title: Outcome of pectoralis major myomammary flap for post-mastectomy breast reconstruction: extended experience.
abstract: BACKGROUND
  In the past decade there has been an enormously expanding interest among rural Egyptian patients, relatives, and treating oncologists in post-mastectomy reconstruction as an integral part of patient care. We introduced our technique of pectoralis major myomammary cutaneous flap for single-stage reconstruction of large breasts, nipple, and areola.
  
  
  METHODS
  The new technique is based on performing modified radical mastectomy in the classic manner, and then using a pectoralis major myocutaneous pedicled flap from the other side in breast reconstruction. The flap is based on the pectoral branch of the thoracoacromial artery, and a sector from the medial part of the healthy breast with its overlying skin and a part of the nipple-areola complex is included with the flap. This technique was used in our center in one 118 patients, with very promising results.
  
  
  RESULTS
  Major flap necrosis was not observed in patients treated with this technique, and there were no local recurrences observed during the follow-up period. Excellent cosmetic results were achieved in 49 of the 118 (41.5%) cases.
  
  
  CONCLUSIONS
  We recommend this new technique as a single-stage, simple solution for reconstruction of large breasts after mastectomy.
authors.affiliation: Department of Surgical Oncology, Oncology Center, Mansoura University, Mansoura, Egypt. adeldenewer@mans.edu.eg
authors.forename: Adel
authors.initials: A
authors.lastname: Denewer
authors.forename: Ahmed
authors.initials: A
authors.lastname: Setit
authors.forename: Omar
authors.initials: O
authors.lastname: Farouk
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D016462:Mammaplasty; D008408:Mastectomy; D008875:Middle Aged; D010369:Pectoralis Muscles; D012189:Retrospective Studies; D013524:Surgical Flaps