A Prospective Study of the Inferio-Medial pedicle technique As an Oncoplastic Procedure for Upper and lateral Quadrants Breast Masses; Oncological Safety and Clinical Outcomes

Abstract

Abstract Background the goal of modern breast surgery is to cure patients with preservation of breast tissue as much as possible with satisfactory physical and psychological outcome. This goal has led to introduction of a new scope of surgery into our clinical practice called oncoplastic breast surgery, with the advantage of combining oncological safety and satisfactory cosmetic outcome. Objective it was to focus on the infero-medial pedicle technique as an oncoplastic procedure for management of breast cancer and to assess the technique clinically regarding oncological safety, surgical outcomes and patient satisfaction. Patients and Methods a prospective analytical study included 15 patients, which was conducted at Ain-Shams University Hospitals. An approval of the Ethical Committee and written informed consent from all participants were obtained. Septum based infero-medial pedicle technique was proposed for patients in whom oncoplastic surgery were possible on oncologic grounds for upper outer quadrant of breast. Results the mean age of our study was 39 years, 50% of the cases fall between 38 to 57 years. In our study only 3 cases (33%) have had complications, 2 cases got wound infection; they were diabetics reflecting the immune compromisation with diabetes mellitus. We reported lower results of surgical site infection (15%). The operative duration of our study was long at first (240 minutes) but with progression of our study and as we build up more experience the operating time was reduced to (120 minutes). Conclusion the choice of the oncoplastic technique is mainly based upon the location of the tumor, size of the breast and distance of the tumor from the nipple areola complex.