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. 2022 May 9;8(1):90.
doi: 10.1186/s40792-022-01434-5.

Bilateral oncoplastic breast-conserving surgery with volume replacement technique using the omental flap: a case report

Hisamitsu Zaha  1 , Norie Abe  2 , Hirofumi Matsumoto  3 , Ayako Koki  2 , Mikiko Unesoko  2
Affiliations

Bilateral oncoplastic breast-conserving surgery with volume replacement technique using the omental flap: a case report

Hisamitsu Zaha et al. Surg Case Rep. .

Abstract

Background: Many oncoplastic volume replacement techniques have been reported, however, it is generally difficult to utilize a single distant flap for bilateral breast carcinomas.

Case presentation: We report a case of bilateral multiple breast carcinomas successfully treated with immediate volume replacement technique with an omental flap. Bilateral partial mastectomies were performed for bilateral breast carcinomas (one in the left breast and two in the right breast). The pedicled omental flap was laparoscopically harvested, and divided at the mid-portion of the flap. The proximal half of the flap was used to fill the right defect, and the distal half of the flap filled two defects in the left breast. Cosmetic outcome was excellent with minimal donor-site scars.

Conclusions: The omental flap can be considered for highly selected patients with bilateral breast carcinomas.

Keywords: Breast-conserving surgery; Omental flap; Oncoplastic breast-conserving surgery; Volume replacement.

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Conflict of interest statement

The authors declare that they do not have any competing interests.

Figures

Fig. 1
Fig. 1
A Partial mastectomy with an inframammary fold incision for a tumor in the left lower medial quadrant. B Partial mastectomy with an axillary incision for a tumor in the right outer quadrant. C Partial mastectomy with an inframammary fold incision for a tumor in the right medial incision
Fig. 2
Fig. 2
A The omental flap was extracted from the abdominal cavity through a subcutaneous tunnel. B The omental flap was divided between the 3rd- and 4th‐descending epiploic arteries preserving the main truck of the gastroepiploic vessels. C The proximal half of the flap was used to fill the defect in the left medial quadrant.  D The distal half of the flap was used to fill the defects in the right defects
Fig. 3
Fig. 3
Post-operative pictures one year after surgery. A Right oblique view showed a small axillary scar. B Frontal view showed minimal breast and abdominal scars. C Left oblique view also showed excellent cosmetic outcome
See this image and copyright information in PMC

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