The Adipofascial Lateral Intercostal Perforator Flap in Partial Breast Reconstruction
Background:. The lateral intercostal artery perforator flap, first described by Hamdi et al as a partial replacement technique for breast-conserving surgery (BCS), was traditionally a fasciocutaneous flap with the inherent skin scar on the lateral chest wall. Trying to limit donor site morbidity, we...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2025-05-01
|
| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006811 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849325673172172800 |
|---|---|
| author | Joao Correia Anacleto, MD Carlos Mavioso, MD David Gomes Pinto, MD Pedro Gouveia, PhD Marcio Debiasi, MD Ljuba Morando, MD Maria Joao Cardoso, PhD |
| author_facet | Joao Correia Anacleto, MD Carlos Mavioso, MD David Gomes Pinto, MD Pedro Gouveia, PhD Marcio Debiasi, MD Ljuba Morando, MD Maria Joao Cardoso, PhD |
| author_sort | Joao Correia Anacleto, MD |
| collection | DOAJ |
| description | Background:. The lateral intercostal artery perforator flap, first described by Hamdi et al as a partial replacement technique for breast-conserving surgery (BCS), was traditionally a fasciocutaneous flap with the inherent skin scar on the lateral chest wall. Trying to limit donor site morbidity, we further modified the original lateral intercostal artery perforator flap, harvesting tissue on the same perforator without the skin paddle, the associated scar, and the need to reposition the patient on the operating table.
Methods:. We retrospectively analyzed 52 patients who underwent partial breast replacement after BCS between 2015 and 2020. We compared the 27 patients with the adipofascial lateral intercostal perforator flap (ALIP) with the remaining 25 replacement flaps regarding postoperative complications and aesthetic outcomes.
Results:. An increased number of postoperative seromas were detected in the ALIP group according to the Clavien-Dindo classification; however, most of them were minor and did not delay adjuvant treatments or compromise cosmetic results. The aesthetic outcome evaluated through the Web BCCT.core workstation 1 year after surgery was shown to be identical between both groups.
Conclusions:. The ALIP represents an alternative flap for tissue replacement in BCS, achieving overall similar complication rates and identical aesthetic outcomes when compared with other local perforator flaps, with reduced skin scars. |
| format | Article |
| id | doaj-art-5055b19fba0c4ed9b12d94e3a604d2be |
| institution | Kabale University |
| issn | 2169-7574 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj-art-5055b19fba0c4ed9b12d94e3a604d2be2025-08-20T03:48:22ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742025-05-01135e681110.1097/GOX.0000000000006811202505000-00062The Adipofascial Lateral Intercostal Perforator Flap in Partial Breast ReconstructionJoao Correia Anacleto, MD0Carlos Mavioso, MD1David Gomes Pinto, MD2Pedro Gouveia, PhD3Marcio Debiasi, MD4Ljuba Morando, MD5Maria Joao Cardoso, PhD6From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal.From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal.From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal.From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal.From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal.From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal.From the Breast Unit, Champalimaud Cancer Center, Champalimaud Foundation, Lisbon, Portugal.Background:. The lateral intercostal artery perforator flap, first described by Hamdi et al as a partial replacement technique for breast-conserving surgery (BCS), was traditionally a fasciocutaneous flap with the inherent skin scar on the lateral chest wall. Trying to limit donor site morbidity, we further modified the original lateral intercostal artery perforator flap, harvesting tissue on the same perforator without the skin paddle, the associated scar, and the need to reposition the patient on the operating table. Methods:. We retrospectively analyzed 52 patients who underwent partial breast replacement after BCS between 2015 and 2020. We compared the 27 patients with the adipofascial lateral intercostal perforator flap (ALIP) with the remaining 25 replacement flaps regarding postoperative complications and aesthetic outcomes. Results:. An increased number of postoperative seromas were detected in the ALIP group according to the Clavien-Dindo classification; however, most of them were minor and did not delay adjuvant treatments or compromise cosmetic results. The aesthetic outcome evaluated through the Web BCCT.core workstation 1 year after surgery was shown to be identical between both groups. Conclusions:. The ALIP represents an alternative flap for tissue replacement in BCS, achieving overall similar complication rates and identical aesthetic outcomes when compared with other local perforator flaps, with reduced skin scars.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006811 |
| spellingShingle | Joao Correia Anacleto, MD Carlos Mavioso, MD David Gomes Pinto, MD Pedro Gouveia, PhD Marcio Debiasi, MD Ljuba Morando, MD Maria Joao Cardoso, PhD The Adipofascial Lateral Intercostal Perforator Flap in Partial Breast Reconstruction Plastic and Reconstructive Surgery, Global Open |
| title | The Adipofascial Lateral Intercostal Perforator Flap in Partial Breast Reconstruction |
| title_full | The Adipofascial Lateral Intercostal Perforator Flap in Partial Breast Reconstruction |
| title_fullStr | The Adipofascial Lateral Intercostal Perforator Flap in Partial Breast Reconstruction |
| title_full_unstemmed | The Adipofascial Lateral Intercostal Perforator Flap in Partial Breast Reconstruction |
| title_short | The Adipofascial Lateral Intercostal Perforator Flap in Partial Breast Reconstruction |
| title_sort | adipofascial lateral intercostal perforator flap in partial breast reconstruction |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000006811 |
| work_keys_str_mv | AT joaocorreiaanacletomd theadipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT carlosmaviosomd theadipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT davidgomespintomd theadipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT pedrogouveiaphd theadipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT marciodebiasimd theadipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT ljubamorandomd theadipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT mariajoaocardosophd theadipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT joaocorreiaanacletomd adipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT carlosmaviosomd adipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT davidgomespintomd adipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT pedrogouveiaphd adipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT marciodebiasimd adipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT ljubamorandomd adipofasciallateralintercostalperforatorflapinpartialbreastreconstruction AT mariajoaocardosophd adipofasciallateralintercostalperforatorflapinpartialbreastreconstruction |