Breast Conserving Surgery with Random Rotational Flap

Authors

  • Prakasit Chirappapha Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University Bangkok, Thailand
  • Saowanee Kitudomrat Department of Surgery, Police General Hospital, Bangkok, Thailand

Keywords:

Breast-conserving surgery, Random rotational flap, Local flap, Reconstructive procedure, Breast deformity

Abstract

The random rotation flap in breast conserving surgery relies on a volume replacement concept using the random skin flaps from the lateral chest wall to cover the wide excisional defects to decrease deformity. The advantage of this operation is its simplicity, and requires a short operating time with a satisfying aesthetic outcome. However, a too wide random rotational flap may lead to a higher incidence of necrosis. In conclusion, this is an interesting and simple option to substitute for a latissimus dorsi musculocutaneous flap with a good aesthetic result.

References

1. Baum M. Is it time for a paradigm shift in the training of breast surgeons as a subspecialty? Breast 2003;12:159-60.

2. Skillman JM, Humzah MD. The future of breast surgery: a new subspecialty of oncoplastic breast surgeons? Breast 2003;12:161-2.

3. Prakasit Chirappapha, Panuwat Lertsithichai, Thongchai Sukarayothin, et al. Oncoplastic techniques in breast surgery for special therapeutic problems. Gland Surgery 2016;5:75-82.
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Published

2019-09-30

How to Cite

1.
Chirappapha P, Kitudomrat S. Breast Conserving Surgery with Random Rotational Flap. Thai J Surg [Internet]. 2019 Sep. 30 [cited 2024 Apr. 26];40(3):71-6. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/243920

Issue

Vol. 40 No. 3 (2019): July - September

Section

Surgical Techniques

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.