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Case Reports
. 2014 Dec 5;2(11):e247.
doi: 10.1097/GOX.0000000000000213. eCollection 2014 Nov.

Tissue expander capsule for abdominal wall in autologous breast reconstruction

Affiliations
Case Reports

Tissue expander capsule for abdominal wall in autologous breast reconstruction

Ronaldo Scholze Webster et al. Plast Reconstr Surg Glob Open. .

Abstract

Adjuvant treatment planning can change after breast cancer resection and definitive pathological examination. Radiation therapy is often chosen as a supplementary treatment. Rectus abdominis-based muscle flaps are one of the main choices when breast reconstruction plans must be changed from implant-based to autologous methods. We herein report a case in which the patient's own tissue expander capsule was used to repair an abdominal wall defect after muscle-sparing transverse rectus abdominis myocutaneous flap reconstruction.

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Conflict of interest statement

Disclosure: The authors have no financial interest to declare in relation to the content of this article. The Article Processing Charge was paid for by the authors.

Figures

Fig. 1.
Fig. 1.
The abdominal wall defect after harvesting the flap.
Fig. 2.
Fig. 2.
The retropectoralis muscle portion of the breast capsule, measuring approximately 5 × 5 cm.
Fig. 3.
Fig. 3.
The capsule replacing the lost portion of the rectus muscle anterior fascia.
Fig. 4.
Fig. 4.
Abdominal wall integrity in abdominal magnetic resonance imaging performed 3 months after surgery.

References

    1. Jagsi R. Postmastectomy radiation therapy: an overview for the practicing surgeon. ISRN Surg. 2013;2013:212979. - PMC - PubMed
    1. Pierce LJ. The use of radiotherapy after mastectomy: a review of the literature. J Clin Oncol. 2005;23:1706–1717. - PubMed
    1. Moyer HR, Pinell-White X, Losken A. The effect of radiation on acellular dermal matrix and capsule formation in breast reconstruction: clinical outcomes and histologic analysis. Plast Reconstr Surg. 2014;133:214–221. - PubMed
    1. Lipa JE, Qiu W, Huang N, et al. Pathogenesis of radiation-induced capsular contracture in tissue expander and implant breast reconstruction. Plast Reconstr Surg. 2010;125:437–445. - PubMed
    1. Man LX, Selber JC, Serletti JM. Abdominal wall following free TRAM or DIEP flap reconstruction: a meta-analysis and critical review. Plast Reconstr Surg. 2009;124:752–764. - PubMed

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