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Primary Breast Reconstruction Using Autologous Tissue after Nipple Sparing Mastectomy

DOI
  • Sasaki Masahiro
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • Sekido Mitsuru
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • Aihara Yukiko
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • Sasaki Kaoru
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • Shibuya Yoichiro
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba
  • Ooshima Junya
    Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Tsukuba

Bibliographic Information

Other Title
  • Nipple Sparing Mastectomy(NSM)における自家組織を用いた乳房一次一期再建

Abstract

<p>Introduction:In primary breast reconstruction after nipple-sparing mastectomy (NSM), reconstruction using implants is increasing, but that using autologous tissue also plays an important role. Method:We investigated primary reconstruction cases after NSM using a free deep inferior epigastric perforator flap (free DIEP flap) or pedicled latissimus dorsi myocutaneus flaps (LD). Results:There were 9 cases in which free DIEP flaps were used and 19 cases in which LD were used. Lateral incision was performed in 27 cases. The weight of resected mammary gland tissue was 533 g on average in free DIEP flap cases and 197 g on average in LD cases. Discussion:LD were useful in cases with projection up to 3.0 cm and weight of the resected mammary gland tissue within 200 g in the primary reconstruction after NSM. We were able to reconstruct small breasts and ptotic breasts using free DIEP flaps and LD. In addition, we were able to prevent upward deviation of the nipple-areolar complex, and successfully reconstruct cases with necrosis of the nipple-areolar complex and incision site using free DIEP flaps and LD.</p>

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Details

  • CRID
    1390002184889183744
  • NII Article ID
    130007822332
  • DOI
    10.20699/jopbs.5.1_1
  • ISSN
    24324647
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles

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