Document Detail

Outcome of pectoralis major myomammary flap for post-mastectomy breast reconstruction: extended experience.
MedLine Citation:
PMID:  17514508     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: In the past decade there has been an enormously expanding interest among rural Egyptian patients, relatives, and treating oncologists in post-mastectomy reconstruction as an integral part of patient care. We introduced our technique of pectoralis major myomammary cutaneous flap for single-stage reconstruction of large breasts, nipple, and areola. METHODS: The new technique is based on performing modified radical mastectomy in the classic manner, and then using a pectoralis major myocutaneous pedicled flap from the other side in breast reconstruction. The flap is based on the pectoral branch of the thoracoacromial artery, and a sector from the medial part of the healthy breast with its overlying skin and a part of the nipple-areola complex is included with the flap. This technique was used in our center in one 118 patients, with very promising results. RESULTS: Major flap necrosis was not observed in patients treated with this technique, and there were no local recurrences observed during the follow-up period. Excellent cosmetic results were achieved in 49 of the 118 (41.5%) cases. CONCLUSION: We recommend this new technique as a single-stage, simple solution for reconstruction of large breasts after mastectomy.
Adel Denewer; Ahmed Setit; Omar Farouk
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Publication Detail:
Type:  Journal Article     Date:  2007-05-22
Journal Detail:
Title:  World journal of surgery     Volume:  31     ISSN:  0364-2313     ISO Abbreviation:  World J Surg     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-18     Completed Date:  2007-10-12     Revised Date:  2008-07-22    
Medline Journal Info:
Nlm Unique ID:  7704052     Medline TA:  World J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1382-6     Citation Subset:  IM    
Department of Surgical Oncology, Oncology Center, Mansoura University, Mansoura, Egypt.
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MeSH Terms
Middle Aged
Pectoralis Muscles
Retrospective Studies
Surgical Flaps
Comment In:
World J Surg. 2008 Mar;32(3):502   [PMID:  18060452 ]

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