title: Immediate reconstruction using inframammary adipofascial flap of the anterior rectus sheath after partial mastectomy.
abstract: Treatment of early breast cancer using breast conservative therapy (BCT) usually ensures local control and acceptable cosmetic results. To repair defects caused by partial mastectomy in the lower region of the breast, some reconstruction should be used. We developed a procedure involving the cranial based adipofascial (anterior rectus sheath) flap from immediately below the inframammary area for the reconstruction of defect due to partial mastectomy for patients with early breast cancer. In this procedure, a skin incision is made at the inframammary line, and the inframammary skin area is undermined. A tongue shaped flap composed of the subcutaneous fat and the anterior sheath of rectus abdominis muscle is pulled up and a C-shaped flap is rotated, gathered, and inserted to reconstruct the breast defect.
authors.affiliation: Department of Surgical Oncology, Breast and Endocrine Surgery, Kagoshima University Graduate School of Medical and Dental Sciences 8-35-1, Sakuragaoka, Kagoshima 890-8520, Japan. ykijima@m3.kufm.kagoshima-u.ac.jp
authors.forename: Yuko
authors.initials: Y
authors.lastname: Kijima
authors.forename: Heiji
authors.initials: H
authors.lastname: Yoshinaka
authors.forename: Tetsuhiro
authors.initials: T
authors.lastname: Owaki
authors.forename: Yawara
authors.initials: Y
authors.lastname: Funasako
authors.forename: Takashi
authors.initials: T
authors.lastname: Aikou
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D001943:Breast Neoplasms / Q000601:surgery*; D005205:Fascia / Q000637:transplantation*; D005260:Female; D006801:Humans; D015412:Mastectomy, Segmental; D019651:Plastic Surgery Procedures / Q000379:methods*; D017568:Rectus Abdominis / Q000637:transplantation*; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome