Document Detail


Adaptation of the Hall-Findlay technique for simultaneous contralateral reduction in delayed breast reconstruction with extended latissimus dorsi flap.
MedLine Citation:
PMID:  19464974     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the past we have validated Hall-Findlay technique of breast reduction with our independent results. The technique combines the safety of the superomedial pedicle with advantages of a vertical scar in a quick but safe manner ensuring adequate resection and sound healing with less scars and faster recovery for the patient. We now report our experience of using an adaptation of the same in simultaneous contralateral reduction in delayed breast reconstruction with extended latissimus dorsi flap. METHOD: Thirty consecutive patients underwent simultaneous contralateral balancing reduction. The modifications consisted of wider upper pole reduction with smaller, thinner pedicle reducing the projection. RESULTS: All patients had an uneventful recovery with no haematoma, infection or seroma. Two patients (6.66%) wished further reduction and one (3.33%) required dog-ear revision. CONCLUSION: The modifications allow the reduction of the contralateral breast with a lower projection to match the extended latissimus dorsi (ELD) flap reconstruction. We have found the modified technique to be reliable and versatile with a shorter operative and recovery time adding minimal morbidity of simultaneous contralateral reduction and effectively reducing the need of a delayed balancing reduction.
Authors:
M P Serra; M Sinha
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Publication Detail:
Type:  Journal Article     Date:  2009-05-22
Journal Detail:
Title:  Journal of plastic, reconstructive & aesthetic surgery : JPRAS     Volume:  63     ISSN:  1878-0539     ISO Abbreviation:  J Plast Reconstr Aesthet Surg     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101264239     Medline TA:  J Plast Reconstr Aesthet Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  996-1002     Citation Subset:  IM    
Copyright Information:
Copyright 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Canniesburn Plastic Surgery Unit, Glasgow Royal Infirmary, 84 Castle Street, Glasgow, G4 0SF, UK. mpaolaserra@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Breast Neoplasms / pathology,  surgery*
Cohort Studies
Female
Humans
Mammaplasty / methods*
Mastectomy
Muscle, Skeletal
Retrospective Studies
Surgical Flaps*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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