Abstract

EXPOSITO REYES, Orlando Rafael; VARGAS LAO, Francisco; SOSA GARCIA, Daniel  and  BELLO FONSECA, Zoila Yesenia. Double lateral pedicle technique in breast reconstruction after tumorectomy. Rev Cubana Cir [online]. 2007, vol.46, n.4. ISSN 0034-7493.

Breast tumors are more and more frequent, as well as the  little aesthetic sequelae of their surgery. The external double pedicle surgical technique (upper and lower) in breast reconstruction after a tumorectomy due to  giant fibroadenoma of the left breast was presented. The operation was planned taking Skoog’s technique as a reference (external lateral pedicle) by the localization, the area occupied by the breast mass (3/4 parts of the breast) and to preserve the irrigation of the areola-nipple complex. To fill the gap left by the tumor, it was used a second inferolateral pedicle that was released, rotated and fixed to the muscle fascia with non-absorbable suture in the area of the upper internal quadrant that served as a filling or support to the areola-nipple complex and to its pedicle.  A good aesthetic result that satisfied the patients and specialists’ expectations was obtained on conserving the breast and its form.

Keywords : Double pedicle technique; giant fibroadenoma; tumorectomy; Skoog’s technique.

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