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Breast-Conserving Surgery with Immediate Partial Breast Reconstruction by Using Pedicled Thoracodorsal Artery Perforator Flap: A 7-Year Follow-Up of 50 Women.
Breast Care (Basel)
December 2024
Breast Cancer Prevention and Treatment Center, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital and Institute, Beijing, China.
Introduction: Thoracodorsal artery perforator (TDAP) flap has been used for more than 10 years in the immediate partial breast reconstruction (IPBR) of breast cancer, allowing many patients to maximize reserved autologous breast tissue who do not have indications for breast-conserving surgery (BCS). No large sample size survival data for this operation have been reported worldwide.
Methods: There are 212 primary breast cancer patients who were prepared to receive BCS with IPBR of pedicled TDAP flaps in our institution from June 2013 to December 2017.
Current status of autologous breast reconstruction in Argentina.
Gland Surg
October 2024
Oncoplastic Program, Hospital de Clinicas Jose de San Martin, Universidad de Buenos Aires, Buenos Aires, Argentina.
Article Synopsis
- * It highlights various techniques like the modified latissimus dorsi musculocutaneous flap and the lateral intercostal artery perforator (LICAP) flap, demonstrating effective results and high patient satisfaction.
- * The text also mentions the application of different flaps for specific situations such as oncologic resections, weight loss, and implant removal, emphasizing the advantages of utilizing nearby tissues for reconstruction.
Latissimus Dorsi Free Flap: Subfascial Flap Dissection in a Case of Scalp and Forehead Reconstruction.
Plast Reconstr Surg Glob Open
November 2024
From the Department of Plastic and Reconstructive Surgery, General Hospital of Mexico, Mexico City, Mexico.
Total avulsion of the scalp represents a therapeutic challenge with no consensus nowadays. Currently, microsurgical reimplantation is the reconstructive procedure of choice, but in case it is not feasible, the literature does not define an ideal treatment for an immediate reconstruction. We present the case of an 18-year-old woman with total avulsion of the scalp and forehead skin without possibility of reimplantation.
View Article and Find Full Text PDFCan combined paravertebral and erector spinae block provide perioperative analgesia for mastectomy with LD flap reconstruction surgery? An observational study.
Ecancermedicalscience
September 2024
Department of Onco-Anaesthesia, Tata Medical Center, Kolkata 700160, India.
Background: Mastectomy and breast reconstruction with latissimus dorsi myocutaneous flap (LDF) is a major surgery that covers eight or more dermatomes causing severe pain in the postoperative period.
Objectives: We evaluated the analgesic effect of a hybrid technique of ultrasound-guided combined thoracic paravertebral block (TPVB) and erector spinae plane block (ESPB) in a single needle pass in ten consecutive patients scheduled for mastectomy with LDF reconstruction as a part of a multimodal analgesia regimen.
Design: Prospective observational study.
Profound Pneumocephalus and Low-Pressure Hydrocephalus Triggered by Ventriculoperitoneal Shunt Placement after Resection, Fat Graft Reconstruction, and Radiotherapy for a Malignant Skull Base Schwannoma.
J Neurol Surg Rep
July 2024
Departments of Neurosurgery, University of Oklahoma, Oklahoma City, Oklahoma, United States.
Tension pneumocephalus is a rare postoperative complication, typically presenting with mental status changes or rapid neurological decline after craniotomy. We report a complex case of tension pneumocephalus triggered by graft retraction after ventriculoperitoneal (VP) shunt placement. A 39-year-old woman with a recurrent left trigeminal cavernous sinus schwannoma, status post one prior resection, two stereotactic radiosurgery treatments, and one course of fractionated radiotherapy, underwent radical resection with orbital exenteration and abdominal fat free graft reconstruction followed by adjuvant radiotherapy for malignant transformation.
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