Comparative Study between Matrix Rotation Technique versus Wide Local Excision of Carcinoma of The Breast Located in The Upper/Upper Outer Quadrant

Document Type : Original Article

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Abstract

Background: The breast is a cornerstone image of femininity, and the heart of womanhood, as nourisher and comforter. The term "oncoplastic surgery" (OPS) refers to more than only the fusion of plastic and oncologic concepts. Surgeons can do wider excisions with free margins by modifying the residual breast tissue using different mammoplastic techniques, which lowers the incidence of re-excision.
Objective: To assess and evaluate wide local excision technique as an oncoplastic procedure for management of breast carcinoma in the upper/upper lateral quadrant with matrix rotation technique regarding cosmetic, surgical outcomes, and patient satisfaction
Patients and Methods: This prospective randomized controlled study included 30 patients with cancer breast scheduled for oncology breast surgery. They were divided to two equal groups: Group I: wide local excision technique. Group II: matrix rotation technique.
Results: When testing the postoperative outcomes for all included patients, we found that 63.3% of patients had good cosmetic outcome postoperatively. 16.7% of patients had very good cosmetic outcome. Concerning patients’ point of view, 80% of patients (24 patients) were totally satisfied about their postoperative outcome. 63.3% of them (19 patients) thought they had equal breast sizes while 36.7% of them (11 patients) thought they had a better breast shape as shown in table 3.
Conclusion: Wide local excision is a safe oncoplastic technique, causing significantly less post-operative hematoma, mild seroma, minimal blood loss, less areolar deviation and better breast symmetry than matrix rotation technique.
 

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The Egyptian Journal of Hospital Medicine
Volume 90, Issue 2
January 2023
Pages 2064-2070

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