الفهرس | Only 14 pages are availabe for public view |
Abstract Background: breast cancer surgery and management has evolved over years from radical mastectomies to breast conserving surgeries, therefore, oncoplastic surgeries traditionally used volume replacement muscle flaps as LD flaps which causes a lot of back morbity and seromas the development of vascular surgery and dopplers with perforator vessels localization allowed for use of thoracodorsal vessel perforator flaps in breast reconstruction. Aim of Work: assess the use of TDAP flap as oncoplastic procedure regarding intraoperative advantages, the Post operative complications and benefits over traditional LD flap technique. Patients and Methods: prospective cohort study done at ain shams university hospitals including 20 patients with early stage breast cancers who underwent breast conservative mastectomies in the period between November 2019 till December 2021 Results: 20 patients underwent the procedure, the mean operative time was 200 min. 5 cases of complications occured . A single case of mild wound infection, 3 cases of mild seroma occured and a single case of fat necrosis managed conservatively. No flap loss occured and all patients were satisfied with their outcome Conclusion: the TDAP flap is a safe and reliable flap in reconstructive breast surgery with excellent outcomes as for satisfaction and minimal back morbidity. |