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

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

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