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Breast reconstruction with single-pedicle TRAM flap in breast cancer patients with low midline abdominal scar

Breast reconstruction with transverse rectus abdominis myocutaneous (TRAM) flap is challenging in patients with low midline abdominal scar. In this study, we aimed to investigate the clinical feasibility of immediate breast reconstruction using single-pedicle TRAM (SP-TRAM) flaps in patients with lo...

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Autores principales: Wu, Jun-Dong, Huang, Wen-He, Qiu, Si-Qi, He, Li-Fang, Guo, Cui-Ping, Zhang, Yong-Qu, Zhang, Fan, Zhang, Guo-Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4942775/
https://www.ncbi.nlm.nih.gov/pubmed/27406872
http://dx.doi.org/10.1038/srep29580
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author Wu, Jun-Dong
Huang, Wen-He
Qiu, Si-Qi
He, Li-Fang
Guo, Cui-Ping
Zhang, Yong-Qu
Zhang, Fan
Zhang, Guo-Jun
author_facet Wu, Jun-Dong
Huang, Wen-He
Qiu, Si-Qi
He, Li-Fang
Guo, Cui-Ping
Zhang, Yong-Qu
Zhang, Fan
Zhang, Guo-Jun
author_sort Wu, Jun-Dong
collection PubMed
description Breast reconstruction with transverse rectus abdominis myocutaneous (TRAM) flap is challenging in patients with low midline abdominal scar. In this study, we aimed to investigate the clinical feasibility of immediate breast reconstruction using single-pedicle TRAM (SP-TRAM) flaps in patients with low midline abdominal scar. There were 4 strict selection criteria: 1) presence at least 3 perforators on the pedicle side; 2) perforators with regional average flow velocity of >20 cm/s; 3) upper edge of the abdominal scar at least 4 cm from the umbilicus; and 4) scar age >1 year. Eight breast cancer patients with low midline abdominal scar (scar group) and 20 without (control group) underwent immediate breast reconstruction with SP-TRAM flaps consisting of zone I and III and zone II tissues. Flap complications, donor-site complications, and cosmetic results were compared between the two groups. All flaps survived and both groups presented similar flap and donor site complications, including fat necrosis, seroma, hematoma, infection, delayed wound healing, and abdominal hernia, and patients in both groups had similar aesthetic results (p > 0.05). Thus, the study demonstrated that breast reconstruction using SP-TRAM flap was a safe approach in carefully selected patients with low midline abdominal scar.
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spelling pubmed-49427752016-07-20 Breast reconstruction with single-pedicle TRAM flap in breast cancer patients with low midline abdominal scar Wu, Jun-Dong Huang, Wen-He Qiu, Si-Qi He, Li-Fang Guo, Cui-Ping Zhang, Yong-Qu Zhang, Fan Zhang, Guo-Jun Sci Rep Article Breast reconstruction with transverse rectus abdominis myocutaneous (TRAM) flap is challenging in patients with low midline abdominal scar. In this study, we aimed to investigate the clinical feasibility of immediate breast reconstruction using single-pedicle TRAM (SP-TRAM) flaps in patients with low midline abdominal scar. There were 4 strict selection criteria: 1) presence at least 3 perforators on the pedicle side; 2) perforators with regional average flow velocity of >20 cm/s; 3) upper edge of the abdominal scar at least 4 cm from the umbilicus; and 4) scar age >1 year. Eight breast cancer patients with low midline abdominal scar (scar group) and 20 without (control group) underwent immediate breast reconstruction with SP-TRAM flaps consisting of zone I and III and zone II tissues. Flap complications, donor-site complications, and cosmetic results were compared between the two groups. All flaps survived and both groups presented similar flap and donor site complications, including fat necrosis, seroma, hematoma, infection, delayed wound healing, and abdominal hernia, and patients in both groups had similar aesthetic results (p > 0.05). Thus, the study demonstrated that breast reconstruction using SP-TRAM flap was a safe approach in carefully selected patients with low midline abdominal scar. Nature Publishing Group 2016-07-13 /pmc/articles/PMC4942775/ /pubmed/27406872 http://dx.doi.org/10.1038/srep29580 Text en Copyright © 2016, Macmillan Publishers Limited http://creativecommons.org/licenses/by/4.0/ This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/
spellingShingle Article
Wu, Jun-Dong
Huang, Wen-He
Qiu, Si-Qi
He, Li-Fang
Guo, Cui-Ping
Zhang, Yong-Qu
Zhang, Fan
Zhang, Guo-Jun
Breast reconstruction with single-pedicle TRAM flap in breast cancer patients with low midline abdominal scar
title Breast reconstruction with single-pedicle TRAM flap in breast cancer patients with low midline abdominal scar
title_full Breast reconstruction with single-pedicle TRAM flap in breast cancer patients with low midline abdominal scar
title_fullStr Breast reconstruction with single-pedicle TRAM flap in breast cancer patients with low midline abdominal scar
title_full_unstemmed Breast reconstruction with single-pedicle TRAM flap in breast cancer patients with low midline abdominal scar
title_short Breast reconstruction with single-pedicle TRAM flap in breast cancer patients with low midline abdominal scar
title_sort breast reconstruction with single-pedicle tram flap in breast cancer patients with low midline abdominal scar
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4942775/
https://www.ncbi.nlm.nih.gov/pubmed/27406872
http://dx.doi.org/10.1038/srep29580
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