No Doppler Single Position‐Lateral Intercostal Artery Perforator Flap (NDSP‐LICAP): a Safe and Versatile Flap for Breast Oncoplasty in Resource‐Limited Setting

Author:

Mishra Ashutosh1ORCID,Deo S. V. S.1ORCID,Oberoi Ajit Singh1ORCID,Gowda Manoj1ORCID,Bhoriwal Sandeep Kumar1ORCID,Saikia Jyotishman1ORCID,Pandit Anuja2ORCID,Mallick Supriya3ORCID,Batra Atul4ORCID,Jha Akash4ORCID

Affiliation:

1. Department of Surgical Oncology DR BRA‐IRCH and National Cancer Institute (NCI) All India Institute of Medical Sciences (AIIMS) 110029 New Delhi India

2. Department of Onco‐Anaesthesia DR BRA‐IRCH and National Cancer Institute (NCI) All India Institute of Medical Sciences 110029 New Delhi India

3. Department of Radiation Oncology National Cancer Institute (NCI) All India Institute of Medical Sciences 110029 New Delhi India

4. Department of Medical Oncology DR BRA‐IRCH All India Institute of Medical Sciences 110029 New Delhi India

Abstract

AbstractIntroductionThe lateral intercostal artery perforator flap (LICAP) has emerged as one of the safest and less morbid flaps for lateral and central breast defects. We hereby describe a reproducible no Doppler single position (NDSP) technique to harvest it in single position without handheld Doppler, making it a versatile flap for lateral breast defects in resource‐limited setting also.Materials and MethodsWith this technique, we performed a total of 22 LICAP turnover flaps over a period of 18 months from January 2020 to June 2021. In all 22 cases, the indication of flap was to fill the post‐breast conservation surgery (BCS) defects in outer quadrant of breast. All LICAP flaps were harvested by surface marking of anatomical landmarks and without handheld Doppler.ResultsOut of 22 LICAP turnover flaps, thirteen were harvested for left breast and nine for right breast. The median width and length of the flap were 12.2 cm and 19.6 cm, respectively. The additional mean operative time was 41 min. All LICAP flaps survived well, and grade 1 Clavien‐Dindo morbidity was documented in four cases. Mean hospital stay was 2.6 days. All patients received radiotherapy on their stipulated schedule. Early cosmetic outcome was good, and long‐term outcomes are awaited.ConclusionNDSP‐LICAP flap is a workhorse for lateral breast defects. Precise knowledge of perforators and anatomical landmarks can be used for harvesting these flaps, thus avoiding ultrasound Doppler and dedicated training for perforator localization. This technique has short learning curve without the need for any plastic surgery training. The early cosmetic outcomes are good.

Publisher

Wiley

Subject

Surgery

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3