지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 359 - 366 (8page)
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초록· 키워드
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Background Pedicled transverse rectus abdominis musculocutaneous flaps typically sacrifice the entire muscle. In our experience, the lateral strip of the rectus abdominis muscle can be spared in an attempt to maintain function and reduce morbidity. When the intercostal nerves are injured, muscle atrophy appears with time. The severed intercostal nerve was reinserted into the remnant lateral strip of the rectus abdominis muscle to reduce muscle atrophy. Methods The authors retrospectively reviewed 9 neurotized cases and 10 non-neurotized cases. Abdominal computed tomography was performed to determine the area of the rectus muscles. Electromyography (EMG) was performed to check contractile function of the remnant muscle. A single investigator measured the mean areas of randomly selected locations (second lumbar spine) using ImageJ software in a series of 10 cross-sectional slices. We compared the Hounsfield unit (HU) pre- and postoperatively to evaluate regeneration quality. Results In the neurotization group, 7 of 9 cases maintained the mass of remnant muscle. However, in the non-neurotization group, 8 of 10 lost their mass. The number of totally atrophied muscles in each of the two groups was significantly different (P=0.027). All of the remnant muscles showed contractile function on EMG. The 9 remaining remnant rectus abdominis muscles showed declined the HU value after surgery but also within a normal range of muscle. Conclusions Neurotization was found to be effective in maintaining the mass of remnant muscle. Neurotized remnant muscle had contractile function on EMG and no fatty degeneration by HU value.
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참고문헌 (18)
참고문헌 신청
Hartrampf CR / 1982 / Breast reconstruction with a transverse abdominal island flap / Plast Reconstr Surg 69:216~225
Hartrampf CR Jr / 1987 / Autogenous tissue reconstruction in the mastectomy patient: a critical review of 300 patients / Ann Surg 205:508~519
Hartrampf CR Jr / 1984 / Abdominal wall competence in transverse abdominal island flap operations / Ann Plast Surg 12:139~146
Grotting JC / 1989 / Conventional TRAM flap versus free microsurgical TRAM flap for immediate breast reconstruction / Plast Reconstr Surg 83:828~841
Mizgala CL / 1994 / Assessment of the abdominal wall after pedicled TRAM flap surgery: 5- to 7-year follow-up of 150 consecutive patients / Plast Reconstr Surg 93:988~1002
Hartrampf CR Jr / 1987 / Autogenous tissue reconstruction in the mastectomy patient: a critical review of 300 patients / Ann Surg 205:508~519
Hartrampf CR Jr / 1984 / Abdominal wall competence in transverse abdominal island flap operations / Ann Plast Surg 12:139~146
Grotting JC / 1989 / Conventional TRAM flap versus free microsurgical TRAM flap for immediate breast reconstruction / Plast Reconstr Surg 83:828~841
Mizgala CL / 1994 / Assessment of the abdominal wall after pedicled TRAM flap surgery: 5- to 7-year follow-up of 150 consecutive patients / Plast Reconstr Surg 93:988~1002
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