Breast Reconstruction Using Laparoscopically Harvested Pedicled Omental Flap - Imaging Findings and a Case of Recurrence Among Eight Patients

Sep 30, 2026

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Laparoscopically Harvested Pedicled Omental Flap (LHPOF) is presented as a viable breast reconstruction option supported by minimally invasive approaches that may reduce postoperative pain and scarring. Imaging across eight post-reconstruction patients used mammography, ultrasonography, MRI, and CT, showing fat replacing glandular tissue and multiple internal vessels. One recurrence was detected, illustrating the effectiveness of routine surveillance imaging. The report emphasizes LHPOF-specific findings for surveillance in breast cancer patients.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages6

Reading Time15 min

AccessFree to download

Abstract

1. Introduction

2. Case Report

2.1. Surgical Procedures

[1573-4056/25](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net)[ Send Orders for Reprints to](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net)[ ](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net)[reprints@benthamscience.net](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net) 1 Current Medical Imaging Content list available at: [https://benthamscience.com/journals/cmir](https://benthamscience.com/journals/cmir) CASE REPORT Breast Reconstruction Using Laparoscopically Harvested Pedicled Omental Flap: Imaging Findings and a Case of Recurrence Among Eight Patients Jung Hee Byon1, Soyeoun Lim1, Kyoungkyg Bae1 and Minseo Bang1,* 1Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, 877 Bangeojinsunhwando-ro, Dong-gu, Ulsan 44033, South Korea Abstract: Background: Laparoscopically Harvested Pedicled Omental Flap (LHPOF) has become a viable option for breast reconstruction due to advancements in minimally invasive techniques, offering benefits like reduced postoperative pain and minimal scarring. Case Presentation: This study examines the imaging findings in eight patients who underwent breast reconstruction using a LHPOF. Imaging modalities, including mammography, ultrasonography, MRI, and CT, consistently showed reconstructed breasts with fat replacing glandular tissue and numerous internal vessels. One case of recurrence was detected, demonstrating the efficacy of conventional surveillance imaging studies in facilitating the detection of recurrences. Conclusion: This is the first report detailing imaging findings of breast reconstruction using an LHPOF, including a recurrence case. Understanding these imaging results is crucial for effective surveillance in breast cancer patients with omental flap reconstruction. Keywords: Breast reconstruction, Omental flap, Laparoscopy, Mastectomy, Breast cancer, MRI, Patients. | Article History | Received: September 27, 2024 | Revised: December 16, 2024 | Accepted: December 18, 2024 | | --- | --- | --- | --- | 1. INTRODUCTION Breast cancer is the most common malignancy in women, and it is increasingly affecting younger patients [1] . With advancements in breast reconstruction surgery techniques, the cosmetic expectations of patients have grown significantly. Among the various reconstructive surgery methods, one approach in autologous tissue transplantation involves using the omental flap. Autologous omental flaps can be transferred either on a pedicle, remaining attached to its own blood supply, or as a free flap, requiring microvascular anastomosis of the donor tissue vessel to the recipient site vessel [2] . The use of the pedicled omental flap for immediate breast reconstruction was first described by Kiricuta in 1963 [3] . Advancements in laparoscopic technology and surgical skills have enabled physicians to harvest the omental flap through minimally * Address correspondence to this author at the Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, 877 Bangeojinsunhwando-ro, Dong-gu, Ulsan 44033, South Korea; [E-mail: bangms@uuh.ulsan.kr](E-mail: bangms@uuh.ulsan.kr) invasive procedures [4] . Laparoscopic harvesting of theomental flap involves the dissection and mobilization of theomentum using small incisions, which results in less postoperative pain, shorter hospital stays, and minimal scarring compared to traditional open surgical methods [5] . Some researchers have reported their experience of immediate breast reconstruction using a Laparoscopically Harvested Pedicled Omental Flap (LHPOF) [4-6] . Herein, we report the cases of eight patients who underwent LHPOF for breast reconstruction, including one case of recurrence and detail the multi-modality imaging findings. These results are presented with the aim of improving radiologic understanding during surveillance follow-up. 2. CASE R

FAQs

What is the LHPOF technique and why is it used for breast reconstruction?

LHPOF uses a laparoscopically harvested pedicled omental flap for breast reconstruction. It is favored for minimally invasive benefits such as reduced postoperative pain and minimal scarring.

Which imaging modalities were used to evaluate the reconstructed breasts in the eight patients?

The study evaluated reconstructed breasts using mammography, ultrasonography, MRI, and CT to characterize postoperative anatomy and vessels.

How was recurrence detected and what does it imply for follow-up imaging?

One case of recurrence was detected during surveillance. The report concludes that conventional surveillance imaging studies can support early detection of recurrences after omental flap reconstruction.

Sep 30, 2026

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