Laparoscopic bilateral salpingo-oophorectomy in breast cancer patients after transverse rectus abdominus myocutaneous flap reconstructive surgery Journal Article
| Authors: | Awtrey, C. S.; Abu-Rustum, N. R.; Disa, J. J.; Ivy, J. J.; Kauff, N. D.; Hummer, A. J.; Barakat, R. R. |
| Article Title: | Laparoscopic bilateral salpingo-oophorectomy in breast cancer patients after transverse rectus abdominus myocutaneous flap reconstructive surgery |
| Abstract: | Objective. The aim of this study was to describe the feasibility and outcome of laparoscopic risk-reducing salpingo-oophorectomy (RRSO) in patients with a history of breast cancer who previously had undergone a transverse rectus abdominus myocutaneous (TRAM) flap reconstruction. Methods. We performed a retrospective review of patients with a history of breast cancer who had undergone laparoscopic RRSO between February 1995 and April 2002. Patients who had undergone TRAM flap reconstructive surgery were compared with patients who had undergone laparoscopic RRSO without prior reconstructive surgery. Results. We identified 102 patients with a history of breast cancer who were candidates for a laparoscopic RRSO during the study period. One hundred one of these patients underwent the procedure, including 10 patients with a history of TRAM flap breast reconstructive surgery. One patient did not undergo the procedure because she was noted to be hypotensive prior to the procedure from her bowel preparation. There were no differences between the groups with or without prior history of TRAM flap reconstruction with respect to body mass index, prior abdominal surgery, menopausal status, or preoperative ultrasound characteristics. Operatively, there was no difference between the groups with respect to estimated blood loss, hospital stay, and intraoperative and postoperative complication rates. The only noted difference between the two groups was the estimated operating time (TRAM group, 91 min; non-TRAM group, 70 min [P < 0.01]). Conclusions. Laparoscopic RRSO is safe and feasible in patients who have undergone a prior TRAM flap reconstruction. © 2005 Elsevier Inc. All rights reserved. |
| Keywords: | adult; controlled study; aged; middle aged; cancer surgery; retrospective studies; major clinical study; review; plastic surgery; surgical flaps; laparoscopy; laparoscopic surgery; preoperative evaluation; salpingooophorectomy; ovarian neoplasms; breast cancer; bleeding; ovariectomy; breast neoplasms; postoperative complication; hypotension; hospitalization; body mass; feasibility study; echography; operation duration; surgical risk; intestine preparation; abdominal surgery; menopause; myocutaneous flap; rectus abdominis; rectus abdominis muscle; peroperative complication; prophylactic bilateral salpingo-oophorectomy; risk-reducing bilateral salpingo-oophorectomy; transverse rectus abdominus myocutaneous flap reconstruction |
| Journal Title: | Gynecologic Oncology |
| Volume: | 99 |
| Issue: | 3 |
| ISSN: | 0090-8258 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2005-12-01 |
| Start Page: | 720 |
| End Page: | 725 |
| Language: | English |
| DOI: | 10.1016/j.ygyno.2005.07.120 |
| PUBMED: | 16169063 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 3" - "Export Date: 24 October 2012" - "CODEN: GYNOA" - "Source: Scopus" |
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