title: The use of absorbable interceed(®) pouch with double-layer skin closure for partial defect of breast.
abstract: Generally, a partial breast defect can be covered with surrounding breast tissue. However, when the tumor is located in the upper central and inner quadrant, simple closure with breast tissue is insufficient because rotation of breast tissue is difficult in this location. We introduce a surgical technique using an absorbable Interceed(®) pouch with double-layer skin closure for a remnant defect. A total of 43 patients with breast cancer underwent conventional breast-conserving surgery, following which an Interceed(®) pouch with double-layer skin closure was applied for a remnant defect of the breast. Patients assessed their own cosmetic outcomes based on a four-point scoring system. The mean age of the patients and their mean body mass index were 51.2 years and 23.1 kg/m(2) , respectively. Cosmetic outcomes were self-reported to be excellent in 13 cases (30.2%), good in 26 cases (60.5%), fair in three cases (7.0%), and poor in one case (2.3%). Postoperative complications occurred in two cases (4.6%). In conclusion, a use of an absorbable Interceed(®) pouch with double-layer skin closure is a simple, feasible, ancillary surgical technique to correct an upper central and inner quadrant breast defect without significant complications.
authors.affiliation: Department of surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
authors.forename: Jeeyeon
authors.initials: J
authors.lastname: Lee
authors.forename: Youngtae
authors.initials: Y
authors.lastname: Bae
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D002483:Cellulose, Oxidized / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods; D042361:Mammary Glands, Human / Q000473:pathology / Q000601:surgery; D015412:Mastectomy, Segmental / Q000379:methods*; D008875:Middle Aged; D057566:Self Report; D013518:Surgery, Plastic / Q000379:methods; D013524:Surgical Flaps; D016896:Treatment Outcome
chemical_list: D002483:Cellulose, Oxidized; C060002:INTERCEED
keywords: breast neoplasm; prosthesis; reconstruction