Técnicas de reconstrucción mamaria con colgajos de perforantes: nuestra experiencia y comparación con otras técnicas quirúrgicas

Abstract

Introduction

Chest wall perforator flaps (CWPF) have started to be used in the last decade in conservative breast cancer surgery in patients who require relatively large volume of excision (20%).

Methods

We present a series of 30 cases who have undergone breast conservation surgery plus CWPF reconstruction in our surgery department between 2020 and 2024. A total of 86.6% were diagnosed with breast cancer, 6.6% were diagnosed with a benign pathology, or needed correction of aesthetic defects following radiotherapy (6.6%).

This retrospective observational study examines data on flap characteristics, need for re-excision to ensure clear margins after a lumpectomy and surgical complications. These data have been compared with those obtained using other breast reconstruction techniques without CWPF.

Results

Immediate post-operative complications occurred in 13.3% of patients, the re-excision rate was 15.3% and no recurrences were detected during the follow-up period. These percentages are similar to those described in previous literature and to other types of surgery that do not use CWPF.

Conclusions

Although CWPF breast reconstruction techniques are not yet widely accepted in Spain, we consider that they can be very useful in selected patients to avoid mastectomies and their associated complications, as well as improving breast remodelling before or after radiotherapy.