Omental transposition and skin graft in patients for advanced or recurrent breast cancer.
Nine patients, including 4 with primary advanced breast cancer (stage IV) and 5 with local recurrent cancer, underwent chest wall reconstruction using an omental flap and mesh skin grafting. In 2 of these patients the defect of bony chest wall was reconstructed with an acryl-resin plate and omental flap. The postoperative course in all patients was uneventful, except for a slight necrosis on the transposed mesh skin. Flail chest or dyspnea did not occur in those with a bony chest wall reconstruction. The immediate postoperative performance status in 6 of 9 patients and also quality of life improved.
D000230:Adenocarcinoma / Q000601:surgery; D002293:Adenocarcinoma, Scirrhous / Q000601:surgery; D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008408:Mastectomy; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D009852:Omentum / Q000637:transplantation*; D011183:Postoperative Complications / Q000401:mortality; D016038:Skin Transplantation; D013536:Suture Techniques