We report a case of umbilical necrosis after a unilateral pedicled transverse rectus abdominis myocutaneous flap in a patient post mastectomy. This uncommon complication of breast reconstruction is highlighted.

A 44-year-old woman presented with marked erythema over right mastectomy scar, while on Herceptin therapy. She had neoadjuvant chemotherapy, modified radical mastectomy, and radiotherapy less than one year earlier for the treatment of invasive ductal carcinoma. On physical examination, no palpable masses were detected in the erythematous skin. A biopsy revealed permeation of the skin lymphatics...

OBJECTIVE Previous abdominal wall surgery is viewed as a contraindication to abdominal free tissue transfer. We present two patients who underwent multiple abdominal liposuction procedures, followed by successful free deep inferior epigastric artery perforator flap. We review the literature pertaining to reliability of abdominal free flaps in those with previous abdominal surgery. METHODS Rev...

BACKGROUND The authors aimed to quantify overall patient satisfaction with three breast reconstruction techniques and identify factors that have influenced satisfaction. METHODS Two hundred sixty-eight questionnaires were mailed at least 6 months after immediate breast reconstruction to consecutive breast reconstruction patients over a 3-year period. A second questionnaire was sent out 9 mont...

1. Plastic Surgeon, full member of Sociedade Brasileira de Cirurgia Plástica (Brazilian Society of Plastic Surgery – SBCP), Regent of the Plastic Surgery Service of the Armed Forces Hospital, Brasilia, DF, Brazil. 2. Plastic Surgery Resident at the Daher Lago Sul Hospital, Brasilia, DF, Brazil. 3. Plastic Surgeon, Associate Member of SBCP, Brasilia, DF, Brazil. ABSTRACT Introduction: Breast can...

BACKGROUND Skin Sparing Mastectomy (SSM) and immediate breast reconstruction has become increasingly popular as an effective treatment for patients with breast carcinoma. The aim of this study was to evaluate the clinical outcome of skin sparing mastectomy in early breast cancer at a single population-based institution. METHODS Records of ninety-five consecutive patients with operable breast ...