title: Reliability of inferior dermoglandular pedicle reduction mammaplasty in reconstruction of partial mastectomy defects: surgical planning and outcome.
abstract: The objective of this study is to describe the surgical planning of the inferior dermoglandular pedicle (IDP) technique and its outcome following partial mastectomy reconstruction. A total of 26 patients with breast cancer underwent immediate IDP reconstruction. IDP was indicated to reconstruct superior/central breast defects. Postoperative complications were evaluated and information on esthetic result and satisfaction were collected. About 57.6 percent had tumors measuring 2cm or less (T1). Immediate complications occurred in 34.2 percent with skin necrosis in 11.4 and dehiscence in 7.6 percent. Late complications were observed in 11.4 percent. The cosmetic result was considered to be good or very good in 88.4 percent and the majority of patients were satisfied. All complications were treated by conservative approach. IDP is a reliable technique and should be given consideration in cases of superior/central quadrant reconstruction. The success of the procedure depends on patient selection and careful intra-operative management.
authors.affiliation: Division of Plastic Surgery and Breast Surgery Group, University of São Paulo School of Medicine, Rua da Consolação 3605 ap 91 ZIP 01416-001 Sao Paulo, SP, Brazil. munhozalex@uol.com.br
authors.forename: Alexandre Mendonça
authors.initials: AM
authors.lastname: Munhoz
authors.forename: Eduardo
authors.initials: E
authors.lastname: Montag
authors.forename: Eduardo
authors.initials: E
authors.lastname: Arruda
authors.forename: Claudia
authors.initials: C
authors.lastname: Aldrighi
authors.forename: José Roberto
authors.initials: JR
authors.lastname: Filassi
authors.forename: Alfredo Carlos
authors.initials: AC
authors.lastname: de Barros
authors.forename: José Roberto
authors.initials: JR
authors.lastname: Piato
authors.forename: Luis
authors.initials: L
authors.lastname: Prado
authors.forename: Domingos
authors.initials: D
authors.lastname: Petti
authors.forename: Edmund
authors.initials: E
authors.lastname: Baracat
authors.forename: Marcus Castro
authors.initials: MC
authors.lastname: Ferreira
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D062109:Dermatologic Surgical Procedures; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D042361:Mammary Glands, Human / Q000601:surgery*; D015412:Mastectomy, Segmental; D009367:Neoplasm Staging; D017060:Patient Satisfaction; D011183:Postoperative Complications; D015203:Reproducibility of Results; D013529:Surgical Wound Dehiscence; D013530:Surgical Wound Infection; D016896:Treatment Outcome