Primary Breast Reconstruction Using Autologous Tissue after Nipple Sparing Mastectomy

Sasaki Masahiro, Sekido Mitsuru, Aihara Yukiko, Sasaki Kaoru, Shibuya Yoichiro, Ooshima Junya

doi:10.20699/jopbs.5.1_1

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>

Journal

Oncoplastic Breast Surgery

Oncoplastic Breast Surgery 5 (1), 1-7, 2020-03-31

Japan Oncoplastic Breast Surgery Society

Keywords

Details 詳細情報について

CRID: 1390002184889183744

NII Article ID: 130007822332

DOI: 10.20699/jopbs.5.1_1

ISSN: 24324647

Text Lang: ja

Data Source

JaLC
CiNii Articles

Abstract License Flag: Disallowed

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