Omental transposition and skin graft in patients for advanced or recurrent breast cancer

Abstract

Nine patients, including 4 with primary advanced breast cancer (stage IV) and 5 with local recurrent cancer, underwent chest wall reconstruction using an omental flap and mesh skin grafting. In 2 of these patients the defect of bony chest wall was reconstructed with an acryl-resin plate and omental flap. The postoperative course in all patients was uneventful, except for a slight necrosis on the transposed mesh skin. Flail chest or dyspnea did not occur in those with a bony chest wall reconstruction. The immediate postoperative performance status in 6 of 9 patients and also quality of life improved.

Health-related quality of life after oncological resection and reconstruction of the chest wall

“…In that study, the HRQoL improved due to the treatment. 11 Furthermore, in a study by Toija et al, after treatment of breast cancer (without chest wall resection and reconstruction), the mean 15D HRQoL score was 0.886. 24 Rautalin et al found that the mean 15D HRQoL score after treatment of breast cancer is 0.91.…”

“…7 Few previous studies assessing HRQoL in patients after chest wall tumor resection all have some limitations. [8][9][10][11][12] They are hampered by small sample size 8,9,11,12 ; fail to compare results obtained in patients to those of a healthy control population 8 , 10-12 ; or do not report the extent of the surgical operations, need for reconstruction, and methods of reconstruction. 9,10 There are no studies assessing postoperative HRQoL of patients with chest wall sarcoma.…”

Omental Flap in Breast Reconstruction

“…The greater omentum is attached inferiorly to the transverse colon after making a loop over itself forming a four layer loop. Superiorly, it is attached to the greater curve of the stomach (Figure 2) [20][21][22].…”

Myocutaneous versus thoraco‐abdominal flap cover for soft tissue defects following surgery for locally advanced and recurrent breast cancer

“…In addition, resections for recurrent breast cancer and post-radiation ulcers also result in extensive skin loss with or without chest wall defects. Several methods have been tried during the last four decades, including skin grafts, local flaps, omental flaps, abdominal flaps, and myocutaneous (MC) flaps to cover soft tissue defects following surgery for LABC and recurrent breast cancer [3][4][5][6][7]. The aim of reconstruction in this group should be an expeditious and simple closure with good quality skin cover so that they can receive early post-operative radiation with minimal morbidity.…”