Reduction Mammoplasty Approach to Oncoplasty—Zone-Wise Planning in Indian Patients
Introduction This article is an attempt to formulate certain guidelines for planning of zone-wise reconstruction after breast conservation surgery. The planning involves applying reduction mammoplasty principles with certain modifications to address the defect. Patients and Methods This i...
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| Format: | Article |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2021-09-01
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| Series: | Indian Journal of Plastic Surgery |
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| author | Vinay Kant Shankhdhar Dushyant Jaiswal Chirag Bhansali Rupak Despande Prabha S. Yadav Saumya Mathews Mayur Mantri |
| author_facet | Vinay Kant Shankhdhar Dushyant Jaiswal Chirag Bhansali Rupak Despande Prabha S. Yadav Saumya Mathews Mayur Mantri |
| author_sort | Vinay Kant Shankhdhar |
| collection | DOAJ |
| description | Introduction This article is an attempt to formulate certain guidelines for planning of zone-wise reconstruction after breast conservation surgery. The planning involves applying reduction mammoplasty principles with certain modifications to address the defect.
Patients and Methods This is a retrospective study of 61 patients with breast cancer who underwent breast conservation surgery and reconstruction of partial breast defects with oncoplastic techniques between January 2014 to March 2019. Patients having low tumor to breast ratio and thus good candidates for volume displacement techniques were included in the study.
Results A total of 61 breast cancer cases were included; 22 cases were located in zone 1, nine in zone 2, seven in zone 3, three in zone 4, four in zone 5, one in zone 6, 12 in zone 7, two in zone 8, and three in zone 9. The most common pedicle design used was superomedial in 38 cases, followed by inferior in 19 and medial in 6 cases. Vertical short scar technique was used in 33 cases and Wise pattern skin incision in 30 cases. Follow-up period ranged from 4 months to 65 months, with a mean of 31 months. Four patients had partial skin necrosis, three had suture line dehiscence, two had wound infection, one had seroma, and eight patients had fat necrosis. All patients were satisfied with the cosmetic outcome.
Conclusion Breast oncoplastic techniques are effective, reliable, oncologically safe, and conducted with minimal complications in patients with moderately large ptotic breasts, thereby making planning easier and more reproducible by following the reconstruction procedures described in the article. We believe that these techniques should be incorporated in the armamentarium of every plastic surgeon to manage the defects created after breast conservation surgery, in order to achieve the best cosmetic outcomes. |
| format | Article |
| id | doaj-art-3c650c1818784ebeaa6344ce2755ea6c |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-3c650c1818784ebeaa6344ce2755ea6c2025-08-20T02:16:34ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2021-09-01540326427110.1055/s-0041-1735426Reduction Mammoplasty Approach to Oncoplasty—Zone-Wise Planning in Indian PatientsVinay Kant Shankhdhar0Dushyant Jaiswal1Chirag Bhansali2Rupak Despande3Prabha S. Yadav4Saumya Mathews5Mayur Mantri6Department of Plastic and Reconstructive Surgery, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Tata Memorial Centre, Homi Bhabha National Institute, Mumbai, Maharashtra, IndiaIntroduction This article is an attempt to formulate certain guidelines for planning of zone-wise reconstruction after breast conservation surgery. The planning involves applying reduction mammoplasty principles with certain modifications to address the defect. Patients and Methods This is a retrospective study of 61 patients with breast cancer who underwent breast conservation surgery and reconstruction of partial breast defects with oncoplastic techniques between January 2014 to March 2019. Patients having low tumor to breast ratio and thus good candidates for volume displacement techniques were included in the study. Results A total of 61 breast cancer cases were included; 22 cases were located in zone 1, nine in zone 2, seven in zone 3, three in zone 4, four in zone 5, one in zone 6, 12 in zone 7, two in zone 8, and three in zone 9. The most common pedicle design used was superomedial in 38 cases, followed by inferior in 19 and medial in 6 cases. Vertical short scar technique was used in 33 cases and Wise pattern skin incision in 30 cases. Follow-up period ranged from 4 months to 65 months, with a mean of 31 months. Four patients had partial skin necrosis, three had suture line dehiscence, two had wound infection, one had seroma, and eight patients had fat necrosis. All patients were satisfied with the cosmetic outcome. Conclusion Breast oncoplastic techniques are effective, reliable, oncologically safe, and conducted with minimal complications in patients with moderately large ptotic breasts, thereby making planning easier and more reproducible by following the reconstruction procedures described in the article. We believe that these techniques should be incorporated in the armamentarium of every plastic surgeon to manage the defects created after breast conservation surgery, in order to achieve the best cosmetic outcomes.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735426breast conservation surgery reconstructionbreast oncoplastyzone-wise planningreduction mammoplasty |
| spellingShingle | Vinay Kant Shankhdhar Dushyant Jaiswal Chirag Bhansali Rupak Despande Prabha S. Yadav Saumya Mathews Mayur Mantri Reduction Mammoplasty Approach to Oncoplasty—Zone-Wise Planning in Indian Patients Indian Journal of Plastic Surgery breast conservation surgery reconstruction breast oncoplasty zone-wise planning reduction mammoplasty |
| title | Reduction Mammoplasty Approach to Oncoplasty—Zone-Wise Planning in Indian Patients |
| title_full | Reduction Mammoplasty Approach to Oncoplasty—Zone-Wise Planning in Indian Patients |
| title_fullStr | Reduction Mammoplasty Approach to Oncoplasty—Zone-Wise Planning in Indian Patients |
| title_full_unstemmed | Reduction Mammoplasty Approach to Oncoplasty—Zone-Wise Planning in Indian Patients |
| title_short | Reduction Mammoplasty Approach to Oncoplasty—Zone-Wise Planning in Indian Patients |
| title_sort | reduction mammoplasty approach to oncoplasty zone wise planning in indian patients |
| topic | breast conservation surgery reconstruction breast oncoplasty zone-wise planning reduction mammoplasty |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1735426 |
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