Colgajo musculocutáneo de dorsal ancho en diseño V-Y en reconstrucción de cáncer de mama localmente avanzado y sarcoma.

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Bibliographic Details
Title:	Colgajo musculocutáneo de dorsal ancho en diseño V-Y en reconstrucción de cáncer de mama localmente avanzado y sarcoma.
Alternate Title:	V-Y latissimus dorsi myocutaneous flap for locally advanced breast cancer and sarcoma reconstruction.
Authors:	SANZ MEDRANO, Santiago¹ santiago.sanz.medrano@hotmail.com, INIESTA LIMA, Beatriz¹, ASENSIO RAMOS, Sergio¹, de TORO GONZÁLEZ, Sara¹, NIETO RAMOS, Henar¹, BUENDÍA PÉREZ, Javier²
Source:	Cirugía Plástica Ibero-Latinoamericana. jul-sep2024, Vol. 50 Issue 3, p271-277. 7p.
Abstract (English):	Background and objective. The reconstruction of breast sarcomas or locally advanced breast cancer requires a stable and safe surgical technique. The V-Y latissimus dorsi myocutaneous flap allows immediate reconstruction of large defects with minimal morbidity and mortality, while also allowing for potential subsequent aesthetic or microsurgical reconstruction. We present our experience through a series of cases. Methods. A series of 14 reconstructed women is presented. The most frequently treated cancer was breast angiosarcoma (5 cases). Technical particularities of the surgical technique employed are described. Defects of 17.8 x 17.2 cm were reconstructed, with some exposing the lung and pericardium. Resuts. The flap survival rate was 100%. No major complications were encountered; the defects were reconstructed in a stable and durable manner. The average hospital stay was 3 days. There was no local recurrence with an average follow-up period of 36 months, and the patients exhibited high satisfaction rates. Conclusions. In our series, the use of this flap provides a definitive and immediate solution to the problem but leaves the door open for subsequent aesthetic reconstruction. According to our experience, the risk / benefit profile of the flap presented in this study makes it an option that should be considered. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción y objetivo. La reconstrucción de sarcomas de mama o de cáncer de mama localmente avanzado requiere una técnica estable y segura. El colgajo musculocutáneo de dorsal ancho con diseño en V-Y permite la reconstrucción inmediata de defectos de gran tamaño con mínima morbimortalidad, y no cierra la posibilidad de reconstrucción microquirúrgica o con enfoque estético en un segundo tiempo. Presentamos nuestra experiencia mediante una serie de casos. Material y método. Serie de 14 mujeres reconstruidas con colgajo musculocutáneo de dorsal ancho con diseño V-Y. El cáncer más frecuentemente tratado fue el angiosarcoma de mama (5 casos). Describimos las particularidades de la técnica quirúrgica empleada. Los defectos tratados presentaron una media de 17.8 x 17.2 cm, con exposición de pulmón y pericardio, en algunos casos. Resultados. La supervivencia de los colgajos fue del 100%. No se presentaron complicaciones relevantes y los defectos fueron reconstruidos de forma estable y duradera. La media hospitalaria fue de 3 días. No hubo recurrencia local con una media de seguimiento de 36 meses y las pacientes mostraron alta tasa de satisfacción. Conclusiones. En la serie presentada, el uso de este colgajo proporcionó una solución definitiva e inmediata al problema reconstructivo, dejando la puerta abierta para una posible reconstrucción estética. Según nuestra experiencia, el riesgo / beneficio del colgajo presentado lo posiciona como una opción a considerar en estos casos. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Background and objective. The reconstruction of breast sarcomas or locally advanced breast cancer requires a stable and safe surgical technique. The V-Y latissimus dorsi myocutaneous flap allows immediate reconstruction of large defects with minimal morbidity and mortality, while also allowing for potential subsequent aesthetic or microsurgical reconstruction. We present our experience through a series of cases. Methods. A series of 14 reconstructed women is presented. The most frequently treated cancer was breast angiosarcoma (5 cases). Technical particularities of the surgical technique employed are described. Defects of 17.8 x 17.2 cm were reconstructed, with some exposing the lung and pericardium. Resuts. The flap survival rate was 100%. No major complications were encountered; the defects were reconstructed in a stable and durable manner. The average hospital stay was 3 days. There was no local recurrence with an average follow-up period of 36 months, and the patients exhibited high satisfaction rates. Conclusions. In our series, the use of this flap provides a definitive and immediate solution to the problem but leaves the door open for subsequent aesthetic reconstruction. According to our experience, the risk / benefit profile of the flap presented in this study makes it an option that should be considered. [ABSTRACT FROM AUTHOR]
ISSN:	03767892
DOI:	10.4321/s0376-78922024000300006