Modified Lateral Intercostal Artery Perforator Flap: Is it Technically Feasible and Cosmetically Sound?. | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 18, Issue 3, July 2025, Page 243-252 PDF (867.71 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2025.387397.1203 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Ayman Elnemr* ; Mohamed Ghazaly; El Dahshan ME | ||||
| Department of General Surgery, Faculty of Medicine, Tanta University Hospital, Egypt | ||||
| Abstract | ||||
| Introduction: When possible, breast conserving surgery (BCS) is used to treat breast cancer rather than mastectomy. Asymmetry and abnormalities of the breast’s shape have been linked to the removal of malignancies in the breast’s lateral region. One volume replacement procedure with favorable cosmetic results is lateral intercostal artery perforator flaps (LICAP). Our adaptation of the traditional LICAP does not require the patient to be moved, provides adequate access to the axilla, and leaves a less noticeable scar. Patients and methods: Twenty patients who received BCS with immediate reconstruction utilizing modified lateral intercostal artery perforator flaps were included in this study. Ultrasonography was used to mark the perforators. The defect was filled using a flap after a thorough local excision and axillary dissection. Results: We performed modified LICAP flaps on 20 patients. The follow-up period was six to twenty-four months. Four individuals had tumors measuring less than 2 cm (T1), and 13 patients had tumors in the lower-outer quadrants. Three patients experienced complications, including fat necrosis in one and wound dehiscence in two. Conservative treatment was used in all complications, with positive outcomes. There were no reports of wound infections or flap loss. No signs of tumor metastasis or recurrence were found during our follow-up. Conclusion: Because it has minimal donor site morbidity and eliminates the need for muscle transfer, the modified LICAP is beneficial. Selecting the right patient, working with the oncological team to plan, and intraoperative caution during surgery are all essential to success. | ||||
| Keywords | ||||
| Breast conserving surgery; LICAP; mastectomy; perforator flap; volume replacement | ||||
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