Improved safety of autologous breast reconstruction surgery by stabilisation of microsurgical vessel anastomoses using fibrin sealant in 349 free DIEP or fascia-muscle-sparing (fms)-TRAM flaps: A two-centre study

被引：31

作者：

Andree, Christoph ^{[1
]}

Munder, Beatrix I. J. ^{[1
]}

Behrendt, Philipp ^{[1
]}

Hellmann, Simone ^{[1
]}

Audretsch, Werner ^{[2
]}

Voigt, Matthias ^{[1
]}

Reis, Christoph ^{[1
]}

Beckmann, Matthias W. ^{[3
]}

Horch, Raymund E. ^{[4
]}

Bach, Alexander D. ^{[4
]}

机构：

[1] Gerresheim Hosp, Interdisciplinary Breast Ctr, Dept Plast & Aesthet Surg, Sana Kliniken, D-40625 Dusseldorf, Germany

[2] Gerresheim Hosp, Interdisciplinary Breast Ctr, Dept Senol, Sana Kliniken, D-40625 Dusseldorf, Germany

[3] Univ Erlangen Nurnberg, Dept Gynaecol, D-9104 Erlangen, Germany

[4] Univ Erlangen Nurnberg, Dept Plast & Hand Surg, D-9104 Erlangen, Germany

来源：

BREAST | 2008年 / 17卷 / 05期

关键词：

Breast reconstruction; Anastomosis; Stabilisation; TRAM; DIEP; Fibrin sealant;

D O I：

10.1016/j.breast.2008.03.010

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background: We routinely perform free DIEP flap and fascia-muscle-sparing (fms) TRAM flap procedures using fibrin sealant to stabilise anastomosed vessels, thus avoiding some of the difficulties associated with microsurgical anastomoses. Methods: Women undergoing elective, autologous breast reconstruction with free DIEP flaps or fms-TRAM flaps between June 2004 and June 2007 in two Interdisciplinary Breast Centres were included in a retrospective chart review. Results: A total of 349 breast reconstructions were performed in 325 women. Of these, 201 (57.6%) were free DIEP flap procedures and 148 (42.4%) were fms-TRAM flap procedures. Average hospital stay was 9.8 days. Complete flap loss was seen in 3 cases (0.9%). Low rates of post-operative complications were observed. Conclusions: Microsurgical breast reconstruction using free DIEP flaps and fms-TRAM flaps, with fibrin sealant for stabilisation of microvascular anastomoses, provides good post-operative outcome featuring a low incidence of flap loss or other common post-operative complications. (C) 2008 Elsevier Ltd. All rights reserved.

引用

页码：492 / 498

页数：7

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