Choice of recipient vessels in muscle-sparing transverse rectus abdominis myocutaneous flap breast reconstruction: A comparative study

被引:4
作者
Moon, Kyung-Chul [1 ]
Lee, Jae-Min [1 ]
Baek, Si-Ook [1 ]
Jang, Seo-Yoon [1 ]
Yoon, Eul-Sik [1 ]
Lee, Byung-Il [1 ]
Park, Seung-Ha [1 ]
机构
[1] Korea Univ, Coll Med, Dept Plast Surg, 73 Inchon Ro, Seoul 02841, South Korea
来源
ARCHIVES OF PLASTIC SURGERY-APS | 2019年 / 46卷 / 02期
关键词
Mammary arteries; Postoperative complications; Reconstructive surgical procedures; INTERNAL MAMMARY VESSELS; PERFORATORS; THORACODORSAL; ARTERY; VEIN; DISSECTION; SELECTION; NECROSIS; SITE;
D O I
10.5999/aps.2018.00913
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
引用
收藏
页码:140 / 146
页数:7
相关论文
共 25 条
[1]   A Clinical Anatomic Study of Internal Mammary Perforators as Recipient Vessels for Breast Reconstruction [J].
Baek, In-Soo ;
You, Jae-Pil ;
Rhee, Sung-Mi ;
Son, Gil-Su ;
Kim, Deok-Woo ;
Dhong, Eun-Sang ;
Park, Seung-Ha ;
Yoon, Eul-Sik .
ARCHIVES OF PLASTIC SURGERY-APS, 2013, 40 (06) :761-765
[2]   The Thoracodorsal Artery and Vein as Recipient Vessels for Microsurgical Breast Reconstruction [J].
Banwell, Miles ;
Trotter, Dean ;
Ramakrishnan, Venkat .
ANNALS OF PLASTIC SURGERY, 2012, 68 (05) :542-543
[3]   Breast Reconstruction and Lymphedema [J].
Chang, David W. ;
Kim, Sugene .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2010, 125 (01) :19-23
[4]   Sentinel lymph node mapping in breast cancer [J].
Cody III H.S. .
Breast Cancer, 1999, 6 (1) :13-22
[5]   The internal mammary artery and vein as a recipient site for free-flap breast reconstruction: A report of 110 consecutive cases [J].
Dupin, CL ;
Allen, RJ ;
Glass, CA ;
Bunch, R .
PLASTIC AND RECONSTRUCTIVE SURGERY, 1996, 98 (04) :685-689
[6]   Internal Mammary Intercostal Perforators instead of the True Internal Mammary Vessels as the Recipient Vessels for Breast Reconstruction [J].
Follmar, Keith E. ;
Prucz, Roni B. ;
Manahan, Michele A. ;
Magarakis, Michael ;
Rad, Ariel N. ;
Rosson, Gedge D. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2011, 127 (01) :34-40
[7]   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 [J].
Halim, Ahmad Sukari ;
Alwi, Akmal Azim .
ANNALS OF PLASTIC SURGERY, 2014, 73 (02) :170-173
[8]   Autologous free tissue breast reconstruction using the internal mammary perforators as recipient vessels [J].
Haywood, RM ;
Raurell, A ;
Perks, AGB ;
Sassoon, EM ;
Logan, AM ;
Phillips, J .
BRITISH JOURNAL OF PLASTIC SURGERY, 2003, 56 (07) :689-691
[9]   INTERNAL MAMMARY VESSELS - ANATOMICAL AND CLINICAL CONSIDERATIONS [J].
HEFEL, L ;
SCHWABEGGER, A ;
NINKOVIC, M ;
WECHSELBERGER, G ;
MORIGGL, B ;
WALDENBERGER, P ;
ANDERL, H .
BRITISH JOURNAL OF PLASTIC SURGERY, 1995, 48 (08) :527-532
[10]   Influence of the recipient vessel on fat necrosis after breast reconstruction with a free transverse rectus abdominis myocutaneous flap [J].
Kropf, Nina ;
Macadam, Sheina A. ;
McCarthy, Colleen ;
Disa, Joseph J. ;
Pusic, Andrea L. ;
Da Lio, Andrew ;
Crisera, Christopher ;
Mehrara, Babak J. .
JOURNAL OF PLASTIC SURGERY AND HAND SURGERY, 2010, 44 (02) :96-101