[Role of cutaneous thoraco-abdominal flap in the surgical treatment of advanced stage breast tumors]. / Il ruolo del lembo cutaneo toraco-addominale nel trattamento chirurgico degli stadi avanzati del tumore della mammella.

ABSTRACT

Chest wall reconstruction following extensive resection due to advanced breast cancer or radionecrosis still represents a challenge for both oncologic and reconstructive surgeons. A multitude of techniques including pedicle muscle transposition, free muscle flaps and omental flaps have always been considered, despite the morbidity of donor site. The authors describe a new cutaneous thoraco-abdominal flap to cover full thickness defects up to 600 cm2. 16 patients underwent chest wall reconstruction with the aforementioned technique. No major complications occurred. This technique proved to be a very good options to cover large chest wall defects in patients with advanced or recurred breast cancer or radionecrosis.