Fabrizio Tommaso, Guarro Giuseppe, Filippini Arnaldo, La Torre Giuseppe, Grieco Michele P
Division of Plastic Surgery, IRCCS - Centro di Riferimento Oncologico di Basilicata, Rionero in Vulture (Pz), Italy.
Division of Plastic Surgery, IRCCS - Centro di Riferimento Oncologico di Basilicata, Rionero in Vulture (Pz), Italy.
J Plast Reconstr Aesthet Surg. 2022 Apr;75(4):1352-1359. doi: 10.1016/j.bjps.2021.11.058. Epub 2021 Nov 28.
Immediate reconstruction with an omental flap is a recognized suitable method for a full-thickness breast reconstruction or implant coverage for well-selected cases of nipple or skin-sparing mastectomies as well as cases of skin-reducing mastectomies. The authors' aim is the evaluation of indications and limitations of this technique with an original approach and also based on the analysis of patients' global satisfaction using the BREAST-Q 2.0© survey.
From January 2014 to March 2018, 12 women aged between 29 to 67 years old (mean age: 49 years) underwent immediate breast reconstruction alone or with a definitive implant covered by a pedicled omental flap. All of them were asked to fill out the BREAST-Q© 2.0 survey.
The careful analysis of the cases shows that the indications for the immediate breast reconstruction based on the omental flap with a minimal resulting donor-site morbidity are strictly linked to its limitations, which are correctly reported in the study, but in the same way, it suggests that patients who underwent implant-based immediate breast reconstruction with omental flap reported significant improvements in satisfaction and health-related quality of their life.
对于精心挑选的乳头保留或皮肤保留乳房切除术以及皮肤缩减乳房切除术病例，使用网膜瓣进行即刻乳房重建是一种公认的适用于全层乳房重建或植入物覆盖的合适方法。作者的目的是通过一种原创方法，并基于使用BREAST-Q 2.0©调查问卷对患者总体满意度的分析，来评估该技术的适应证和局限性。
2014年1月至2018年3月，12名年龄在29至67岁之间（平均年龄：49岁）的女性接受了单独的即刻乳房重建或带蒂网膜瓣覆盖确定性植入物的即刻乳房重建。她们均被要求填写BREAST-Q© 2.0调查问卷。
对这些病例的仔细分析表明，基于网膜瓣且供区并发症最小的即刻乳房重建适应证与其局限性密切相关，研究中已正确报道了这些局限性，但同样地，这表明接受带网膜瓣的基于植入物的即刻乳房重建的患者在满意度和与健康相关的生活质量方面有显著改善。
