Cosmetic reconstruction after resection of breast cancer: use of the ELD-MC flap and EVRAM flap |
| |
Authors: | Shigemi Sakai Kazumasa Ando Maiko Natori Shigeki Sakai |
| |
Affiliation: | (1) Department of Plastic and Reconstructive Surgery, St. Marianna University Yokohama City Seibu Hospital, 1197-1 Yasashi-cho, Asahi-ku, Yokohama 241-0811, Japan |
| |
Abstract: | Breast reconstruction following the resection of breast cancer with inadequate residual chest-wall tissue may be performed
with an implant or a myocutaneous flap, such as the latissimus dorsi or a rectus abdominis. Among a variety of operative procedures,
each method has advantages and disadvantages. The insertion of a silicone-bag prosthesis is the easiest method, but the prosthetic
implant sometimes has complications, such as unfavorable capsular contracture formation around the implant, rupture, infection,
or exposure. We therefore use an extended latissimus dorsi myocutaneous (ELD-MC) flap with some amount of surrounding subcutaneous
fat from the lumbar area, and avoid the use of any implant with an MC flap. Also, for the reconstruction and correction of
infraclavicular and axillary depression, we use the extended vertical rectus abdominis myocutaneous (EVRAM) flap. This method
uses the skin and fat on both sides of the umbilicus as a lenticular flap vascularized by only one of the rectus abdominis
muscles. The patients are satisfied with the outcome because symmetry and good breast volume can be obtained. There have been
no functional or anatomical defects of the donor area. No abdominal hernia after an EVRAM flap has resulted to date. Both
the ELD-MC and EVRAM flaps can be successfully used for cosmetic breast reconstruction after the resection of breast cancer. |
| |
Keywords: | Breast reconstruction Breast cancer Latissimus dorsi MC flap ELD MC flap Vertical rectus abdominis MC flap EVRAM flap |
本文献已被 PubMed SpringerLink 等数据库收录! |
|