Application of reverse abdominal advancement flap in repairing soft tissue defect of chest wall after mastectomy
10.3760/cma.j.cn114453-20210420-00174
- VernacularTitle:逆向腹壁推进皮瓣在修复乳房肿瘤切除后胸壁软组织缺损中的应用
- Author:
Manfei JIANG
1
;
Lan MU
;
Peng TANG
;
Xiaojie ZHONG
;
Xia LIU
;
Jingyong SONG
;
Yu KANG
;
Yaojia WANG
;
Anyue CHEN
;
Yian CHEN
;
Xuntong JI
;
Yanhong ZHOU
;
Cheng XIU
Author Information
1. 海南省肿瘤医院整形外科，海口 570312
- Keywords:
Abdominal wall;
Surgical flaps;
Breast neoplasms;
Thoracic wall;
Reconstructive surgical procedures
- From:
Chinese Journal of Plastic Surgery
2021;37(7):739-744
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application effect of reverse abdominal wall advancement flap in repairing chest wall soft tissue defect after breast tumor resection.Methods:From October 2020 to April 2021, the Department of Plastic Surgery and Breast Surgery of Hainan Cancer Hospital cooperated to repair the chest wall wounds of 4 female patients with unilateral giant breast tumors after primary lesion resection. Patients aged 40-63 years old, with an average of 51.5 years old. The size of the tumor estimated by physical examination was 7 cm × 6 cm-15 cm × 20 cm. The flaps were closely monitored after surgery, and complications were recorded. Local recurrence was followed-up.Results:The wound size of 4 patients after mastectomy was 16 cm×14 cm-20 cm×18 cm. Abdomen separation range reached anterior axillary line laterally and contralateral clavicle midline medially. Inferiorly, 1 case reached umbilical level, 1 case reached 2 cm below the umbilicus, and 2 cases reached 3 cm below the umbilicus. Three cases were diagnosed as breast lobulated tumors, and 1 case invasive lobular carcinoma. Among the 4 cases, 3 flaps survived completely and healed by first intention, while another flap healed under blister scab. There was no necrosis, infection, hematoma, seroma, or vascular crisis of the flap. All patients were satisfied. Three patients received radiotherapy and one received radiotherapy combined with oral chemotherapy. All patients were followed up for 3-6 months. No local recurrence was discovered. The abdomen was tighter than before operation, but no stiffness was found. There was no abdominal pain, abdominal wall bulging or abdominal hernia.Conclusions:Reverse abdominal wall advancedment flap was used to repair soft tissue defect of the chest wall after breast tumor resection. The operation was simple and fast, with no need for additional donor site incision. Quick recovery allowed shorter interval between surgery and next scheduled treatments.
