title: Mini-breast reconstruction with an omental flap: a retrospective clinical study.
abstract: BACKGROUND
  Potential challenges associated with immediate small breast reconstruction include an inadequate size of the donor site, a thinner skin envelope and limited selection of implants. We present immediate postmastectomy reconstruction of small breasts with a laparoscopically harvested pedicled omental flap (LHPOF) in five Korean women.
  
  
  METHODS
  From December 2014 to July 2015, we performed immediate postmastectomy reconstruction with an LHPOF in five breast cancer patients. Data on the patients' age; body mass index; tumour size; site, type and weight of the mastectomy specimen; operative time; hospital stay; complications; postoperative chemotherapy or radiation therapy; and follow-up duration were reviewed in this retrospective clinical study.
  
  
  RESULTS
  The mean mastectomy specimen weight was 212 g (range: 104-272 g). The mean operative time was 298 min (range: 240-380 min), and the mean harvesting time was 75 min (range: 65-90 min). There were no flap-related complications such as fat necrosis or flap loss and no donor site-related complications such as bowel dysfunction, an epigastric bulge or hernia during the follow-up period (average: 8.2 months, range: 5-11 months). The cosmetic results were satisfactory.
  
  
  CONCLUSIONS
  The LHPOF can be useful for immediate postmastectomy reconstruction of small breasts, because it provides a soft and naturally ptotic appearance of the reconstructed breast (versus implant-based reconstruction) with low donor-site morbidity (versus other autologous tissue reconstruction approaches).
authors.affiliation: Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center, Daejeon, Korea.
authors.forename: Hoon
authors.initials: H
authors.lastname: Kim
authors.affiliation: Department of Plastic and Reconstructive Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
authors.forename: Chi Sun
authors.initials: CS
authors.lastname: Yoon
authors.affiliation: Department of Plastic and Reconstructive Surgery, Catholic Kwandong University, International St. Mary's Hospital, Incheon, Korea.
authors.forename: Hoon Bum
authors.initials: HB
authors.lastname: Lee
authors.affiliation: Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
authors.forename: Byung Kyun
authors.initials: BK
authors.lastname: Ko
authors.affiliation: Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
authors.forename: Gyu Yeol
authors.initials: GY
authors.lastname: Kim
authors.affiliation: Department of Plastic and Reconstructive Surgery, Konyang University Hospital, University of Konyang College of Medicine, Myunggok Medical Research Center, Daejeon, Korea.
authors.forename: Kyu Nam
authors.initials: KN
authors.lastname: Kim
mesh_terms: D000328:Adult; D015992:Body Mass Index; D001943:Breast Neoplasms / Q000601:surgery*; D017024:Chemotherapy, Adjuvant / Q000379:methods; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D016462:Mammaplasty / Q000379:methods* / Q000523:psychology / Q000706:statistics & numerical data; D008408:Mastectomy / Q000009:adverse effects; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D061646:Operative Time; D011182:Postoperative Care / Q000639:trends; D011183:Postoperative Complications; D011878:Radiotherapy / Q000379:methods; D056910:Republic of Korea / Q000453:epidemiology; D012189:Retrospective Studies; D013524:Surgical Flaps / Q000637:transplantation*
keywords: breast reconstruction; laparoscopy; mastectomy; omentum; retrospective study