title: [The double transposition flap in breast-saving therapy of breast carcinoma as a versatile possibility in segment- or quadrantectomy in the elderly woman: report of clinical experiences in 27 cases].
abstract: OBJECTIVE
  In 27 mainly postmenopausal women with breast cancer, quadrantectomy was combined with innovative immediate reconstruction using a double transposition flap. What were our experiences?
  
  
  METHODS
  Retrospective clinical case evaluation with regard to the complications, operative risks, and cosmetic results.
  
  
  RESULTS
  Although 17 of the 27 carcinomas (63%) were larger than 2 cm, good to very good cosmetic results were achieved in 62% (16/26) of the cases. One of the 2 unsatisfactory cases was caused by partial flap necrosis, and another was the result of an incorrect incision. Follow-up surgery was necessary in 3 cases: secondary mastectomy, secondary suture after partial necrosis, and excision of a cicatricial granuloma. No recurrences were observed.
  
  
  CONCLUSIONS
  The operating technique described permits constitution-specific and tumor-specific large-volume removals with good preservation of the shape of the breast. It is particularly suitable for older women, giving also the possibility to avoid irradiation.
authors.affiliation: Frauenklinik, St.-Elisabeth-Klinik, Saarlouis, Deutschland.
authors.forename: N K
authors.initials: NK
authors.lastname: Schöndorf
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D015412:Mastectomy, Segmental / Q000379:methods*; D008875:Middle Aged; D018714:Radiotherapy, Adjuvant; D013524:Surgical Flaps
vernacular_title: Der gedoppelte Transpositionslappen bei der brusterhaltenden Therapie des Mammakarzinoms als vielseitige Möglichkeit der Segment-oder Quadrantektomie bei der älteren Frau: Bericht über klinische Erfahrungen in 27 Fällen.