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논문 기본 정보

자료유형
학술저널
저자정보
Park, Tae Seo (Department of Plastic and Reconstructive Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) Nam, Su Bong (Department of Plastic and Reconstructive Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) Choi, Jae Yeon (Department of Plastic and Reconstructive Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) Bae, Sung Hwan (Department of Plastic and Reconstructive Surgery, Pusan National University Hospital, Pusan National University School of Medicine) Lee, Jae Woo (Department of Plastic and Reconstructive Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine) Kim, Hyun Yul (Department of Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제45권 제4호
발행연도
2018.1
수록면
340 - 344 (5page)

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Background In performing extended latissimus dorsi (ELD) flap procedures, a skin paddle design on the bra line helps reduce visible scarring. This improves the patient's satisfaction with the outcome. However, such a design leads to a longer operation time and increased fatigue of the surgeon due to the narrow operative field. In this study, the authors propose a method that elongates the axillary incision line posteriorly by 1.5 cm from the lateral border of the latissimus dorsi muscle. We examined whether this method could shorten the operation time and compared the incidence of complications between patients who underwent this novel procedure and patients who underwent the traditional procedure. Methods In this study of patients who underwent ELD flap procedures for immediate breast reconstruction, 89 underwent surgery with the elongated axillary incision and 45 underwent surgery without the elongated incision. The total operation time and complications were retrospectively examined based on the patients' medical records, and we examined whether there was any statistically significant difference in the total operation time. Results In the experimental group with the elongated axillary incision, the operation time ranged from 125 to 255 minutes (median, 175 minutes). In contrast, in the control group without the elongated axillary incision, the operation time ranged from 142 and 340 minutes (median, 205 minutes). The operation time was statistically significantly different between the two groups, and no significant complications were observed in the experimental group. Conclusions Elongation of the axillary incision alone may shorten the operation time of the ELD flap procedure without causing additional complications.
#Mammaplasty #Surgical flaps #Superficial back muscles

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참고문헌 (10)

참고문헌 신청
Heitmann C / 2003 / The extended latissimus dorsi flap revisited / Plast Reconstr Surg 111:1697~1701 Crossref Lee JW / 1999 / Extended latissimus dorsi musculocu- taneous flap for breast reconstruction: experience in Orien- tal patients / Br J Plast Surg 52:365~372 Crossref Hokin JA / 1983 / Mastectomy reconstruction without a prosthetic implant / Plast Reconstr Surg 72:810~818 Crossref Menke H / 2001 / Evolving concepts in breast reconstruction with latissimus dorsi flaps: results and follow-up of 121 consecutive patients / Ann Plast Surg 47:107~114 Crossref McCraw JB / 1994 / The autogenous latissimus breast reconstruction / Clin Plast Surg 21:279~88 google schola

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