Off the shelf volume replacement in breast conserving surgery - Oxidised regenerated cellulose for upper inner quadrant defects

Background The upper inner quadrant (UIQ) of the breast has remained a challenge even with oncoplastic surgery. Scar placement and access often contradict each other in this cosmetically sensitive area where even small volume excision can leave obvious deformities. Various methods described require expertise and/or sophisticated products. We present a technique for UIQ cancer excision using a hidden breast crease access incision and oxidised regenerated cellulose (ORC), SURGICEL® (Johnson & Johnson, Somerville, NJ, US), a biodegradable product to fill the defect.