A Novel Local Transposition Flap for Lateral Breast Reconstruction After Breast Conserving Surgery

In this study, we present a new technique for reconstruction of the lateral side of the breast after lumpectomy by using a transposition local flap from the surrounding tissues. We included 100 patients and reported the short and long term follow-up results. The results were very satisfactory and showed that the presented flap could be an alternative to the current methods.Background: Breast conserving surgery (BCS) followed by radiotherapy is used for the management of early-stage breast cancers. There are different techniques to reconstruct the breast after BCS, each has its own advantages and disadvantages. In this study, we aim to present a novel local transposition flap and report the follow-up results of patients who underwent breast reconstruction using this method in the short and long term. Material and Methods: We enrolled 100 patients who underwent BCS in the form of upper or lower outer quadrant lumpectomy with or without axillary lymph node dissection. After lumpectomy, the patients underwent breast reconstruction using the local transposition flap technique. We followed the patients for 1 year, and the satisfaction results are assessed and reported postoperation, after radiochemotherapy, and after 1 year. Results: The patients' mean age is 47.6 (+/- 11.7) years, and the mean BMI is 32.4 (+/- 2.5). The duration of hospitalization was 1 day in 96 patients and 2 days in 2 patients. There were 2 patients hospitalized for 3 days. Three patients developed seroma and there were no cases of any other complication. The surgeon and patients satisfaction surveys conducted postop, after the radiochemotherapy course, and 1 year after BCS shows that the excellent and good satisfaction rate is 85%, 85%, and 92% respectively. Conclusion: We believe that the local transposition flap can be an excellent substitution for the existing methods in the reconstruction of the lateral side breast defects. (C) 2021 Elsevier Inc. All rights reserved.