title: Usefulness of breast-volume replacement using an inframammary adipofascial flap after breast-conservation therapy.
abstract: In breast-conservative therapy (BCT), it is difficult to repair defects in the inferior portion of the breast. We performed an immediate reconstruction using an inframammary adipofascial flap after breast conservation in 4 patients with breast cancer in the inferior portion of their breasts and evaluated the usefulness of the procedure. A skin incision is made at the inframammary line. Immediately following BCT, a tongue-shaped flap of the fat and the anterior sheath of the rectus abdominis muscle are pulled up and inserted to reconstruct the breast mound. The cosmetic outcomes of all patients were good, and this surgical procedure can be easily performed by general surgeons without the need of assistance by plastic surgeons. We believe this to be a useful surgical modality for the reconstruction of BCT in the inferior portion breast cancer.
authors: Department of Hepatobiliary Pancreatic Surgery and Breast Surgery, Mie University Graduate School of Medicine, Mie, Japan. mokomoko@clin.medic.mie-u.ac.jp
authors: Tomoko
authors: T
authors: Ogawa
authors: Noriko
authors: N
authors: Hanamura
authors: Masako
authors: M
authors: Yamashita
authors: Yuki
authors: Y
authors: Ri
authors: Naohisa
authors: N
authors: Kuriyama
authors: Shuji
authors: S
authors: Isaji
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D015412:Mastectomy, Segmental; D008875:Middle Aged; D017568:Rectus Abdominis / Q000637:transplantation; D013524:Surgical Flaps