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  • Title: Autologous breast reconstruction with the inchworm flap in an obese woman.
    Author: Goshtasby P, Mohebi P, Born M.
    Journal: Obes Surg; 2006 Oct; 16(10):1383-5. PubMed ID: 17059751.
    Abstract:
    Breast cancer may particularly occur in the obese female population. Although mastectomy can be a life-saving procedure, it frequently leaves soft tissue defects and deformities that can be psychologically and esthetically upsetting to the patient. A number of reconstructive methods have been utilized including prosthetic implants, TRAM flaps, and latissimus dorsi myocutaneous flaps. We present an obese woman who underwent a novel method of post-mastectomy breast reconstruction using a staged lateral chest wall fasciocutaneous advancement flap which we term the 'inchworm flap'. The patient had good outcome with no complications. In a select group of obese patients who have redundant lateral chest wall soft tissue following mastectomy, this technique can be a successful means of recreating the breast mound using autologous tissue.
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