Reliability of inferior dermoglandular pedicle reduction mammaplasty in reconstruction of partial mastectomy defects: surgical planning and outcome

Breast. 2007 Dec;16(6):577-89. doi: 10.1016/j.breast.2007.04.008. Epub 2007 Jun 12.

Abstract

The objective of this study is to describe the surgical planning of the inferior dermoglandular pedicle (IDP) technique and its outcome following partial mastectomy reconstruction. A total of 26 patients with breast cancer underwent immediate IDP reconstruction. IDP was indicated to reconstruct superior/central breast defects. Postoperative complications were evaluated and information on esthetic result and satisfaction were collected. About 57.6 percent had tumors measuring 2cm or less (T1). Immediate complications occurred in 34.2 percent with skin necrosis in 11.4 and dehiscence in 7.6 percent. Late complications were observed in 11.4 percent. The cosmetic result was considered to be good or very good in 88.4 percent and the majority of patients were satisfied. All complications were treated by conservative approach. IDP is a reliable technique and should be given consideration in cases of superior/central quadrant reconstruction. The success of the procedure depends on patient selection and careful intra-operative management.

Publication types

  • Clinical Trial

MeSH terms

  • Breast Neoplasms / pathology
  • Breast Neoplasms / surgery*
  • Dermatologic Surgical Procedures
  • Female
  • Humans
  • Mammaplasty / methods*
  • Mammary Glands, Human / surgery*
  • Mastectomy, Segmental*
  • Neoplasm Staging
  • Patient Satisfaction
  • Postoperative Complications
  • Reproducibility of Results
  • Surgical Wound Dehiscence
  • Surgical Wound Infection
  • Treatment Outcome