Choice of flaps for breast reconstruction

被引：72

作者：

Tachi M. ^{[1
]}

Yamada A. ^{[1
]}

机构：

[1] Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Tohoku University, Aoba-ku, Sendai 980-8574

来源：

International Journal of Clinical Oncology | 2005年 / 10卷 / 5期

关键词：

Breast reconstruction; DIEP flap; SIEA flap; TRAM flap;

D O I：

10.1007/s10147-005-0527-4

中图分类号：

学科分类号：

摘要：

The optimal method for breast reconstruction should be safe, reliable, and accessible for every patient, and it should display little or no donor-site morbidity. After comparing mammary implants it has been found that autogenous breast reconstruction can create a ptotic, soft, symmetrical breast mound. The transverse rectus abdominis musculocutaneous flap (TRAM) remains the most popular method for autogenous reconstruction. Modern trends in breast reconstruction using the TRAM flap have promoted adequate blood supply to the flap while minimizing donor-site defects in the anterior abdominal wall. The pedicled TRAM flap remains one of the most frequently used flaps, but the indirect blood supply in this flap has required many modifications and refinements. Such modifications have included the bipedicled TRAM flap, the free TRAM flap, and the supercharged TRAM flap. To avoid donor-site morbidities, the muscle-sparing free TRAM, deep inferior epigastric perforator flap (DIEP), and superficial inferior epigastric artery (SIEA) flap were introduced. The DIEP perforator flap requires meticulous technique but offers proven reliability and a low rate of complications. As surgeons become more comfortable with harvesting DIEP flaps, the frequency of usage seems likely to increase. The latissimus dorsi musculocutaneous flap, gluteus maximus musculocutaneous flap, and others may be selected when these modifications of free TRAM flap are unavailable or unusable. © The Japan Society of Clinical Oncology 2005.

引用

页码：289 / 297

页数：8

共 57 条

[1]

Burak W., Agnese D., Povoski S., Advances in the surgical management of early stage invasive breast cancer, Curr Probl Surg, 41, pp. 882-935, (2004)

[2]

Grotting J., Beckenstein M., Arkoulakis N., The art and science of autologous breast reconstruction, Breast J, 9, pp. 350-360, (2003)

[3]

Bostwick J.I.I.I., Breast reconstruction following mastectomy, CA Cancer J Clin, 45, pp. 289-304, (1995)

[4]

De Cholnoky T., Breast reconstruction after radical mastectomy: Formation of missing nipple by everted navel, Plast Reconstr Surg, 38, pp. 577-580, (1966)

[5]

Schneider W., Hill H., Brown R., Latissimus dorsi myocutaneous flap for breast reconstruction, Br J Plast Surg, 30, pp. 277-281, (1977)

[6]

Hartrampf C., Scheflan M., Black P., Breast reconstruction with a transverse abdominal island flap, Plast Reconstr Surg, 69, pp. 216-225, (1982)

[7]

Bostwick J., Jones G., Why I choose autogenous tissue in breast reconstruction, Clin Plast Surg, 21, pp. 165-175, (1994)

[8]

Grotting J.C., Urist M.M., Maddox W.A., Et al., Conventional TRAM flap versus free microsurgical TRAM flap for immediate breast reconstruction, Plast Reconstr Surg, 83, pp. 828-841, (1989)

[9]

Holmstrom H., The free abdominoplasty flap and its use in breast reconstruction: An experimental study and clinical case report, Scan J Plast Reconstr Surg, 13, pp. 423-437, (1979)

[10]

Serletti J.M., Moran S.L., Microvascular reconstruction of the breast, Semin Surg Oncol, 19, pp. 264-271, (2000)

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