Mohamed Ashraf Ahmed Ali
specialty doctor general surgery/NHS, United KingdomPresentation Title:
Outcome of Partial Breast Reconstruction by Latissimus Dorsi Mini-Flap
Abstract
Introduction: Breast-conserving surgery (BCS) may result in volume deficits, nipple retraction, skin tethering, and asymmetry, negatively affecting cosmetic outcomes. The latissimus dorsi mini-flap (LDMF) technique addresses these issues by replacing 20 30% of the lost breast volume.
Methods: This prospective study included fifteen patients treated at the National Cancer Institute, Cairo University, between December 2017 and January 2019. Patients underwent tumor excision and immediate LDMF reconstruction through an inferolateral incision, without additional back scars. Postoperative outcomes, cosmetic satisfaction, sensory preservation, and complication rates were assessed over a sevenmonth follow-up period.
Results: All patients achieved negative resection margins. The mean operative time was 176.6 minutes, and the mean hospital stay was 2.47 days. Patient satisfaction and sensory preservation were high, with mean scores of 8.33 and 7.66, respectively. No major complications, such as flap loss or severe infections, were
observed.
Conclusion: LDMF reconstruction enables wide local excision in patients otherwise candidates for
mastectomy, with excellent cosmetic and functional outcomes. It is particularly advantageous for patients with widely distributed ductal carcinoma in situ (DCIS) or tumors refractory to neoadjuvant chemotherapy
Biography
Mohamed Ali graduated in 2012 from Cairo university/Egypt, and then I finished my master degree in surgical oncology in 2019 and MRCS in 2022. I was assistant lecture in surgical oncology and have worked in surgical oncology in tertiary hospitals and cancer center in Egypt and Saudi Arabia, then moved to UK to complete training in hepato-billiary surgery. I am one of faculty of royal college of surgery in London for teaching CCrISP courses.
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