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
- 저널정보
- 대한미용성형외과학회 Archives of Aesthetic Plastic Surgery Archives of Aesthetic Plastic Surgery Vol.27 No.1
- 발행연도
- 2021.1
- 수록면
- 31 - 34 (4page)
이용수
초록· 키워드
오류제보하기
Delayed breast reconstruction is challenging because it requires a large volume and symmetry, and the dual-pedicled deep inferior epigastric perforator (DIEP) flap is used with microvascular augmentation. However, candidate recipient vessels in patients who have undergone radiation therapy may be damaged, with uncertain patency. This report suggests a novel method, the dual-pedicled conjoined abdominal flap, in which a free DIEP flap is combined with a pedicled transverse rectus abdominis muscle (TRAM) flap. A 57-year-old female patient who had undergone modified radical mastectomy and radiotherapy 25 years previously was referred for breast reconstruction. A whole abdominal flap was needed, but supercharged anastomosis was very risky due to calcification and scarring of the internal mammary vessel. Therefore, the thoracodorsal vessels were anastomosed with a free left DIEP flap, which was combined with a right-pedicled TRAM flap. The reconstructed volume was sufficient, and the blood flow was intact. The patient presented a symmetric contour without any complications after 4 months. The dual-pedicled conjoined abdominal flap is reliable for delayed breast reconstruction that requires a large volume and skin replacement, especially in patients with radiation-injured recipient vessels. Even if microscopic anastomosis failure occurs, secondary rescue is made possible by the pedicled TRAM flap.
목차
등록된 정보가 없습니다.
참고문헌 (11)
참고문헌 신청
Hamdi M / 2007 / Double-pedicle abdominal perforator free flaps for unilateral breast reconstruction : new horizons in microsurgical tissue transfer to the breast / J Plast Reconstr Aesthet Surg 60:904~912
Cho MJ / 2020 / Clinical decision making using CTA in conjoined, bipedicled DIEP and SIEA for unilateral breast reconstruction / J Reconstr Microsurg 36:241~246
Koolen PG / 2015 / Bipedicle-conjoined perforator flaps in breast reconstruction / J Surg Res 197:256~264
Tyrell R / 2016 / Using a single internal mammary artery as retrograde and antegrade flow for bilateral deep inferior epigastric artery perforator reconstruction : a case report / Int J Angiol 25:e87~8
D’Souza N / 2011 / Immediate versus delayed reconstruction following surgery for breast cancer / Cochrane Database Syst Rev (7):CD008674
Cho MJ / 2020 / Clinical decision making using CTA in conjoined, bipedicled DIEP and SIEA for unilateral breast reconstruction / J Reconstr Microsurg 36:241~246
Koolen PG / 2015 / Bipedicle-conjoined perforator flaps in breast reconstruction / J Surg Res 197:256~264
Tyrell R / 2016 / Using a single internal mammary artery as retrograde and antegrade flow for bilateral deep inferior epigastric artery perforator reconstruction : a case report / Int J Angiol 25:e87~8
D’Souza N / 2011 / Immediate versus delayed reconstruction following surgery for breast cancer / Cochrane Database Syst Rev (7):CD008674
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