title: Rotational flaps in oncologic breast surgery. Anatomical and technical considerations.
abstract: Local flaps are a group of surgical procedures that can solve the thoracic closure of large defects after breast cancer surgery with low morbidity. Its use in skin necrosis complications after conservative surgery or skin sparing mastectomies facilitates the initiation of adjuvant treatments and reduces delays in this patient group. This article describes the anatomical basis for the planning of thoracic and abdominal local flaps. Also, the application of these local flaps for closing large defects in the chest and selective flaps for skin coverage by necrosis in breast conserving surgery.
authors.affiliation: Unidad de Mama, Servicio de Cirugía General, Complexo Hospitalario Universitario A Coruña, La Coruña, España. Electronic address: baceneb@sergas.es.
authors.forename: Benigno
authors.initials: B
authors.lastname: Acea Nebril
authors.affiliation: Unidad de Mama, Servicio de Cirugía General, Complexo Hospitalario Universitario A Coruña, La Coruña, España.
authors.forename: Sergio
authors.initials: S
authors.lastname: Builes Ramírez
authors.affiliation: Unidad de Mama, Servicio de Cirugía General, Complexo Hospitalario Universitario A Coruña, La Coruña, España.
authors.forename: Alejandra
authors.initials: A
authors.lastname: García Novoa
authors.affiliation: Unidad de Mama, Servicio de Cirugía General, Complexo Hospitalario Universitario A Coruña, La Coruña, España.
authors.forename: Cristina
authors.initials: C
authors.lastname: Varela Lamas
mesh_terms: D034861:Abdominal Wall / Q000098:blood supply / Q000601:surgery; D001940:Breast / Q000033:anatomy & histology* / Q000601:surgery; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy; D010347:Patient Care Planning; D013524:Surgical Flaps; D035441:Thoracic Wall / Q000098:blood supply / Q000601:surgery
keywords: Breast cancer; Breast reconstruction; Cirugía oncoplástica; Colgajo; Cáncer de mama; Flap; Oncoplastic surgery; Reconstrucción mamaria