Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1097/GOX.0000000000004133 http://hdl.handle.net/11449/218813 |
Resumo: | Locally advanced ulcerated breast neoplasm is a condition that frequently occurs in developing countries. Generally, it is centrally localized and submitted to neoadjuvant therapy; thereafter, upon disappearance of the ulceration, it is submitted to radical mastectomy. Presence of axillary infiltration and ulceration with incomplete response makes it necessary for the use of surgical flaps for skin closure. We report a case in which primary reconstructive surgical procedure and skin closure was necessary, where we used double myocutaneous flaps-the latissimus dorsi and VRAM (vertical rectus abdominis myocutaneous) flap. We discussed treatment of the ulcerated lesions, possible surgical solutions, and the conditions associated with the use of double flaps. For primary closure of extensive areas, double myocutaneous flaps can be used as a solution in cases where skin grafts or surgical microsurgical flaps are not able to serve as a surgical solution. Myocutaneous flaps are associated with lower rates of complication, allowing for rapid recovery without increasing the time necessary before the next adjuvant therapy. |
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Repositório Institucional da UNESP |
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spelling |
Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast CarcinomaLocally advanced ulcerated breast neoplasm is a condition that frequently occurs in developing countries. Generally, it is centrally localized and submitted to neoadjuvant therapy; thereafter, upon disappearance of the ulceration, it is submitted to radical mastectomy. Presence of axillary infiltration and ulceration with incomplete response makes it necessary for the use of surgical flaps for skin closure. We report a case in which primary reconstructive surgical procedure and skin closure was necessary, where we used double myocutaneous flaps-the latissimus dorsi and VRAM (vertical rectus abdominis myocutaneous) flap. We discussed treatment of the ulcerated lesions, possible surgical solutions, and the conditions associated with the use of double flaps. For primary closure of extensive areas, double myocutaneous flaps can be used as a solution in cases where skin grafts or surgical microsurgical flaps are not able to serve as a surgical solution. Myocutaneous flaps are associated with lower rates of complication, allowing for rapid recovery without increasing the time necessary before the next adjuvant therapy.Muriae Canc Hosp, Dept Surg Oncol, Div Breast Surg, Muriae, BrazilBarretos Canc Hosp, Postgrad Program Oncol, Barretos, BrazilSao Paulo State Univ, UNESP, Postgrad Program Tocogynecol, Med Sch, Botucatu, SP, BrazilFed Univ Sao Paulo UNIFESP, Dept Plast Surg, Sao Paulo, BrazilSao Paulo State Univ, UNESP, Postgrad Program Tocogynecol, Med Sch, Botucatu, SP, BrazilLippincott Williams & WilkinsMuriae Canc HospBarretos Canc HospUniversidade Estadual Paulista (UNESP)Universidade de São Paulo (USP)Costa Vieira, Rene Aloisio da [UNESP]Navarro de Oliveira, Luiz CarlosChing, An WanOliveira-Junior, Idam de [UNESP]2022-04-28T17:23:12Z2022-04-28T17:23:12Z2022-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article3http://dx.doi.org/10.1097/GOX.0000000000004133Plastic And Reconstructive Surgery-global Open. Philadelphia: Lippincott Williams & Wilkins, v. 10, n. 2, 3 p., 2022.2169-7574http://hdl.handle.net/11449/21881310.1097/GOX.0000000000004133WOS:000758367200002Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengPlastic And Reconstructive Surgery-global Openinfo:eu-repo/semantics/openAccess2024-08-16T14:07:32Zoai:repositorio.unesp.br:11449/218813Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-16T14:07:32Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma |
title |
Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma |
spellingShingle |
Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma Costa Vieira, Rene Aloisio da [UNESP] |
title_short |
Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma |
title_full |
Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma |
title_fullStr |
Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma |
title_full_unstemmed |
Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma |
title_sort |
Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma |
author |
Costa Vieira, Rene Aloisio da [UNESP] |
author_facet |
Costa Vieira, Rene Aloisio da [UNESP] Navarro de Oliveira, Luiz Carlos Ching, An Wan Oliveira-Junior, Idam de [UNESP] |
author_role |
author |
author2 |
Navarro de Oliveira, Luiz Carlos Ching, An Wan Oliveira-Junior, Idam de [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Muriae Canc Hosp Barretos Canc Hosp Universidade Estadual Paulista (UNESP) Universidade de São Paulo (USP) |
dc.contributor.author.fl_str_mv |
Costa Vieira, Rene Aloisio da [UNESP] Navarro de Oliveira, Luiz Carlos Ching, An Wan Oliveira-Junior, Idam de [UNESP] |
description |
Locally advanced ulcerated breast neoplasm is a condition that frequently occurs in developing countries. Generally, it is centrally localized and submitted to neoadjuvant therapy; thereafter, upon disappearance of the ulceration, it is submitted to radical mastectomy. Presence of axillary infiltration and ulceration with incomplete response makes it necessary for the use of surgical flaps for skin closure. We report a case in which primary reconstructive surgical procedure and skin closure was necessary, where we used double myocutaneous flaps-the latissimus dorsi and VRAM (vertical rectus abdominis myocutaneous) flap. We discussed treatment of the ulcerated lesions, possible surgical solutions, and the conditions associated with the use of double flaps. For primary closure of extensive areas, double myocutaneous flaps can be used as a solution in cases where skin grafts or surgical microsurgical flaps are not able to serve as a surgical solution. Myocutaneous flaps are associated with lower rates of complication, allowing for rapid recovery without increasing the time necessary before the next adjuvant therapy. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-04-28T17:23:12Z 2022-04-28T17:23:12Z 2022-02-01 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1097/GOX.0000000000004133 Plastic And Reconstructive Surgery-global Open. Philadelphia: Lippincott Williams & Wilkins, v. 10, n. 2, 3 p., 2022. 2169-7574 http://hdl.handle.net/11449/218813 10.1097/GOX.0000000000004133 WOS:000758367200002 |
url |
http://dx.doi.org/10.1097/GOX.0000000000004133 http://hdl.handle.net/11449/218813 |
identifier_str_mv |
Plastic And Reconstructive Surgery-global Open. Philadelphia: Lippincott Williams & Wilkins, v. 10, n. 2, 3 p., 2022. 2169-7574 10.1097/GOX.0000000000004133 WOS:000758367200002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Plastic And Reconstructive Surgery-global Open |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
3 |
dc.publisher.none.fl_str_mv |
Lippincott Williams & Wilkins |
publisher.none.fl_str_mv |
Lippincott Williams & Wilkins |
dc.source.none.fl_str_mv |
Web of Science reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1808128168896233472 |