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dc.contributor.authorCosta, Sirlei dos Santospt_BR
dc.contributor.authorBlotta, Rosa Mariapt_BR
dc.contributor.authorMariano, Mirandolino Batistapt_BR
dc.contributor.authorMeurer, Luísept_BR
dc.contributor.authorEdelweiss, Maria Isabel Albanopt_BR
dc.date.accessioned2012-06-27T01:32:01Zpt_BR
dc.date.issued2010pt_BR
dc.identifier.issn1807-5932pt_BR
dc.identifier.urihttp://hdl.handle.net/10183/49790pt_BR
dc.description.abstractOBJECTIVE: For patients with Poland’s syndrome, a transverse skin fold in the anterior axillary pillar, infra-clavicular depression and an anomalous breast contour are the most uncomfortable disfigurements. This study aims to demonstrate that superior aesthetic results can be achieved by using a laparoscopically harvested omentum flap to treat this condition. METHODS: From a prospectively maintained clinical database of patients undergoing a laparoscopic omentum flap procedure for breast reconstruction, all of the patients with Poland’s syndrome were identified and their outcomes were studied. RESULTS: Thirteen consecutive patients with Poland’s syndrome were treated and evaluated regarding breast contour, reconstruc¬tion of the anterior axillary pillar and filling of the infra-clavicular depression. Implants were employed beneath the flap in 76% of cases to improve symmetry. In 23% of cases, a contra-lateral mastopexy was performed, and in 15% of cases, a breast implant was used. The consistency of the flap is similar to natural breast tissue and only a small incision in the breast fold is needed. The majority of patients (85%) were female, with a mean age of 26 (18-53). The flap is extremely malleable, adapts to irregular surfaces, and has a long vascular pedicle. Additionally, its removal does not leave a scar at the donor site as the removal of muscular flaps does. For example, the removal of the latissimus dorsi flap causes a deformity in the dorsal contour. The mean operative time was 201 minutes (80-350) and the mean hospital stay was 2.3 days (1-5). CONCLUSIONS: The outcomes of these patients revealed that the omentum flap technique provided superior amelioration of the deformities caused by Poland’s syndrome when compared with other reconstructive options.en
dc.format.mimetypeapplication/pdf
dc.language.isoengpt_BR
dc.relation.ispartofClinics. São Paulo. Vol. 65, n. 4 (2010), p. 401-406pt_BR
dc.rightsOpen Accessen
dc.subjectPoland’s syndromeen
dc.subjectSíndrome de Polandpt_BR
dc.subjectOmentopt_BR
dc.subjectOmentum flapen
dc.subjectBreast deformitiesen
dc.subjectMamapt_BR
dc.subjectAnormalidades congênitaspt_BR
dc.subjectLaparoscopically harvested omentum flapen
dc.subjectLaparoscopiapt_BR
dc.subjectBreast asymmetryen
dc.titleLaparoscopic treatment of poland’s syndrome using the omentum flap techniquept_BR
dc.typeArtigo de periódicopt_BR
dc.identifier.nrb000759867pt_BR
dc.type.originNacionalpt_BR


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