Jeeyeon Lee1, Seokwon Lee2, Younglae Jung2, Youngtae Bae3. 1. Department of Surgery, Kyungpook National University School of Medicine, Daegu, Republic of Korea. 2. Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea. 3. Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, Republic of Korea. Electronic address: bytae@pusan.ac.kr.
Abstract
INTRODUCTION: An absorbable adhesion barrier (Interceed(®)) is generally used during gynecologic or pelvic surgery. We report a new oncoplastic technique using the absorbable Interceed(®) sheet for upper quadrant breast cancer in large ptotic breasts with no other flaps. MATERIALS AND METHODS: From January 2007 to June 2013, a total of 25 patients with breast cancer underwent conventional breast-conserving surgery with the Interceed(®) sheet insertion technique. Tumors were removed with oncologically safe margins, and adjacent breast tissue was repositioned to adjust the breast's shape. When shaping was completed, the breast skin turgor was strengthened using Burrow's triangle displacement technique. Interceed(®) was then placed between breast skin and pectoralis muscle fascia with four-quadrant anchoring sutures. RESULTS: The tumors were located in the upper central (n = 12), upper inner (n = 11), and upper outer (n = 2) quadrants. The mean weight of the removed breasts was 82.1 g, and the mean operative time was 161.3 min. There were two postoperative complications-a wound infection and fat necrosis-which were resolved with conservative management. Radiation-induced fibrosis and skin thickening were identified by magnetic resonance imaging 8-12 weeks after radiotherapy. Overall patient and surgeon satisfaction with the cosmetic results were evaluated as excellent (n = 12), good (n = 11), or fair (n = 2). CONCLUSION: Use of the absorbable Interceed(®) sheet during surgery for upper quadrant breast cancer is feasible in patients with large ptotic breasts.
INTRODUCTION: An absorbable adhesion barrier (Interceed(®)) is generally used during gynecologic or pelvic surgery. We report a new oncoplastic technique using the absorbable Interceed(®) sheet for upper quadrant breast cancer in large ptotic breasts with no other flaps. MATERIALS AND METHODS: From January 2007 to June 2013, a total of 25 patients with breast cancer underwent conventional breast-conserving surgery with the Interceed(®) sheet insertion technique. Tumors were removed with oncologically safe margins, and adjacent breast tissue was repositioned to adjust the breast's shape. When shaping was completed, the breast skin turgor was strengthened using Burrow's triangle displacement technique. Interceed(®) was then placed between breast skin and pectoralis muscle fascia with four-quadrant anchoring sutures. RESULTS: The tumors were located in the upper central (n = 12), upper inner (n = 11), and upper outer (n = 2) quadrants. The mean weight of the removed breasts was 82.1 g, and the mean operative time was 161.3 min. There were two postoperative complications-a wound infection and fat necrosis-which were resolved with conservative management. Radiation-induced fibrosis and skin thickening were identified by magnetic resonance imaging 8-12 weeks after radiotherapy. Overall patient and surgeon satisfaction with the cosmetic results were evaluated as excellent (n = 12), good (n = 11), or fair (n = 2). CONCLUSION: Use of the absorbable Interceed(®) sheet during surgery for upper quadrant breast cancer is feasible in patients with large ptotic breasts.
Authors: Alice Lee; Richard M Kwasnicki; Hasaan Khan; Yasmin Grant; Abigail Chan; Angela E E Fanshawe; Daniel R Leff Journal: BJS Open Date: 2021-11-09