<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922020000500004</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922020000500004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Experiencia con colgajos toracoabdominales en reconstrucción mamaria. Clasificación personal y variantes]]></article-title>
<article-title xml:lang="en"><![CDATA[Experience with thoracoabdominal flaps in breast reconstruction. Personal classification and variants]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moretti]]></surname>
<given-names><![CDATA[Ernesto A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Camargo]]></surname>
<given-names><![CDATA[Jonathan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A2b"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Settecasi]]></surname>
<given-names><![CDATA[Julieta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A2b"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Falzone]]></surname>
<given-names><![CDATA[Selene]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A2b"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Privado de Rosario Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Rosario ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="A2a">
<institution><![CDATA[,Hospital Privado de Rosario Servicio de Cirugía Plástica ]]></institution>
<addr-line><![CDATA[Rosario ]]></addr-line>
<country>Argentina</country>
</aff>
<aff id="A2b">
<institution><![CDATA[,Universidad Abierta Interamericana Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Rosario ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>46</volume>
<numero>4</numero>
<fpage>401</fpage>
<lpage>410</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922020000500004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922020000500004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922020000500004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. Los colgajos toracoabdominales permiten el cierre de defectos torácicos con una menor morbilidad y dificultad técnica respecto a los colgajos a distancia. En cirugía recontructiva oncológica mamaria se utilizaron primariamente como colgajos fasciocutáneos para pacientes con cáncer de mama localmente avanzado (T3 y T4) que requieren grandes resecciones de piel y necesitan una cubierta rápida y eficaz del defecto torácico. En los últimos años han resurgido como opción terapéutica para solucionar complicaciones postquirúrgicas por isquemia y necrosis cutánea con exposición de expansores o implantes mamarios. El aumento de la mastectomía reductora de riesgo ha llevado a zonas de necrosis cutáneas pequeñas que requieren colgajos de vecindad para solucionar la complicación. Es en esta última indicación donde estos colgajos tienen una aplicación óptima.  Material y método. Describimos el colgajo toracoabdominal como una técnica reconstructiva de gran utilidad para cubrir defectos cutáneos en cirugía mamaria y presentamos una clasificación útil para clarificar sus indicaciones, extraída de nuestra experiencia con dichos colgajos.  Resultados. Elaboramos una clasificación didáctica de los colgajos toracoabdominales, presentamos un caso clínico de cada modelo de colgajo, y recopilamos nuestra casuística.  Conclusiones. Destacamos el uso específico en complicaciones de cirugías de reconstrucción mamaria de los colgajos toracoabdominales como alternativa que aporta tejidos de igual coloración, fácil de realizar, con cierre directo de la zona donante por lo general y con un pedículo vascular fiable. Además, aportamos una clasificación propia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. The thoracoabdominal flap allows the closure of thoracic defects with a lower morbidity and technical difficulty compared to remote flaps. In mammary oncological reconstructive surgery, they were primarily used as fasciocutaneous flaps for patients with locally advanced breast cancer (T3 and T4) that require large skin resections and a fast and effective coverage of the thoracic defect. In recent years they have resurged as a therapeutic option to solve postoperative complications due to ischemia and skin necrosis with exposure of expanders or breast implants.The increase in the practice of risk-reducing mastectomy has led to areas of small skin necrosis that require local flaps to solve the complication. It is in this last indication where these flaps have an optimal application.  Methods. In this study, the thoracoabdominal flap is presented as a very useful reconstructive technique to cover skin defects in breast surgery. A classification is presented in order to clarify these fasciocutaneous flaps as well as our experience with theme.  Results. We elaborate a didactic classification of thoracoabdominal flaps, presenting a clinical case of each flap model, and compiling our casuistry.  Conclusions. We highlight the specific use in complications of breast reconstruction surgeries of thoracoabdominal flaps as an alternative that provides tissues of the same color, easy to perform, with direct closure of the donor area and with a reliable vascular pedicle. In addition, we provide our own classification]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Colgajo toracoabdominal]]></kwd>
<kwd lng="es"><![CDATA[Colgajo toracoepigástrico]]></kwd>
<kwd lng="es"><![CDATA[Reconstrucción mamaria]]></kwd>
<kwd lng="en"><![CDATA[Thoracoabdominal flap]]></kwd>
<kwd lng="en"><![CDATA[Thoracoepigastric flap]]></kwd>
<kwd lng="en"><![CDATA[Breast reconstruction]]></kwd>
</kwd-group>
</article-meta>
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