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논문 기본 정보

자료유형
학술저널
저자정보
Moon, Kyung-Chul (Department of Plastic Surgery, Korea University College of Medicine) Lee, Jae-Min (Department of Plastic Surgery, Korea University College of Medicine) Baek, Si-Ook (Department of Plastic Surgery, Korea University College of Medicine) Jang, Seo-Yoon (Department of Plastic Surgery, Korea University College of Medicine) Yoon, Eul-Sik (Department of Plastic Surgery, Korea University College of Medicine) Lee, Byung-Il (Department of Plastic Surgery, Korea University College of Medicine) Park, Seung-Ha (Department of Plastic Surgery, Korea University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제46권 제2호
발행연도
2019.1
수록면
140 - 146 (7page)

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Background Thoracodorsal vessels (TDVs) and internal mammary vessels (IMVs) have both been widely employed as recipient vessels for use in free muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flaps. However, whether TDVs or IMVs are preferable as recipient vessels for autologous breast reconstruction with a free MS-TRAM flap remains controversial. The purpose of this study was to compare the clinical outcomes when TDVs were used as recipient vessels to those obtained when IMVs were used as recipient vessels for autologous breast reconstruction with a free MS-TRAM flap. Methods A retrospective matched-cohort study was performed. We retrospectively reviewed data collected from patients who underwent a free MS-TRAM flap for autologous breast reconstructions after mastectomy between March 2003 and June 2013. After a one-to-one matching using age, 100 autologous breast reconstructions were selected in this study. Of the 100 breast reconstructions, 50 flaps were anastomosed to TDVs and 50 to IMVs. Patient demographics and clinical outcomes including operation time, length of hospital stay, postoperative complications, and aesthetic score were compared between the two groups. Results No statistically significant differences were found between the two groups in patient demographics and clinical outcomes, including the complication rates and aesthetic scores. There were no major complications such as total or partial flap loss in either group. Conclusions The results of our study demonstrate that both TDVs and IMVs were safe and efficient as recipient vessels in terms of the complication rates and aesthetic outcomes.
#Mammary arteries #Postoperative complications #Reconstructive surgical procedures

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참고문헌 (25)

참고문헌 신청
Chang DW / 2010 / Breast reconstruction and lymphedema / Plast Reconstr Surg 125:19~23 google schola Temple CL / 2005 / Choice of recipient vessels in delayed TRAM flap breast reconstruction after radiotherapy / Plast Reconstr Surg 115:105~113 google schola Loiselle F / 2008 / Occult malignancy rate associated with thoracodorsal vessel dissection for free flap breast reconstruction / J Surg Oncol 98:94~96 google schola Halim AS / 2014 / Internal mammary perforators as recipient vessels for deep inferior epigastric perforator and muscle-sparing free transverse rectus abdominis musculocutaneous flap breast reconstruction in an Asian population / Ann Plast Surg 73:170~173 google schola Saint-Cyr M / 2007 / Changing trends in recipient vessel selection for microvascular autologous breast reconstruction : an analysis of 1483 consecutive cases / Plast Reconstr Surg 119:1993~2000 google schola

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