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논문 기본 정보

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학술저널
저자정보
Tan, Shane (National University Health System, National University Hospital) Lim, Jane (Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, National University Hospital, University of Singapore) Yek, Jacklyn (National University Health System, National University Hospital) Ong, Wei Chen (Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, National University Hospital, University of Singapore) Hing, Chor Hoong (Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, National University Hospital, University of Singapore) Lim, Thiam Chye (Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, National University Hospital, University of Singapore)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제3호
발행연도
2013.1
수록면
187 - 191 (5page)

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Background Our objective was to compare the complication rates of two common breast reconstruction techniques performed at our hospital and the cost-effectiveness for each test group. Methods All patients who underwent deep inferior epigastric perforator (DIEP) flap and transverse rectus abdominis myocutaneous (TRAM) flap by the same surgeon were selected and matched according to age and mastectomy with or without axillary clearance. Patients from each resultant group were selected, with the patients matched chronologically. The remainder were matched for by co-morbidities. Sixteen patients who underwent immediate breast reconstruction with pedicled TRAM flaps and 16 patients with DIEP flaps from 1999 to 2006 were accrued. The average total hospitalisation cost, length of hospitalisation, and complications in the 2 year duration after surgery for each group were compared. Results Complications arising from both the pedicled TRAM flaps and DIEP flaps included fat necrosis (TRAM, 3/16; DIEP, 4/16) and other minor complications (TRAM, 3/16; DIEP, 1/16). The mean hospital stay was 7.13 days (range, 4 to 12 days) for the pedicled TRAM group and 7.56 (range, 5 to 10 days) for the DIEP group. Neither the difference in complication rates nor in hospital stay duration were statistically significant. The total hospitalisation cost for the DIEP group was significantly higher than that of the pedicled TRAM group (P<0.001). Conclusions Based on our study, the pedicled TRAM flap remains a cost-effective technique in breast reconstruction when compared to the newer, more expensive and tedious DIEP flap.
#Perforator flap #Surgical flap #Mammoplasty #Complications

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참고문헌 (25)

참고문헌 신청
Petit J / 2001 / Breast reconstructive techniques in cancer patients: which ones, when to apply, which immediate and long term risks? / Crit Rev Oncol Hematol 38:231~239 google schola Tansini I / 1906 / Sopra il mio nuovo processo di amputazione della mammella / Gazz Med Ital 57:141 google schola Hartrampf CR / 1982 / Breast reconstruction with a transverse abdominal island flap / Plast Reconstr Surg 69:216~225 google schola Saint-Cyr M / 2009 / Perforator flaps: history, controversies, physiology, anatomy, and use in reconstruction / Plast Reconstr Surg 123:132e~145e google schola Gurunluoglu R / 2013 / Current trends in breast reconstruction: survey of American Society of Plastic Surgeons 2010 / Ann Plast Surg 70:103~110 google schola

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