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العنوان
Thoracodorsal Artery Perforator Flap as Oncoplastic Breast Surgery/
الناشر
Ain Shams University.
المؤلف
Ibrahim,Sameh Khaled Ahmed Ali .
هيئة الاعداد
باحث / سامح خالد أحمد علي ابراهيم
مشرف / محمد أحمد خلف
مشرف / أحمد جمال الدين عثمان
مشرف / محمود طلعت
تاريخ النشر
2022
عدد الصفحات
125.p;
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
1/1/2022
مكان الإجازة
جامعة عين شمس - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

from 125

from 125

Abstract

Background: breast cancer surgery and management has evolved over years from radical mastectomies to breast conserving surgeries, therefore, oncoplastic surgeries traditionally used volume replacement muscle flaps as LD flaps which causes a lot of back morbity and seromas the development of vascular surgery and dopplers with perforator vessels localization allowed for use of thoracodorsal vessel perforator flaps in breast reconstruction.
Aim of Work: assess the use of TDAP flap as oncoplastic procedure regarding intraoperative advantages, the Post operative complications and benefits over traditional LD flap technique.
Patients and Methods: prospective cohort study done at ain shams university hospitals including 20 patients with early stage breast cancers who underwent breast conservative mastectomies in the period between November 2019 till December 2021
Results: 20 patients underwent the procedure, the mean operative time was 200 min. 5 cases of complications occured . A single case of mild wound infection, 3 cases of mild seroma occured and a single case of fat necrosis managed conservatively. No flap loss occured and all patients were satisfied with their outcome
Conclusion: the TDAP flap is a safe and reliable flap in reconstructive breast surgery with excellent outcomes as for satisfaction and minimal back morbidity.