Download PDF
J Reconstr Microsurg Open 2016; 01(01): 067-070
DOI: 10.1055/s-0036-1584220
Letter to the Editor: Short Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Simultaneous Total Laparoscopic Hysterectomy during Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction and Contralateral Superficial Inferior Epigastric Artery Flap Breast Augmentation

Toshihiko Satake
1   Department of Plastic and Reconstructive Surgery, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan
,
Masakazu Kitagawa
2   Department of Gynecology, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan
,
Ryunosuke Ninomiya
1   Department of Plastic and Reconstructive Surgery, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan
,
Koichi Hirotomi
1   Department of Plastic and Reconstructive Surgery, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan
,
Yasushi Yamamoto
3   Department of Plastic and Reconstructive Surgery, Yokohama Rosai Hospital, Yokohama, Kanagawa, Japan
,
Shinji Kobayashi
4   Department of Plastic and Reconstructive Surgery, Kanagawa Children's Medical Center, Yokohama, Kanagawa, Japan
,
Hideya Sakakibara
2   Department of Gynecology, Yokohama City University Medical Center, Yokohama, Kanagawa, Japan
,
Jiro Maegawa
5   Department of Plastic and Reconstructive Surgery, Yokohama City University Hospital, Yokohama, Kanagawa, Japan
› Author Affiliations
Further Information

Publication History

17 February 2016

03 April 2016

Publication Date:
20 May 2016 (online)

Also available at
   Permissions and Reprints

Uterine fibroids are common benign tumors that develop from smooth muscle in the uterus; approximately 20 to 80% of women develop fibroids till the age of 50 years.[1] We describe a patient who needed breast reconstruction and also had a large intra-abdominal uterine fibroid. Abdominal-based breast reconstruction, contralateral balancing breast augmentation, and total laparoscopic hysterectomy (TLH) were successfully performed during one operation. Prior to this operation, we assessed the complication risk and identified the process required to accomplish these complex procedures. Therefore, using a multidisciplinary team approach, we created the well-vascularized abdominal flaps for the breast procedures, performed the total hysterectomy through the laparoscope, and attained tension-free closure of the donor site without complications.

 

  • References

  • 1 National Women's Health Information Center, U.S. Department of Health and Human Services. ePublications: uterine fibroids fact sheet. Available at: http://www.womenshealth.gov/publications/our-publications/fact-sheet/uterine-fibroids.html . Accessed September 24, 2015
    PubMed
  • 2 Khademvatani K, Rezaei Y, Kerachian A, Seyyed-Mohammadzad MH, Eskandari R, Rostamzadeh A. Acute pulmonary embolism caused by enlarged uterine leiomyoma: a rare presentation. Am J Case Rep 2014; 15: 300-303
    CrossrefPubMedSearch in Google Scholar
  • 3 Shiota M, Kotani Y, Umemoto M , et al. Deep-vein thrombosis is associated with large uterine fibroids. Tohoku J Exp Med 2011; 224 (2) 87-89
    CrossrefPubMedSearch in Google Scholar
  • 4 Shah AK, Sala E, Staiano JJ. If the scan fits—evacuate!. J Plast Reconstr Aesthet Surg 2009; 62 (4) 554-555
    PubMedSearch in Google Scholar
  • 5 Losken A, Carlson GW, Tyrone JW , et al. The significance of intraabdominal compartment pressure after free versus pedicled TRAM flap breast reconstruction. Plast Reconstr Surg 2005; 115 (1) 261-263
    PubMedSearch in Google Scholar
  • 6 Awtrey CS, Abu-Rustum NR, Disa JJ , et al. Laparoscopic bilateral salpingo-oophorectomy in breast cancer patients after transverse rectus abdominus myocutaneous flap reconstructive surgery. Gynecol Oncol 2005; 99 (3) 720-725
    CrossrefPubMedSearch in Google Scholar
  • 7 Muller CY, Coleman RL, Adams Jr WP. Laparoscopy in patients following transverse rectus abdominis myocutaneous flap reconstruction. Obstet Gynecol 2000; 96 (1) 132-135
    PubMedSearch in Google Scholar
  • 8 Parrett BM, Caterson SA, Tobias AM, Lee BT. DIEP flaps in women with abdominal scars: are complication rates affected?. Plast Reconstr Surg 2008; 121 (5) 1527-1531
    CrossrefPubMedSearch in Google Scholar
  • 9 Nahabedian MY, Manson PN. Contour abnormalities of the abdomen after transverse rectus abdominis muscle flap breast reconstruction: a multifactorial analysis. Plast Reconstr Surg 2002; 109 (1) 81-87 , discussion 88–90
    CrossrefPubMedSearch in Google Scholar
  • 10 Hurd WW, Pearl ML, DeLancey JO, Quint EH, Garnett B, Bude RO. Laparoscopic injury of abdominal wall blood vessels: a report of three cases. Obstet Gynecol 1993; 82 (4, Pt 2, Suppl): 673-676
    PubMedSearch in Google Scholar