Bilateral oncoplastic breast-conserving surgery with volume replacement technique using the omental flap: a case report

Abstract Background Many oncoplastic volume replacement techniques have been reported, however, it is generally difficult to utilize a single distant flap for bilateral breast carcinomas. Case presentation We report a case of bilateral multiple breast carcinomas successfully treated with immediate v...

Full description

Saved in:
Bibliographic Details
Main Authors: Hisamitsu Zaha, Norie Abe, Hirofumi Matsumoto, Ayako Koki, Mikiko Unesoko
Format: Article
Language:English
Published: Japan Surgical Society 2022-05-01
Series:Surgical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s40792-022-01434-5
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849408027007909888
author Hisamitsu Zaha
Norie Abe
Hirofumi Matsumoto
Ayako Koki
Mikiko Unesoko
author_facet Hisamitsu Zaha
Norie Abe
Hirofumi Matsumoto
Ayako Koki
Mikiko Unesoko
author_sort Hisamitsu Zaha
collection DOAJ
description Abstract Background Many oncoplastic volume replacement techniques have been reported, however, it is generally difficult to utilize a single distant flap for bilateral breast carcinomas. Case presentation We report a case of bilateral multiple breast carcinomas successfully treated with immediate volume replacement technique with an omental flap. Bilateral partial mastectomies were performed for bilateral breast carcinomas (one in the left breast and two in the right breast). The pedicled omental flap was laparoscopically harvested, and divided at the mid-portion of the flap. The proximal half of the flap was used to fill the right defect, and the distal half of the flap filled two defects in the left breast. Cosmetic outcome was excellent with minimal donor-site scars. Conclusions The omental flap can be considered for highly selected patients with bilateral breast carcinomas.
format Article
id doaj-art-a779e11083ab49a7b1495659dc6dff66
institution Kabale University
issn 2198-7793
language English
publishDate 2022-05-01
publisher Japan Surgical Society
record_format Article
series Surgical Case Reports
spelling doaj-art-a779e11083ab49a7b1495659dc6dff662025-08-20T03:35:53ZengJapan Surgical SocietySurgical Case Reports2198-77932022-05-01811410.1186/s40792-022-01434-5Bilateral oncoplastic breast-conserving surgery with volume replacement technique using the omental flap: a case reportHisamitsu Zaha0Norie Abe1Hirofumi Matsumoto2Ayako Koki3Mikiko Unesoko4Department of Breast Surgery, Nakagami HospitalDepartment of Breast Surgery, Nakagami HospitalDepartment of Pathology, Nakagami HospitalDepartment of Breast Surgery, Nakagami HospitalDepartment of Breast Surgery, Nakagami HospitalAbstract Background Many oncoplastic volume replacement techniques have been reported, however, it is generally difficult to utilize a single distant flap for bilateral breast carcinomas. Case presentation We report a case of bilateral multiple breast carcinomas successfully treated with immediate volume replacement technique with an omental flap. Bilateral partial mastectomies were performed for bilateral breast carcinomas (one in the left breast and two in the right breast). The pedicled omental flap was laparoscopically harvested, and divided at the mid-portion of the flap. The proximal half of the flap was used to fill the right defect, and the distal half of the flap filled two defects in the left breast. Cosmetic outcome was excellent with minimal donor-site scars. Conclusions The omental flap can be considered for highly selected patients with bilateral breast carcinomas.https://doi.org/10.1186/s40792-022-01434-5Breast-conserving surgeryOmental flapOncoplastic breast-conserving surgeryVolume replacement
spellingShingle Hisamitsu Zaha
Norie Abe
Hirofumi Matsumoto
Ayako Koki
Mikiko Unesoko
Bilateral oncoplastic breast-conserving surgery with volume replacement technique using the omental flap: a case report
Surgical Case Reports
Breast-conserving surgery
Omental flap
Oncoplastic breast-conserving surgery
Volume replacement
title Bilateral oncoplastic breast-conserving surgery with volume replacement technique using the omental flap: a case report
title_full Bilateral oncoplastic breast-conserving surgery with volume replacement technique using the omental flap: a case report
title_fullStr Bilateral oncoplastic breast-conserving surgery with volume replacement technique using the omental flap: a case report
title_full_unstemmed Bilateral oncoplastic breast-conserving surgery with volume replacement technique using the omental flap: a case report
title_short Bilateral oncoplastic breast-conserving surgery with volume replacement technique using the omental flap: a case report
title_sort bilateral oncoplastic breast conserving surgery with volume replacement technique using the omental flap a case report
topic Breast-conserving surgery
Omental flap
Oncoplastic breast-conserving surgery
Volume replacement
url https://doi.org/10.1186/s40792-022-01434-5
work_keys_str_mv AT hisamitsuzaha bilateraloncoplasticbreastconservingsurgerywithvolumereplacementtechniqueusingtheomentalflapacasereport
AT norieabe bilateraloncoplasticbreastconservingsurgerywithvolumereplacementtechniqueusingtheomentalflapacasereport
AT hirofumimatsumoto bilateraloncoplasticbreastconservingsurgerywithvolumereplacementtechniqueusingtheomentalflapacasereport
AT ayakokoki bilateraloncoplasticbreastconservingsurgerywithvolumereplacementtechniqueusingtheomentalflapacasereport
AT mikikounesoko bilateraloncoplasticbreastconservingsurgerywithvolumereplacementtechniqueusingtheomentalflapacasereport