Vinay Kant Shankhdhar

Homi Bhabha National Institute, India

Title: Zone wise planning of breast oncoplasty


Introduction: Breast conservation surgery, in India, has increased significantly as a result of  better diagnostic modalities and adjuvant therapy. Level 2 oncoplasty is required in relatively larger breasts, where the principles of reduction mammoplasty are used to readjust the breast tissue for a good cosmetic outcome. 
Material and Methods: A total of 87 breast oncoplasties were performed at Tata memorial center from 2014 to 2023. The patients having low tumour to breast ratio were suitable for volume displacement oncoplasties. For ease of understanding, the breast was divided into 9 zones. The upper outer quandrant was the most common site for tumours hence Superomedial pedicle could be used, followed by inferior and medial pedicle. 
Results: Follow up period ranged from 6months to 9 years. Partial necrosis of the flaps occurred in 6, suture line dehiscence in 4, wound infection in 3, seroma in 3, and fat necrosis in 10. 
Conclusions: Reduction mammoplasty principles can be used to give good cosmetic outcomes in Breast conservation surgeries in Indian females. The contributory factors are early diagnosis and Moderate size of breasts, thus making volume displacement procedures possible.