Thoraco-dorsal artery perforator flap for totally autologous primary breast reconstruction. Assessment of feasibility with standard reporting scales

© 2023 Elsevier Ltd, BASO ∼ The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved..

This study reports on feasibility and applicability of totally autologous primary breast reconstructions based on TDAP flaps using a standard set of internationally approved reporting scales. We reviewed 15 cases in patients with a good donor area in the back not suitable for implant or free flaps reconstructions. Complications according to Clavien Dindo were: 1 Grade 1 (seroma in the back). The ABS-BAPRAS quality assurance indicators 10, 11, and 12 were entirely fulfilled. No pedicled flap loss occurred; no unplanned return to theatre and no unplanned readmission within 3 months. Breast-related quality of life values are reported at 3 months and one year in four domains of the BREAST Q v. 2.0 (breast reconstruction post-op questionnaire). At 1 year the mean Q-score for satisfaction with breast was 70.5, for psychosocial well-being was 72.3; for sexual well-being was 58.8; for physical well-being (chest wall) was 70.60. The TDAP based totally autologous breast reconstruction reported to be a feasible and safe alternative to implant based or free flaps reconstructions according to consolidate international outcome reporting measures.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:49

Enthalten in:

European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology - 49(2023), 11 vom: 26. Nov., Seite 106988

Sprache:

Englisch

Beteiligte Personen:

Virzì, Dario [VerfasserIn]
Caruso, Francesco [VerfasserIn]
Castiglione, Gaetano [VerfasserIn]
Marino, Mariagloria [VerfasserIn]
Latino, Marco [VerfasserIn]
Cunsolo, Gaetano [VerfasserIn]
Cinquerrui, Ada [VerfasserIn]
Gioco, Rossella [VerfasserIn]
Balafa, Konstantina [VerfasserIn]
Rapisarda, Martina [VerfasserIn]
Rocco, Nicola [VerfasserIn]
Catanuto, Giuseppe [VerfasserIn]

Links:

Volltext

Themen:

Breast surgery
Journal Article
Outcomes
Perforator flaps
Review

Anmerkungen:

Date Completed 13.11.2023

Date Revised 04.01.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ejso.2023.106988

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360002838