度。方法这是一项前瞻性研究，包括21名女性小乳房（罩杯大小a-B）患者，她们接受了保留皮肤的乳房切除术作为癌症的治疗方法。内镜辅助下保留背阔肌皮瓣联合脂肪填充增强术用于即时乳房重建。对患者术后早期和晚期并发症进行随访，包括至少24个月的复发。术后患者满意度使用庆浦国立大学医院乳房重建满意度问卷进行评估。结果该研究包括21名女性患者，平均年龄42.10岁 ± 8.46年。患者随访26.67 ± 3.38个月。该手术在所有患者中均获得成功，平均持续时间为172.05 ± 28.22分钟。1例（4.67%）患者出现局部复发，18例患者在术后6个月表示满意，2例患者在第二次充脂后才满意。术后患者的总体满意度为95.24%。接受NSM手术的大多数患者（93.3%）感到满意，而接受SSM手术的患者中只有三分之二（66.6%）感到满意。结论内镜辅助下保留背阔肌皮瓣联合脂肪填充强化是一种可行且令人鼓舞的小乳房体积调节技术，尤其是在保留乳头的乳房切除术中。它会留下轻微的背部疤痕，术后并发症的发生率可以接受。该手术显示出较高的术后患者满意度。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Breast Journal 医学-妇产科学

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Breast Journal is the first comprehensive, multidisciplinary source devoted exclusively to all facets of research, diagnosis, and treatment of breast disease. The Breast Journal encompasses the latest news and technologies from the many medical specialties concerned with breast disease care in order to address the disease within the context of an integrated breast health care. This editorial philosophy recognizes the special social, sexual, and psychological considerations that distinguish cancer, and breast cancer in particular, from other serious diseases. Topics specifically within the scope of The Breast Journal include: Risk Factors Prevention Early Detection Diagnosis and Therapy Psychological Issues Quality of Life Biology of Breast Cancer.